Utility of bilateral acoustic hearing in combination with electrical stimulation provided by the cochlear implant

Int J Audiol. 2016:55 Suppl 2:S31-8. doi: 10.3109/14992027.2016.1150609. Epub 2016 Mar 17.

Abstract

Objective: The aim of the study was to quantify the benefit provided by having access to amplified acoustic hearing in the implanted ear for use in combination with contralateral acoustic hearing and the electrical stimulation provided by the cochlear implant.

Design: Measures of spatial and non-spatial hearing abilities were obtained to compare performance obtained with different configurations of acoustic hearing in combination with electrical stimulation. In the combined listening condition participants had access to bilateral acoustic hearing whereas the bimodal condition used acoustic hearing contralateral to the implanted ear only. Experience was provided with each of the listening conditions using a repeated-measures A-B-B-A experimental design.

Study sample: Sixteen post-linguistically hearing-impaired adults participated in the study.

Results: Group mean benefit was obtained with use of the combined mode on measures of speech recognition in coincident speech in noise, localization ability, subjective ratings of real-world benefit, and musical sound quality ratings.

Conclusions: Access to bilateral acoustic hearing after cochlear implantation provides significant benefit on a range of functional measures.

Keywords: Cochlear implant; acoustic hearing; hybrid.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acoustics
  • Adult
  • Aged
  • Aged, 80 and over
  • Audiometry, Speech
  • Auditory Perception*
  • Cochlear Implantation / instrumentation*
  • Cochlear Implants*
  • Electric Stimulation
  • Female
  • Hearing Loss / diagnosis
  • Hearing Loss / physiopathology
  • Hearing Loss / psychology
  • Hearing Loss / rehabilitation*
  • Hearing*
  • Humans
  • Male
  • Middle Aged
  • New South Wales
  • Noise / adverse effects
  • Perceptual Masking
  • Persons With Hearing Impairments / psychology
  • Persons With Hearing Impairments / rehabilitation*
  • Prosthesis Design
  • Recovery of Function
  • Sound Localization
  • Speech Perception
  • Treatment Outcome
  • Victoria