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Performing Intracochlear Electrocochleography During Cochlear Implantation
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Bimodal Cochlear Implants: Measurement of the Localization Performance as a Function of Device Latency Difference
Rebecca C Felsheim1,2, Sabine Hochmuth3, Alina Kleinow1
1Department für Medizinische Physik und Akustik, Carl von Ossietzky Universität Oldenburg, Oldenburg, Germany.
Trends in Hearing
|November 24, 2025
Summary
Bimodal cochlear implant users
Area of Science:
- Audiology
- Neuroscience
- Biomedical Engineering
Background:
- Bimodal cochlear implant (CI) users often exhibit impaired sound localization.
- Processing latency differences between hearing aids and CIs contribute to this deficit.
- Previous latency adjustments improved localization but were not fully optimized.
Purpose of the Study:
- To determine the optimal cochlear implant latency for improving sound localization in bimodal users.
- To investigate if frequency-independent latency adjustments are sufficient.
Main Methods:
- Eleven bimodal CI users participated in the study.
- Sound localization performance was measured across various CI latencies.
- Interaural latency adjustments were applied.
Main Results:
- Adjusting interaural latency improved localization for most participants.
- The optimal CI latency was often shorter than predicted for intermediate frequencies.
- Nine out of eleven subjects preferred a shorter CI latency.
Conclusions:
- Individualized CI latency adjustments are crucial for optimal sound localization in bimodal users.
- Current frequency-independent compensation methods may not be sufficient.
- Further research into personalized latency tuning is warranted.

