In recent years, cochlear implants (CIs) have been provided in growing numbers to people with not only bilateral deafness but also to people with unilateral hearing loss, at times in order to alleviate tinnitus. This study presents audiological data from 15 adult participants (ages 48 ± 12 years) with single sided deafness. Results are presented from 9/15 adults, who received a CI (SSD-CI) in the deaf ear and were tested in Acoustic or Acoustic + CI hearing modes, and 6/15 adults who are planning to receive a CI, and were tested in the unilateral condition only. Testing included (1) audiometric measures of threshold, (2) speech understanding for CNC words and AzBIO sentences, (3) tinnitus handicap inventory, (4) sound localization with stationary sound sources, and (5) perceived auditory motion. Results showed that when listening to sentences in quiet, performance was excellent in the Acoustic and Acoustic + CI conditions. In noise, performance was similar between Acoustic and Acoustic + CI conditions in 4/6 participants tested, and slightly worse in the Acoustic + CI in 2/6 participants. In some cases, the CI provided reduced tinnitus handicap scores. When testing sound localization ability, the Acoustic + CI condition resulted in improved sound localization RMS error of 29.2° (SD: ±6.7°) compared to 56.6° (SD: ±16.5°) in the Acoustic-only condition. Preliminary results suggest that the perception of motion direction, whereby subjects are required to process and compare directional cues across multiple locations, is impaired when compared with that of normal hearing subjects.
Adults with bilateral cochlear implants (BiCIs) receive benefits in localizing stationary sounds when listening with two implants compared with one; however, sound localization ability is significantly poorer when compared to normal hearing (NH) listeners. Little is known about localizing sound sources in motion, which occurs in typical everyday listening situations. The authors considered the possibility that sound motion may improve sound localization in BiCI users by providing multiple places of information. Alternatively, the ability to compare multiple spatial locations may be compromised in BiCI users due to degradation of binaural cues, and thus result in poorer performance relative to NH adults. In this study, the authors assessed listeners' abilities to distinguish between sounds that appear to be moving vs stationary, and track the angular range and direction of moving sounds. Stimuli were bandpass-filtered (150-6000 Hz) noise bursts of different durations, panned over an array of loudspeakers. Overall, the results showed that BiCI users were poorer than NH adults in (i) distinguishing between a moving vs stationary sound, (ii) correctly identifying the direction of movement, and (iii) tracking the range of movement. These findings suggest that conventional cochlear implant processors are not able to fully provide the cues necessary for perceiving auditory motion correctly. V
Spatial hearing studies with children have typically been conducted using loudspeakers in laboratories. However, loudspeaker arrays are rare in clinics due to high cost and technical set-up requirements. The use of virtual auditory space (VAS) with non-individualized head-related transfer functions (HRTFs) can increase the feasibility of assessing spatial hearing abilities in clinical settings. A novel paradigm for measuring spatial release from masking (SRM) was developed using non-individualized HRTFs. This paradigm measures the minimum angular separation needed between target and masker to achieve a 20% increase in target speech intelligibility. First, the 50% speech reception threshold (SRT) was measured with target and masker co-located to one side. Then, the masker position was adaptively changed to achieve 70.7% intelligibility while maintaining the signal-to-noise ratio at the level of the co-located SRT. To verify the use of non-individualized HRTFs, normal-hearing children were tested (1) using a loudspeaker array and (2) in headphone-based VAS created using KEMAR HRTFs measured in the same setup as (1). Preliminary results showed that co-located SRTs and target-masker angle separation to achieve a 20% SRM were similar in loudspeaker array and in headphone-based VAS. This suggests that non-individualized HRTFs might be used in an SRM task for clinical testing.
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