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Updated: Sep 2, 2025

Systematic Hearing Performance Evaluation Process for Adolescents with Cochlear Implantation at Early Ages
Published on: March 24, 2023
Audibility emphasis of low-level sounds improves consonant identification while preserving vowel identification for
Raymond L Goldsworthy1, Susan R S Bissmeyer1,2, Jayaganesh Swaminathan3,4
1Auditory Research Center, Caruso Department of Otolaryngology, Keck School of Medicine, University of Southern California, Los Angeles, California, United States of America.
Abstract:
Consonant perception is challenging for listeners with hearing loss, and transmission of speech over communication channels further deteriorates the acoustics of consonants. Part of the challenge arises from the short-term low energy spectro-temporal profile of consonants (for example, relative to vowels). We hypothesized that an audibility enhancement approach aimed at boosting the energy of low-level sounds would improve identification of consonants without diminishing vowel identification. We tested this hypothesis with 11 cochlear implant users, who completed an online listening experiment remotely using the media device and implant settings that they most commonly use when making video calls. Loudness growth and detection thresholds were measured for pure tone stimuli to characterize the relative loudness of test conditions. Consonant and vowel identification were measured in quiet and in speech-shaped noise for progressively difficult signal-to-noise ratios (+12, +6, 0, -6 dB SNR). These conditions were tested with and without an audibility-emphasis algorithm designed to enhance consonant identification at the source. The results show that the algorithm improves consonant identification in noise for cochlear implant users without diminishing vowel identification. We conclude that low-level emphasis of audio can improve speech recognition for cochlear implant users in the case of video calls or other telecommunications where the target speech can be preprocessed separately from environmental noise.
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