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Updated: Oct 24, 2025

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
Sex-mismatch benefit for speech-in-speech recognition by pediatric and adult cochlear implant users
Margaret E Richter1, Margaret T Dillon1, Emily Buss1
1Department of Otolaryngology/Head and Neck Surgery, The University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA.
Abstract:
This project investigated whether pediatric (5-14 years) and adult (30-60 years) cochlear implant (CI) users benefit from a target/masker sex-mismatch for speech-in-speech recognition. Speech recognition thresholds were estimated in a two-male-talker or a two-female-talker masker. Target and masker speech were either sex-matched or sex-mismatched. For both age groups, performance for sex-matched talkers was worse for male than female speech. Sex-mismatch benefit was observed for the two-male-talker masker, indicating CI users can benefit from a target/masker sex mismatch. No benefit was observed for the two-female-talker masker, suggesting this effect may depend on the relative contributions of energetic and informational masking.

