Document Detail


Interaction between electric and acoustic cues in diotic condition for speech perception in quiet and noise by cochlear implantees.
MedLine Citation:
PMID:  22158018     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
OBJECTIVE: This study aimed to evaluate the interaction of electric and acoustic cues in diotic condition in cochlear implantees.
MATERIALS AND METHODS: Five adult cochlear implantees with residual contralateral hearing were prospectively evaluated in hearing aid only (HA), cochlear implant only (CI), and HA + CI modes by audiometry (pure tone, dissyllabic words, and sentences), and sound quality questionnaires. CI electrodes corresponding to preserved frequencies in the contralateral ear (free-field aided thresholds, <50 dB) were then deactivated, and patients were retested after 20 to 30 days.
RESULTS: Sentences in silence showed a benefit of CI and the additive effect of HA + CI. As expected, performances with CI alone decreased after apical electrode deactivation. In contrast, speech performances (Marginal Benefit from Acoustic Amplification sentences) in HA + CI mode were not altered by electrode deactivation in silence (90 ± 5.9% before versus 81 ± 10.1% after deactivation, not significant, 2-way analysis of variance) or in noise (78 ± 4.8% before versus 66 ± 11.9% after deactivation, not significant, 2-way analysis of variance). Performances for dissyllabic words confirmed these results. Questionnaires showed a significant compensation of partial electrode deactivation by the contralateral hearing. Moreover, the human voice was reported to be significantly less metallic.
CONCLUSION: These results suggested a significant complementarity of acoustic and electric diotic cues but also some redundancy affecting the sound quality.
Authors:
Céline Richard; Evelyne Ferrary; Stéphanie Borel; Olivier Sterkers; Alexis Bozorg Grayeli
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology     Volume:  33     ISSN:  1537-4505     ISO Abbreviation:  Otol. Neurotol.     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2011-12-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100961504     Medline TA:  Otol Neurotol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  30-7     Citation Subset:  IM    
Affiliation:
*Otolaryngology Department, APHP, Hôpital Beaujon, Clichy; †Otolaryngology Department, Hôpital Nord, CHU de Saint Etienne, St-Etienne; and ‡UMRS-867, Inserm, Université Paris 7 Denis Diderot, Paris, France.
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