The use of interaural time and level difference cues by bilateral cochlear implant users

While considerable evidence suggests that bilateral cochlear implant (CI) users' sound localization abilities rely primarily on interaural level difference (ILD) cues, and only secondarily, if at all, on interaural time difference (ITD) cues, this evidence has largely been indirect. This study used head-related transfer functions (HRTFs) to independently manipulate ITD and ILD cues and directly measure their contribution to bilateral CI users' localization abilities. The results revealed a strong reliance on ILD cues, but some CI users also made use of ITD cues. The results also suggest a complex interaction between ITD and ILD cues.