Analysis of Spatial, Binaural, and Better-Ear Benefits for Different Degrees of Hearing Loss Using a Binaural Speech...

This study analyzed speech recognition thresholds (SRTs) in noise of 738 listeners with different degrees of hearing loss, including normal hearing. Speech was presented from the front, while noise was presented from either the front or from +90° or -90° azimuth, corresponding to the ear with the worse hearing threshold. The latter condition was tested binaurally and monaurally (using the only better ear (BE)). Listeners showed larger variance in SRTs than in spatial, binaural, and BE benefits, regardless of their hearing loss. A model consisting of a blind equalization-cancellation (EC) front-end and the non-blind speech intelligibility index (SII, ANSI S3.5-1997) was used to predict the measured SRTs. This model used a pure-tone audiogram to simulate hearing loss. We evaluated whether an individual suprathreshold component improves the model's prediction accuracy. This component was implemented in two ways: as an individual reference SII value (from the SRT of the S₀N₀ situation) and as an individually increased external noise. Both methods improved prediction accuracy for the S₀N₉₀ conditions but had no effect on spatial or binaural release from masking, nor on BE listening. No evidence was found that other available parameters would improve the prediction accuracy.