Bilateral cochlear-implant (BICI) listeners primarily use interaural level differences (ILDs) to localize sound in the horizontal plane. However, the ILD magnitude is altered at different frequencies and azimuths due to a combination of several acoustic phenomena such as the acoustical bright spot, acoustic axis, and microphone porting. This paper investigated the effects of BICI microphone placement on ILDs through an analysis of head-related transfer functions. At-the-canal BICI microphone placement provided both larger and more monotonic ILD-azimuth functions than behind-the-ear microphone placement. Results have implications for the fitting of clinical devices and their effect on sound localization in BICI users. V
Acoustic hearing listeners use binaural cues—interaural time differences (ITDs) and interaural level differences (ILDs)—for localization and segregation of sound sources in the horizontal plane. Cochlear implant users now often receive two implants (bilateral cochlear implants [BiCIs]) rather than one, with the goal to provide access to these cues. However, BiCI listeners often experience difficulty with binaural tasks. Most BiCIs use independent sound processors at each ear; it has often been suggested that such independence may degrade the transmission of binaural cues, particularly ITDs. Here, we report empirical measurements of binaural cue transmission via BiCIs implementing a common “ n-of- m” spectral peak-picking stimulation strategy. Measurements were completed for speech and nonspeech stimuli presented to an acoustic manikin “fitted” with BiCI sound processors. Electric outputs from the BiCIs and acoustic outputs from the manikin’s in-ear microphones were recorded simultaneously, enabling comparison of electric and acoustic binaural cues. For source locations away from the midline, BiCI binaural cues, particularly envelope ITD cues, were found to be degraded by asymmetric spectral peak-picking. In addition, pulse amplitude saturation due to nonlinear level mapping yielded smaller ILDs at higher presentation levels. Finally, while individual pulses conveyed a spurious “drifting” ITD, consistent with independent left and right processor clocks, such variation was not evident in transmitted envelope ITDs. Results point to avenues for improvement of BiCI technology and may prove useful in the interpretation of BiCI spatial hearing outcomes reported in prior and future studies.
Cochlear-implant (CI) users rely heavily on temporal envelope cues to understand speech. Temporal processing abilities may decline with advancing age in adult CI users. This study investigated the effect of age on the ability to discriminate changes in pulse rate. Twenty CI users aged 23 to 80 years participated in a rate discrimination task. They attempted to discriminate a 35% rate increase from baseline rates of 100, 200, 300, 400, or 500 pulses per second. The stimuli were electrical pulse trains delivered to a single electrode via direct stimulation to an apical (Electrode 20), a middle (Electrode 12), or a basal location (Electrode 4). Electrically evoked compound action potential amplitude growth functions were recorded at each of those electrodes as an estimate of peripheral neural survival. Results showed that temporal pulse rate discrimination performance declined with advancing age at higher stimulation rates (e.g., 500 pulses per second) when compared with lower rates. The age-related changes in temporal pulse rate discrimination at higher stimulation rates persisted after statistical analysis to account for the estimated peripheral contributions from electrically evoked compound action potential amplitude growth functions. These results indicate the potential contributions of central factors to the limitations in temporal pulse rate discrimination ability associated with aging in CI users.
Humans are sensitive to interaural time differences (ITDs) conveyed by slow modulations on high-frequency carrier signals. Sensitivity appears to be affected by temporal envelope sharpness, but it is unclear if there is a limit to which sharpness affects sensitivity. Pulse trains were varied in relative bandwidth (re: critical bandwidths) and center frequency. ITD sensitivity increased with increasing bandwidth. There was no effect of center frequency when relative bandwidths were analyzed, suggesting that the temporal envelope sharpness (concomitantly absolute bandwidth in Hz) did not affect performance. Rather, sensitivity was most easily explained by recruitment of additional auditory channels.
Interaural level differences (ILDs) are the primary binaural cue used by bilateral cochlear-implant (BiCI) listeners for horizontal-plane sound localization. As such, factors affecting their fidelity are important to understand. One approach for delivering binaural stimuli to BiCI listeners is to present virtually spatialized signals via circumaural headphones placed over the listener’s sound processors. An assumption of this approach is that the binaural cues presented are relatively unaltered by the transmission process and headphone placement; yet there is a lack of evidence supporting this assumption. Therefore, this study measured the effect of small changes to headphone placement on the ILDs received by BiCI sound processors. The intent was to determine both the extent and frequency range in which ILDs are affected using recordings of sine-sweeps received by the device microphones. Results show that slight changes in headphone placement affect coupling to the sound processor microphones and outer ear, primarily influencing ILDs between 1 and 5 kHz as much as 8.6 dB at the midline. They also show that occluding the listener’s ear canals with earplugs or moldable putty significantly reduces ILD variability from inconsistent headphone placement. In summary, these data suggest ways to improve this presentation method for BiCI research studies.
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