Improvements were found regarding the hearing and the tinnitus. Not all participants benefit from the CI to the same degree and in the same situations.The results indicate that cochlear implantation in subjects with unilateral severe to profound hearing loss and ipsilateral tinnitus may be beneficial on a case-to-case basis. Further work needs to be performed to define the appropriate indication criteria.

Our results demonstrate a real potential benefit for noise reduction algorithms in cochlear implant processors. Although algorithm parameters were not optimized individually, a significant improvement could still be achieved. Further investigation is required to develop fitting guidelines and achieve parameter optimization.

The majority of the subjects wanted to change to the new Harmony processor because of a better understanding in everyday life, handling, and improved battery-life time.

Results indicate that for all subjects in this group sequential stimulation is more appropriate than paired stimulation. Subjective reports, as well as formal speech perception testing, show that the difference between the two paradigms is pronounced, especially when evaluating in the presence of background noise, the test condition more representative of everyday listening.

The objective of this paper is to evaluate the advantages of the Advanced Bionic high resolution mode for speech perception, through a retrospective analysis. Forty-five adult subjects were selected who had a minimum experience of three months' standard mode (mean of 10 months) before switching to high resolution mode. Speech perception was tested in standard mode immediately before fitting with high resolution mode, and again after a maximum of six months high resolution mode usage (mean of two months). A significant improvement was found, between 11 and 17%, depending on the test material. The standard mode preference does not give any indication about the improvement when switching to high resolution. Users who are converted within any study achieve a higher performance improvement than those converted in the clinical routine. This analysis proves the significant benefits of high resolution mode for users, and also indicates the need for guidelines for individual optimization of parameter settings in a high resolution mode program.