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Electrically Evoked Stapedius Reflex Measurements in Cochlear Implantation and Its Application in the Postoperative Fitting Process
Published on: June 21, 2024
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Asymmetric temporal envelope sensitivity: Within- and across-ear envelope comparisons in listeners with bilateral
Sean R Anderson1, Alan Kan2, Ruth Y Litovsky1
1Waisman Center, University of Wisconsin-Madison, Madison, Wisconsin 53705, USA.
The Journal of the Acoustical Society of America
|December 31, 2022
Summary
Bilateral cochlear implant (CI) users
Area of Science:
- Auditory Neuroscience
- Biomedical Engineering
- Speech Perception
Background:
- Bilateral cochlear implants (BiCIs) can present degraded temporal envelope information due to patient-specific electrode-nerve interfaces.
- This degradation impacts the ability to differentiate target sounds from background noise.
- The effect of comparing degraded temporal information across spectral channels on amplitude modulation (AM) rate detection remains unclear.
Purpose of the Study:
- To investigate how comparisons of temporal envelope information across spectral channels (electrodes) influence the detection of amplitude modulation (AM) rate differences in individuals with BiCIs.
- To determine the optimal electrode pairing strategies for enhancing temporal envelope processing.
Main Methods:
- Simultaneous presentation of two pulse trains with identical or differing AM rates via electrode pairs.
- Stimuli were delivered to electrodes at different stimulation sites, within and/or across ears.
- Sensitivity to AM rate differences was measured in 11 adults with BiCIs.
Main Results:
- Sensitivity to AM rate differences was highest when stimuli were paired between different stimulation sites within the same ear.
- Electrode pair sensitivity was predicted by the performance of the poorer electrode or the fidelity difference between electrodes.
- Poorer temporal fidelity in electrodes acts as a bottleneck for temporal information comparison.
Conclusions:
- The location of electrode pairs significantly impacts the ability to detect temporal envelope differences.
- Individual electrode performance and inter-electrode fidelity differences are critical factors in auditory perception with BiCIs.
- Findings have implications for cochlear implant device programming and optimizing auditory rehabilitation.

