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Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
The effect of increased channel interaction on speech perception with cochlear implants.
Tobias Goehring1, Alan W Archer-Boyd2, Julie G Arenberg3
1Cambridge Hearing Group, MRC Cognition and Brain Sciences Unit, University of Cambridge, 15 Chaucer Road, Cambridge, CB2 7EF, UK. tobias.goehring@mrc-cbu.cam.ac.uk.
Spectral blurring in cochlear implants (CIs) significantly degraded speech perception, especially when applied to apical electrodes. This highlights the need to reduce channel interaction for better hearing restoration in noisy environments.
Area of Science:
- Neuroscience
- Audiology
- Biomedical Engineering
Background:
- Cochlear implants (CIs) partially restore hearing but struggle with speech perception in noise due to channel interaction.
- Evidence linking CI channel interaction to impaired frequency coding and speech perception is limited.
Purpose of the Study:
- To causally investigate the effect of increased CI channel interaction on speech perception using spectral blurring.
- To determine the impact of spectral blurring on speech perception in quiet and noisy conditions.
Main Methods:
- Employed spectral blurring to increase electrode channel overlap in Advanced Bionics CI users.
- Manipulated channel interaction using up to 6 electrodes per channel, focusing on apical electrodes.
Main Results:
- Spectral blurring significantly degraded speech perception in quiet by 15% and worsened speech reception thresholds in noise by 5 dB.
- Degradation was most pronounced when the 5 most apical channels were affected, indicating their critical role.
Conclusions:
- Increased channel interaction, particularly in apical regions, detrimentally affects CI speech perception.
- Reducing channel interaction, especially for apical electrodes, is crucial for improving CI hearing outcomes.
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