The present study investigates the nature of spectral envelope perception using a spectral modulation detection task in which sinusoidal spectral modulation is superimposed upon a noise carrier. The principal goal of this study is to characterize spectral envelope perception in terms of the influence of modulation frequency (cycles/octave), carrier bandwidth (octaves), and carrier frequency region (defined by lower and upper cutoff frequencies in Hz). Spectral modulation detection thresholds measured as a function of spectral modulation frequency result in a spectral modulation transfer function (SMTF). The general form of the SMTF is bandpass in nature, with a minimum modulation detection threshold in the region between 2 to 4 cycles/octave. SMTFs are not strongly dependent on carrier bandwidth (ranging from 1 to 6 octaves) or carrier frequency region (ranging from 200 to 12 800 Hz), with the exception of carrier bands restricted to very low audio frequencies (e.g., 200-400 Hz). Spectral modulation detection thresholds do not depend on the presence of random level variations or random modulation phase across intervals. The SMTFs reported here and associated excitation pattern computations are considered in terms of a linear systems approach to spectral envelope perception and potential underlying mechanisms for the perception of spectral features.

The University of Massachusetts CI formula uses HINT sentence scores and the hearing history of both ears to predict the variance in postoperative monosyllabic word scores. This model compares favorably with previous studies that relied on Central Institute for the Deaf sentence scores and uses patient data collected by most centers in the United States.

The HiFocus Mid-Scala electrode is intended to improve hearing for individuals with severe-to-profound hearing loss by providing extended electrical coverage of the cochlea while minimizing trauma related to insertion. The electrode is appropriate for use with a wide range of surgical techniques, including either a cochleostomy or round window insertion, and the use of either a free-hand or tool-assisted approach. The objective of this survey was to evaluate how the HiFocus Mid-Scala electrode and insertion tools was used across a population of cochlear implant recipients of differing ages, audiologic profiles, and anatomical characteristics. The intent was to understand the type and frequency of surgical techniques applicable with the electrode, and to provide guidelines for clinical practice. Two questionnaires were completed by surgeons at implant centres located in the United States, Europe, and Asia. Before any surgeries were conducted, surgeons completed a questionnaire that assessed their overall cochlear implant surgical practice and preferences. Following each HiFocus Mid-Scala electrode insertion, surgeons completed a questionnaire that summarized their experience during that surgical procedure. Questionnaires were completed by 32 surgeons from 16 centres for a total of 143 surgeries (112 adults, 31 children). Most surgeons (62 %) preferred to insert the electrode via the round window or an extended round window compared with a cochleostomy (16 %), whereas the remaining 22 % indicated that they made an insertion choice based on presenting anatomy. Sixty-nine percent preferred a free-hand approach over using insertion tools. In 32 procedures, surgeons elected to deviate from an intended round window insertion to either an extended round window or cochleostomy approach.

For excellent CI users, use of adaptive speech threshold tests in noise better defines a user's actual ability to perceive speech than do fixed SNR level tests. SRT-in-noise tests have the advantage of being quick to administer, and the same stimuli can be used over a very wide range of performance levels. The use of adaptive SRT-in-noise tests should be considered a viable and valuable replacement of fixed SNR tests in the CI clinical test battery.