Bimodal Cochlear Implants: The Role of Acoustic Signal Level in Determining Speech Perception Benefit

被引:23
作者
Dorman, Michael F. [1 ]
Loizou, Philip [2 ]
Wang, Shuai [1 ]
Zhang, Ting [1 ]
Spahr, Anthony [1 ]
Loiselle, Louise [1 ]
Cook, Sarah [1 ]
机构
[1] Arizona State Univ, Dept Speech & Hearing Sci, Tempe, AZ 85287 USA
[2] Univ Texas Dallas, Dept Elect Engn, Dallas, TX 75230 USA
关键词
Cochlear implant; Acoustic signal level; Speech perception; Bimodal benefit; USE HEARING-AIDS; FREQUENCY-RESPONSE; RESIDUAL HEARING; OPPOSITE EARS; RECOGNITION; PLATFORM; ADULTS; USERS; GAIN;
D O I
10.1159/000360070
中图分类号
R36 [病理学]; R76 [耳鼻咽喉科学];
学科分类号
100104 ; 100213 ;
摘要
The aim of this project was to determine for bimodal cochlear implant (CI) patients, i.e. patients with low-frequency hearing in the ear contralateral to the implant, how speech understanding varies as a function of the difference in level between the CI signal and the acoustic signal. The data suggest that (1) acoustic signals perceived as significantly softer than a CI signal can contribute to speech understanding in the bimodal condition, (2) acoustic signals that are slightly softer than, or balanced with, a CI signal provide the largest benefit to speech understanding, and (3) acoustic signals presented at maximum comfortable loudness levels provide nearly as much benefit as signals that have been balanced with a CI signal. (C) 2014 S. Karger AG, Basel
引用
收藏
页码:234 / 238
页数:5
相关论文
共 19 条
[1]   Design and Evaluation of a Personal Digital Assistant-based Research Platform for Cochlear Implants [J].
Ali, Hussnain ;
Lobo, Arthur P. ;
Loizou, Philipos C. .
IEEE TRANSACTIONS ON BIOMEDICAL ENGINEERING, 2013, 60 (11) :3060-3073
[2]  
Ali H, 2011, IEEE ENG MED BIO, P1045, DOI 10.1109/IEMBS.2011.6090243
[3]  
Armstrong M, 1997, AM J OTOL, V18, pS140
[4]   Monaural and binaural loudness measures in cochlear implant users with contralateral residual hearing [J].
Blamey, PJ ;
Dooley, GJ ;
James, CJ ;
Parisi, ES .
EAR AND HEARING, 2000, 21 (01) :6-17
[5]   HEARING-AID GAIN AND FREQUENCY-RESPONSE REQUIREMENTS FOR THE SEVERELY PROFOUNDLY HEARING-IMPAIRED [J].
BYRNE, D ;
PARKINSON, A ;
NEWALL, P .
EAR AND HEARING, 1990, 11 (01) :40-49
[6]   THE NATIONAL-ACOUSTIC-LABORATORIES (NAL) NEW PROCEDURE FOR SELECTING THE GAIN AND FREQUENCY-RESPONSE OF A HEARING-AID [J].
BYRNE, D ;
DILLON, H .
EAR AND HEARING, 1986, 7 (04) :257-265
[7]   Binaural benefits for adults who use hearing aids and cochlear implants in opposite ears [J].
Ching, TYC ;
Incerti, P ;
Hill, M .
EAR AND HEARING, 2004, 25 (01) :9-21
[8]   Combining acoustic and electric stimulation in the service of speech recognition [J].
Dorman, Michael F. ;
Gifford, Rene H. .
INTERNATIONAL JOURNAL OF AUDIOLOGY, 2010, 49 (12) :912-919
[9]   Contralateral masking in cochlear implant users with residual hearing in the non-implanted ear [J].
James, C ;
Blamey, P ;
Shallop, JK ;
Incerti, PV ;
Nicholas, AM .
AUDIOLOGY AND NEURO-OTOLOGY, 2001, 6 (02) :87-97
[10]   Cochlear implant and hearing aid: a new approach to optimizing the fitting in this bimodal situation [J].
Keilmann, Annerose M. ;
Bohnert, Andrea M. ;
Gosepath, Jan ;
Mann, Wolf J. .
EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY, 2009, 266 (12) :1879-1884