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Updated: Jan 21, 2026

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Published on: March 24, 2023
Pitch Matching Adapts Even for Bilateral Cochlear Implant Users with Relatively Small Initial Pitch Differences
Justin M Aronoff1,2, Hannah E Staisloff3, Abbigail Kirchner3
1University of Illinois at Urbana-Champaign, 901 S. 6th St, Champaign, IL, 61801, USA. jaronoff@illinois.edu.
Bilateral cochlear implant (CI) users adapt to pitch mismatches between ears. Even small initial mismatches show adaptation over time, suggesting CI use helps align pitch perception.
Area of Science:
- Audiology
- Neuroscience
- Biomedical Engineering
Background:
- Bilateral cochlear implant (CI) users often experience mismatches between electrode frequency allocation and perceived pitch.
- Adaptation in pitch matching is observed in CI users with extreme mismatches, suggesting potential for compensation.
Purpose of the Study:
- To investigate pitch adaptation in bilateral CI users with initially small mismatches.
- To determine if adaptation occurs and to what extent with minor pitch-matching discrepancies.
Main Methods:
- Six bilateral CI users with initial pitch-matching mismatches under 3 mm participated.
- Participants completed pitch-matching tasks at activation, 6 months, and 1 year post-activation.
Main Results:
- Adaptation of pitch perception was observed despite relatively small initial mismatches.
- The results indicate that adaptation occurs even when the initial pitch-matching discrepancy is minor.
Conclusions:
- Pitch adaptation occurs in bilateral CI users even with small initial mismatches.
- This suggests that the auditory system can adjust to improve pitch perception alignment over time with CI use.
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