Optimising the effect of noise reduction algorithm ClearVoice in cochlear implant users by increasing the maximum comfort levels.

<italic>Objective</italic>: ClearVoice is a single-microphone noise reduction algorithm in Advanced Bionics cochlear implant(CI) systems with the aim to improve performance in background noise. The present study investigated a hypothesised increased effect of ClearVoice if combined with a structural...

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Publicado en:International Journal of Audiology Vol. 57; no. 3; pp. 230 - 236
Autores principales: Dingemanse, J. Gertjan, Goedegebure, André
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Mar2018
Acceso en línea:Ver este registro en EBSCOhost
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        14992027
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      jtl: International Journal of Audiology
      issn: 14992027
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      dt: Mar2018
      vid: 57
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      pub: Taylor & Francis Ltd
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        10.1080/14992027.2017.1390267
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        atl: Optimising the effect of noise reduction algorithm ClearVoice in cochlear implant users by increasing the maximum comfort levels.
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        au:
          Dingemanse, J. Gertjan
          Goedegebure, André
        affil: Department of ENT, Erasmus Medical Center, Rotterdam, The Netherlands
      sug:
        subj:
          Cochlear Implant
          Cochlear Implant Programming
          Algorithms
          Noise
          Comfort
          Human
          Funding Source
          Prospective Studies
          Repeated Measures
          Speech Reception Threshold Test
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Netherlands
          Power Analysis
          Analysis of Variance
          Post Hoc Analysis
          Paired T-Tests
          Confidence Intervals
          Descriptive Statistics
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
      ab: <italic>Objective</italic>: ClearVoice is a single-microphone noise reduction algorithm in Advanced Bionics cochlear implant(CI) systems with the aim to improve performance in background noise. The present study investigated a hypothesised increased effect of ClearVoice if combined with a structural increase of maximum comfort stimulation levels (M-levels) in the CI fitting. <italic>Design</italic>: We tested performance with ClearVoice (Medium) in four conditions, defined by combined settings of ClearVoice off/on and with/without 5% increase of M-levels. The main outcome measures were the Acceptable Noise Level (ANL) and the speech reception threshold in continuous background noise (SRTn). <italic>Study sample</italic>: Participants were 16 experienced cochlear implant recipients with Advanced Bionics implants and a Naida Q70 processor. <italic>Results</italic>: The ANL significantly improved by using either ClearVoice or an increase of M-levels. Combining both settings gave the largest improvement in ANL. For the SRTn, we found a small, but significant interaction between ClearVoice and an increase of M-levels, implying that ClearVoice improved speech understanding slightly, but only if combined with a 5% increase of M-levels. <italic>Conclusions</italic>: Optimal profit from ClearVoice is obtained if combined with a structural 5% increase of M-levels.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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