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Updated: Feb 20, 2026

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
Validating a Method to Assess Lipreading, Audiovisual Gain, and Integration During Speech Reception With
Stefan Schreitmüller1, Miriam Frenken1, Lüder Bentz1
1Jean-Uhrmacher-Institute for Clinical ENT Research, University of Cologne, Germany.
Cochlear implant users show better lipreading skills than normal-hearing individuals. A new method using synthetic avatars for audiovisual speech reception testing is validated for clinical use.
Area of Science:
- Audiology
- Speech Science
- Human-Computer Interaction
Background:
- Watching a speaker's mouth improves speech reception, especially in noisy environments or for individuals with hearing impairments.
- Standardized methods for assessing audiovisual speech reception, including lipreading, are lacking for many languages.
- Audiovisual speech reception measures are valuable for diagnosing and treating hearing disorders.
Purpose of the Study:
- To validate a new method for assessing audiovisual speech reception using a synthetic avatar for standardized lip-sync.
- To evaluate if effects observed with live or filmed talkers in audiovisual speech reception studies can be replicated with synthetic articulation.
- To test hypotheses regarding cochlear implant users' lipreading abilities, age-related differences, and the benefits of audiovisual speech over unimodal speech.
Main Methods:
- A cross-sectional study involving 14 experienced cochlear implant (CI) users and 14 normal-hearing (NH) individuals.
- Assessment of lipreading, audiovisual gain, and integration using a German matrix sentence test.
- Utilization of the 'MASSY' (Modular Audiovisual Speech Synthesizer) system to generate standardized visual speech stimuli from a synthetic avatar.
Main Results:
- CI users demonstrated significantly higher visual-only speech reception (38%) compared to NH individuals (12%).
- Younger participants in both groups achieved higher lipreading scores, indicating an age-related effect.
- Both CI and NH groups benefited from audiovisual speech presentation over unimodal auditory or visual input, showing significant visual enhancement, auditory enhancement, and integration enhancement.
Conclusions:
- The validated method, supplementing auditory tests with synthetic visual cues, offers a standardized approach for assessing audiovisual speech reception.
- This method is suitable for clinical and scientific applications, aiding in the diagnosis and treatment of hearing and communication disorders.
- The findings support the utility of synthetic avatars in creating controlled and reproducible audiovisual speech reception assessments.
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