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Binaural unmasking with multiple adjacent masking electrodes in bilateral cochlear implant users

机译:双侧人工耳蜗使用者使用多个相邻掩膜电极进行双耳掩膜

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摘要

Bilateral cochlear implant (BiCI) users gain an advantage in noisy situations from a second implant, but their bilateral performance falls short of normal hearing listeners. Channel interactions due to overlapping electrical fields between electrodes can impair speech perception, but its role in limiting binaural hearing performance has not been well characterized. To address the issue, binaural masking level differences (BMLD) for a 125 Hz tone in narrowband noise were measured using a pair of pitch-matched electrodes while simultaneously presenting the same masking noise to adjacent electrodes, representing a more realistic stimulation condition compared to prior studies that used only a single electrode pair. For five subjects, BMLDs averaged 8.9 ± 1.0 dB (mean ± s.e.) in single electrode pairs but dropped to 2.1 ± 0.4 dB when presenting noise on adjacent masking electrodes, demonstrating a negative impact of the additional maskers. Removing the masking noise from only the pitch-matched electrode pair not only lowered thresholds but also resulted in smaller BMLDs. The degree of channel interaction estimated from auditory nerve evoked potentials in three subjects was significantly and negatively correlated with BMLD. The data suggest that if the amount of channel interactions can be reduced, BiCI users may experience some performance improvements related to binaural hearing.
机译:在嘈杂的情况下,双侧人工耳蜗使用者(BiCI)的使用者会从第二个人工耳蜗获得优势,但他们的双侧耳蜗性能不及正常听众。由于电极之间重叠的电场而引起的通道相互作用会损害语音感知,但是其在限制双耳听力性能中的作用尚未得到很好的表征。为了解决这个问题,使用一对音高匹配电极测量了窄带噪声中125 Hz音的双耳掩蔽电平差(BMLD),同时向相邻电极呈现相同的掩蔽噪声,与以前的技术相比,这代表了一种更现实的刺激条件仅使用一对电极的研究。对于五名受试者,BMLD在单电极对中平均为8.9±1.0 dB(平均值±s.e.e。),但在相邻的屏蔽电极上出现噪声时下降至2.1±±0.4 dB,表明附加屏蔽器产生了负面影响。仅从间距匹配的电极对中去除掩蔽噪声不仅降低了阈值,而且还导致了更小的BMLD。由听觉神经诱发电位估计的三位受试者的通道相互作用程度与BMLD呈显着负相关。数据表明,如果可以减少通道互动的数量,则BiCI用户可能会体验到与双耳听力有关的性能提升。

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