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Updated: Oct 30, 2025

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Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
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Novel Web-Based Music Re-Engineering Software for Enhancement of Music Enjoyment Among Cochlear Implantees
Tiffany Peng Hwa1, Lisa Likun Tian1, Francesco Caruana1
1Department of Otolaryngology-Head and Neck Surgery, Columbia University Medical Center.
Summary
Cochlear implant (CI) users can enhance their music enjoyment through patient-directed music re-engineering. Adjusting audio settings like bass and treble significantly improved music perception for most CI listeners.
Area of Science:
- Audiology
- Music Perception
- Biomedical Engineering
Background:
- Cochlear implant (CI) users often experience reduced music perception and enjoyment due to various factors.
- Existing music playback technologies may not adequately address the unique auditory processing of CI users.
Purpose of the Study:
- To investigate if patient-directed music re-engineering can enhance music enjoyment for individuals with cochlear implants.
- To identify specific audio parameters that CI users prefer when re-engineering music.
Main Methods:
- A prospective cohort study was conducted at an academic cochlear implant center.
- A multidisciplinary team developed a music re-engineering application for CI users.
- Experienced adult CI listeners re-engineered music excerpts and rated their enjoyment using a visual analog scale (VAS).
Main Results:
- User-mixed audio was rated significantly higher for enjoyment across most music genres compared to original recordings (p < 0.05).
- Re-engineered music led to increased enjoyment in 57% of participants.
- Participants preferred increased bass frequencies and reverberation, with 79% expressing interest in personalized music mixing.
Conclusions:
- Patient-directed music re-engineering effectively increases music enjoyment for cochlear implant listeners.
- Preferred adjustments include heightened bass, reverberation, and treble.
- This approach offers a viable method to improve music experience for CI users with current technology.

