Effects of a transient noise reduction algorithm on speech intelligibility in noise, noise tolerance and perceived annoyance in cochlear implant users.

<italic>Objective</italic>: To evaluate the validity and efficacy of a transient noise reduction algorithm (TNR) in cochlear implant processing and the interaction of TNR with a continuous noise reduction algorithm (CNR). <italic>Design</italic>: We studied the effects of TNR and CNR on the percepti...

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Publicado en:International Journal of Audiology Vol. 57; no. 5; pp. 360 - 370
Autores principales: Dingemanse, J. Gertjan, Vroegop, Jantien L., Goedegebure, André
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd May2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2018
      vid: 57
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/14992027.2018.1425004
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        atl: Effects of a transient noise reduction algorithm on speech intelligibility in noise, noise tolerance and perceived annoyance in cochlear implant users.
      aug:
        au:
          Dingemanse, J. Gertjan
          Vroegop, Jantien L.
          Goedegebure, André
        affil: Department of ENT, Erasmus Medical Center, Rotterdam, The Netherlands
      sug:
        subj:
          Noise
          Algorithms
          Speech Intelligibility Evaluation
          Cochlear Implant
          Hearing Disorders
          Human
          Speech Reception Threshold Test
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Descriptive Statistics
          Electrodes
          Equipment Design
          Prospective Studies
          Repeated Measures
          Factorial Design
          Confidence Intervals
          P-Value
          Power Analysis
          Analysis of Variance
          Wilcoxon Signed Rank Test
          Friedman Test
          Data Analysis Software
          Effect Size
          Netherlands
          Funding Source
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
      ab: <italic>Objective</italic>: To evaluate the validity and efficacy of a transient noise reduction algorithm (TNR) in cochlear implant processing and the interaction of TNR with a continuous noise reduction algorithm (CNR). <italic>Design</italic>: We studied the effects of TNR and CNR on the perception of realistic sound samples with transients, using subjective ratings of annoyance, a speech-in-noise test and a noise tolerance test. <italic>Study sample</italic>: Participants were 16 experienced cochlear implant recipients wearing an Advanced Bionics Naida Q70 processor. <italic>Results</italic>: CI users rated sounds with transients as moderately annoying. Annoyance was slightly, but significantly reduced by TNR. Transients caused a large decrease in speech intelligibility in noise and a moderate decrease in noise tolerance, measured on the Acceptable Noise Level test. The TNR had no significant effect on noise tolerance or on speech intelligibility in noise. The combined application of TNR and CNR did not result in interactions. <italic>Conclusions</italic>: The TNR algorithm was effective in reducing annoyance from transient sounds, but was not able to prevent a decreasing effect of transients on speech understanding in noise and noise tolerance. TNR did not reduce the beneficial effect of CNR on speech intelligibility in noise, but no cumulated improvement was found either.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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