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Interaural level differences and sound source localization for bilateral cochlear implant patients.

Michael F Dorman1, Louise Loiselle, Josh Stohl

  • 11Department of Speech and Hearing Science, Arizona State University, Tempe, Arizona, USA; 2MED-EL Corporation, Durham, North Carolina, USA; and 3Department of Communication Science and Disorders, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.

Ear and Hearing
|August 16, 2014
PubMed
Summary
This summary is machine-generated.

Cochlear implant (CI) processing significantly reduces interaural level differences (ILDs), impacting sound localization accuracy. CI patients showed poorer localization, with errors related to the reduced ILD cues and signal type.

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Area of Science:

  • Auditory Neuroscience
  • Biomedical Engineering
  • Signal Processing

Background:

  • Cochlear implants (CIs) aim to restore hearing but can alter sound localization cues.
  • Interaural level differences (ILDs) are crucial for horizontal plane sound localization.

Purpose of the Study:

  • To quantify remaining ILDs after CI signal processing.
  • To correlate these ILDs with sound source localization errors in CI users.

Main Methods:

  • MED-EL CIs and head-related transfer functions (HRTFs) were simulated in MATLAB.
  • Wideband, high-pass, and low-pass noise stimuli were used.
  • ILDs and localization accuracy were measured in 16 CI users and 34 normal-hearing listeners.

Main Results:

  • CI processing reduced maximum ILDs from 15-17 dB to 1-4 dB depending on signal type.
  • CI patients exhibited significantly poorer localization than normal-hearing listeners.
  • Localization accuracy was best with wideband/high-pass signals and worst with low-pass signals.

Conclusions:

  • Localization accuracy in CI users is linked to the magnitude of available ILD cues.
  • Error patterns suggest CI users divide the horizontal plane into broad sectors.
  • Limited ILD resolution within sectors results in poor localization acuity.