Result on speech perception after conversion from Spectra® to Freedom®

Braz J Otorhinolaryngol. 2012 Apr;78(2):11-5. doi: 10.1590/S1808-86942012000200003.
[Article in English, Portuguese]

Abstract

New technology in the Freedom® speech processor for cochlear implants was developed to improve how incoming acoustic sound is processed; this applies not only for new users, but also for previous generations of cochlear implants.

Aim: To identify the contribution of this technology-- the Nucleus 22®--on speech perception tests in silence and in noise, and on audiometric thresholds.

Methods: A cross-sectional cohort study was undertaken. Seventeen patients were selected. The last map based on the Spectra® was revised and optimized before starting the tests. Troubleshooting was used to identify malfunction. To identify the contribution of the Freedom® technology for the Nucleus22®, auditory thresholds and speech perception tests were performed in free field in sound-proof booths. Recorded monosyllables and sentences in silence and in noise (SNR = 0dB) were presented at 60 dBSPL. The nonparametric Wilcoxon test for paired data was used to compare groups.

Results: Freedom® applied for the Nucleus22® showed a statistically significant difference in all speech perception tests and audiometric thresholds.

Conclusion: The Freedom® technology improved the performance of speech perception and audiometric thresholds of patients with Nucleus 22®.

MeSH terms

  • Acoustic Stimulation
  • Adolescent
  • Adult
  • Aged
  • Audiometry
  • Auditory Threshold
  • Cochlear Implants*
  • Cohort Studies
  • Cross-Sectional Studies
  • Deafness / rehabilitation
  • Female
  • Humans
  • Male
  • Middle Aged
  • Speech Discrimination Tests / instrumentation*
  • Speech Discrimination Tests / statistics & numerical data
  • Speech Perception / physiology*
  • Young Adult