Spatial speech-in-noise performance in simulated single-sided deaf and bimodal cochlear implant users in comparison with real patients.

Speech reception thresholds (SRTs) in spatial scenarios were measured in simulated cochlear implant (CI) listeners with either contralateral normal hearing, or aided hearing impairment (bimodal), and compared to SRTs of real patients, who were measured using the exact same paradigm, to assess goodne...

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Publicado en:International Journal of Audiology Vol. 62; no. 1; pp. 30 - 44
Autores principales: Jürgens, Tim, Wesarg, Thomas, Oetting, Dirk, Jung, Lorenz, Williges, Ben
Formato: pictorial research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Jan2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2023
      vid: 62
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/14992027.2021.2015633
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        atl: Spatial speech-in-noise performance in simulated single-sided deaf and bimodal cochlear implant users in comparison with real patients.
      aug:
        au:
          Jürgens, Tim
          Wesarg, Thomas
          Oetting, Dirk
          Jung, Lorenz
          Williges, Ben
        affil: Institute of Acoustics, University of Applied Sciences Lübeck, Lübeck, Germany
      sug:
        subj:
          Speech Perception
          Cochlear Implant
          Noise
          Simulations
          Hearing Disorders
          Speech Intelligibility
          Human
          Acoustics
          Speech Reception Threshold Test
          T-Tests
          Hearing Aids
          Female
          Male
          Adult
          Experimental Studies
          Descriptive Statistics
          Adult: 19-44 years
          Female
          Male
      ab: Speech reception thresholds (SRTs) in spatial scenarios were measured in simulated cochlear implant (CI) listeners with either contralateral normal hearing, or aided hearing impairment (bimodal), and compared to SRTs of real patients, who were measured using the exact same paradigm, to assess goodness of simulation. CI listening was simulated using a vocoder incorporating actual CI signal processing and physiologic details of electric stimulation on one side. Unprocessed signals or simulation of aided moderate or profound hearing impairment was used contralaterally. Three spatial speech-in-noise scenarios were tested using virtual acoustics to assess spatial release from masking (SRM) and combined benefit. Eleven normal-hearing listeners participated in the experiment. For contralateral normal and aided moderately impaired hearing, bilaterally assessed SRTs were not statistically different from unilateral SRTs of the better ear, indicating "better-ear-listening". Combined benefit was only found for contralateral profound impaired hearing. As in patients, SRM was highest for contralateral normal hearing and decreased systematically with more severe simulated impairment. Comparison to actual patients showed good reproduction of SRTs, SRM, and better-ear-listening. The simulations reproduced better-ear-listening as in patients and suggest that combined benefit in spatial scenes predominantly occurs when both ears show poor speech-in-noise performance.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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