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Bilateral cochlear implants in adults and children.

Ruth Y Litovsky1, Aaron Parkinson, Jennifer Arcaroli

  • 1Waisman Center, University of Wisconsin-Madison, 53705, USA. Litovsky@waisman.wisc.edu

Archives of Otolaryngology--Head & Neck Surgery
|May 19, 2004
PubMed
Summary

Bilateral cochlear implants (CIs) show some benefits for adults and children in sound localization and speech understanding. Further study is needed to determine the long-term advantages of bilateral CIs.

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Area of Science:

  • Audiology and Hearing Science
  • Neuroscience
  • Biomedical Engineering

Background:

  • Bilateral cochlear implantation (CI) is increasingly common for hearing loss.
  • Understanding the benefits of bilateral CIs for sound localization and speech intelligibility in noise is crucial for patient outcomes.
  • Assessing these benefits in both adult and pediatric populations presents unique challenges.

Purpose of the Study:

  • To quantify the improvements in sound localization and speech intelligibility in noise for adults and children with bilateral cochlear implants (CIs).
  • To evaluate the efficacy of specific psychophysical tasks in measuring bilateral CI benefits, particularly in young children.

Main Methods:

  • Seventeen adults and 3 children were tested 3 months post-bilateral CI activation.

Related Experiment Videos

  • Adults underwent sound localization and speech intelligibility tests comparing single CI vs. bilateral CIs.
  • Children were assessed on sound localization, right/left discrimination, and speech intelligibility with single CI vs. bilateral CIs, using engaging computer games.
  • Main Results:

    • Adults demonstrated improved sound localization and speech intelligibility in noise with bilateral CIs, especially when noise was near the poorer ear.
    • Children showed modest improvements in localization and discrimination with bilateral CIs.
    • Speech intelligibility gains varied in children; two showed consistent improvement when noise was on the side of the first CI.

    Conclusions:

    • Bilateral CIs may provide advantages for certain listeners, though benefits may take time to fully emerge.
    • The psychophysical tasks used show promise for measuring bilateral CI benefits, especially in pediatric populations.
    • Longer-term evaluation is recommended to ascertain the full extent of bilateral CI advantages and learning effects.