Transitioning From Bimodal to Bilateral Cochlear Implant Listening: Speech Recognition and Localization in Four Individuals.

Purpose: The use of bilateral stimulation is becoming common for cochlear implant (CI) recipients with either (a) a CI in one ear and a hearing aid (HA) in the nonimplanted ear (CI&HA--bimodal) or (b) CIs in both ears (CI&CI--bilateral). The objective of this study was to evaluate 4 individuals who...

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Publicado en:American Journal of Audiology Vol. 23; no. 1; pp. 79 - 93
Autores principales: Potts, Lisa G., Litovsky, Ruth Y.
Formato: research tables/charts Journal Article
Publicado: American Speech-Language-Hearing Association Mar2014
Acceso en línea:Ver este registro en EBSCOhost
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        10590889
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      jtl: American Journal of Audiology
      issn: 10590889
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      dt: Mar2014
      vid: 23
      iid: 1
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      pub: American Speech-Language-Hearing Association
      place: Rockville, Maryland
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        10.1044/1059-0889(2013/11-0031)
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        atl: Transitioning From Bimodal to Bilateral Cochlear Implant Listening: Speech Recognition and Localization in Four Individuals.
      aug:
        au:
          Potts, Lisa G.
          Litovsky, Ruth Y.
        affil: Washington University School of Medicine, St. Louis, MO
      sug:
        subj:
          Cochlear Implant
          Speech Perception
          Sound Localization
          Hearing Aids
          Human
          Infant
          Child, Preschool
          Male
          Female
          Missouri
          Audiometry, Pure-Tone
          Cochlear Implant Programming
          Loudness Perception
          Descriptive Statistics
          T-Tests
          Consonants
          Vowels
          Clinical Assessment Tools
          Infant: 1-23 months
          Child, Preschool: 2-5 years
          Male
          Female
      ab: Purpose: The use of bilateral stimulation is becoming common for cochlear implant (CI) recipients with either (a) a CI in one ear and a hearing aid (HA) in the nonimplanted ear (CI&HA--bimodal) or (b) CIs in both ears (CI&CI--bilateral). The objective of this study was to evaluate 4 individuals who transitioned from bimodal to bilateral stimulation. Method: Participants had completed a larger study of bimodal hearing and subsequently received a second CI. Test procedures from the bimodal study, including roaming speech recognition, localization, and a questionnaire (the Speech, Spatial, and Qualities of Hearing Scale; Gatehouse & Noble, 2004) were repeated after 6-7 months of bilateral CI experience. Results: Speech recognition and localization were not significantly different between bimodal and unilateral CI. In contrast, performance was significantly better with CI&CI compared with unilateral CI. Speech recognition with CI&CI was significantly better than with CI&HA for 2 of 4 participants. Localization was significantly better for all participants with CI&CI compared with CI&HA. CI&CI performance was rated as significantly better on the Speech, Spatial, and Qualities of Hearing Scale compared with CI&HA. Conclusions: There was a strong preference for CI&CI for all participants. The variability in speech recognition and localization, however, suggests that performance under these stimulus conditions is individualized. Differences in hearing and/or HA history may explain performance differences.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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