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Contralateral Routing of Signal Disrupts Monaural Sound Localization.

Sebastian A Ausili1,2, Hillary A Snapp2

  • 1Department of Biophysics, Donders Institute for Brain, Cognition and Behaviour, Radboud University, 6525 Nijmegen, The Netherlands.

Audiology Research
|August 25, 2023
PubMed
Summary

Contralateral routing of signal (CROS) hearing aids disrupt spatial hearing for single-sided deafness by impairing monaural cues. This leads to reduced localization accuracy and increased effort in both horizontal and vertical planes.

Keywords:
contralateral routing of signallocalizationmonaural listeningsingle-sided deafnessspatial hearing

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Area of Science:

  • Auditory Neuroscience
  • Audiology
  • Human Perception

Background:

  • Individuals with single-sided deafness often adapt using monaural cues for spatial hearing.
  • Contralateral routing of signal (CROS) is a common rehabilitation strategy for single-sided deafness.
  • The impact of CROS devices on crucial monaural localization cues remains poorly understood.

Purpose of the Study:

  • To investigate how CROS hearing aids affect spatial localization in azimuth and elevation.
  • To assess the disruption of monaural localization cues by CROS devices.

Main Methods:

  • Localization was tested in 10 normal-hearing adults under three conditions: normal hearing, unilateral earplugged, and unilateral earplugged with CROS aid.
  • Monaural hearing was simulated using foam earplugs.
  • Stimuli included high-pass noise bursts presented from various locations in the horizontal and vertical planes.

Main Results:

  • Unilateral earplugging resulted in good elevation localization but an azimuthal bias.
  • CROS device use significantly decreased elevation localization performance (reduced gain, low r²).
  • Azimuth localization worsened with CROS, alongside increased response time and variability.

Conclusions:

  • CROS hearing aids disrupt essential monaural spectral and level cues.
  • This disruption leads to significant detriments in both horizontal and vertical sound localization.
  • Localization becomes more effortful with CROS device use, indicated by longer reaction times and increased response variability.