Speech Perception Changes in the Acoustically Aided, Nonimplanted Ear after Cochlear Implantation: A Multicenter Study

In recent years there has been an increasing percentage of cochlear implant (CI) users who have usable residual hearing in the contralateral, nonimplanted ear, typically aided by acoustic amplification. This raises the issue of the extent to which the signal presented through the cochlear implant ma...

Full description

Bibliographic Details
Main Authors: Mario A. Svirsky, Arlene C. Neuman, Jonathan D. Neukam, Annette Lavender, Margaret K. Miller, Ksenia A. Aaron, Piotr H. Skarzynski, Katarzyna B. Cywka, Henryk Skarzynski, Eric Truy, Fabien Seldran, Ruben Hermann, Paul Govaerts, Geert De Ceulaer, Francois Bergeron, Matthieu Hotton, Michelle Moran, Richard C. Dowell, Maria Valeria Schmidt Goffi-Gomez, Ana Tereza de Matos Magalhães, Rosamaria Santarelli, Pietro Scimemi
Format: Article
Language:English
Published: MDPI AG 2020-06-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/9/6/1758
_version_ 1797566027658166272
author Mario A. Svirsky
Arlene C. Neuman
Jonathan D. Neukam
Annette Lavender
Margaret K. Miller
Ksenia A. Aaron
Piotr H. Skarzynski
Katarzyna B. Cywka
Henryk Skarzynski
Eric Truy
Fabien Seldran
Ruben Hermann
Paul Govaerts
Geert De Ceulaer
Francois Bergeron
Matthieu Hotton
Michelle Moran
Richard C. Dowell
Maria Valeria Schmidt Goffi-Gomez
Ana Tereza de Matos Magalhães
Rosamaria Santarelli
Pietro Scimemi
author_facet Mario A. Svirsky
Arlene C. Neuman
Jonathan D. Neukam
Annette Lavender
Margaret K. Miller
Ksenia A. Aaron
Piotr H. Skarzynski
Katarzyna B. Cywka
Henryk Skarzynski
Eric Truy
Fabien Seldran
Ruben Hermann
Paul Govaerts
Geert De Ceulaer
Francois Bergeron
Matthieu Hotton
Michelle Moran
Richard C. Dowell
Maria Valeria Schmidt Goffi-Gomez
Ana Tereza de Matos Magalhães
Rosamaria Santarelli
Pietro Scimemi
author_sort Mario A. Svirsky
collection DOAJ
description In recent years there has been an increasing percentage of cochlear implant (CI) users who have usable residual hearing in the contralateral, nonimplanted ear, typically aided by acoustic amplification. This raises the issue of the extent to which the signal presented through the cochlear implant may influence how listeners process information in the acoustically stimulated ear. This multicenter retrospective study examined pre- to postoperative changes in speech perception in the nonimplanted ear, the implanted ear, and both together. Results in the latter two conditions showed the expected increases, but speech perception in the nonimplanted ear showed a modest yet meaningful decrease that could not be completely explained by changes in unaided thresholds, hearing aid malfunction, or several other demographic variables. Decreases in speech perception in the nonimplanted ear were more likely in individuals who had better levels of speech perception in the implanted ear, and in those who had better speech perception in the implanted than in the nonimplanted ear. This raises the possibility that, in some cases, bimodal listeners may rely on the higher quality signal provided by the implant and may disregard or even neglect the input provided by the nonimplanted ear.
first_indexed 2024-03-10T19:21:02Z
format Article
id doaj.art-919572a9a210472fa2f37ff226cbd196
institution Directory Open Access Journal
issn 2077-0383
language English
last_indexed 2024-03-10T19:21:02Z
publishDate 2020-06-01
publisher MDPI AG
record_format Article
series Journal of Clinical Medicine
spelling doaj.art-919572a9a210472fa2f37ff226cbd1962023-11-20T03:01:10ZengMDPI AGJournal of Clinical Medicine2077-03832020-06-0196175810.3390/jcm9061758Speech Perception Changes in the Acoustically Aided, Nonimplanted Ear after Cochlear Implantation: A Multicenter StudyMario A. Svirsky0Arlene C. Neuman1Jonathan D. Neukam2Annette Lavender3Margaret K. Miller4Ksenia A. Aaron5Piotr H. Skarzynski6Katarzyna B. Cywka7Henryk Skarzynski8Eric Truy9Fabien Seldran10Ruben Hermann11Paul Govaerts12Geert De Ceulaer13Francois Bergeron14Matthieu Hotton15Michelle Moran16Richard C. Dowell17Maria Valeria Schmidt Goffi-Gomez18Ana Tereza de Matos Magalhães19Rosamaria Santarelli20Pietro Scimemi21Department of Otolaryngology-Head and Neck Surgery, NYU Grossman School of Medicine, New York University, New York, NY 10016, USADepartment of Otolaryngology-Head and Neck Surgery, NYU Grossman School of Medicine, New York University, New York, NY 10016, USADepartment of Otolaryngology-Head and Neck Surgery, NYU Grossman School of Medicine, New York University, New York, NY 10016, USACochlear Americas, Denver, CO 80124, USAHuman Auditory Development Lab, Boys Town National Research Hospital, Omaha, NE 68131, USAOtolaryngology Head and Neck Surgery, Stanford Medicine, Stanford, CA 94305, USADepartment of Teleaudiology and Screening, World Hearing Center, Institute of Physiology and Pathology of Hearing, Warsaw/Kajetany, 02-042 Warsaw, PolandDepartment of Otorhinolaryngosurgery, World Hearing Center, Institute of Physiology and Pathology of Hearing, Warsaw/Kajetany, 02-042 Warsaw, PolandDepartment of Otorhinolaryngosurgery, World Hearing Center, Institute of Physiology and Pathology of Hearing, Warsaw/Kajetany, 02-042 Warsaw, PolandINSERM U1028, Lyon Neuroscience Research Center, Equipe IMPACT, 69000 Lyon, FranceMedel France, 06160 Antibes, FranceINSERM U1028, Lyon Neuroscience Research Center, Equipe IMPACT, 69000 Lyon, FranceDe Oorgroep, Herentalsebaan 75, B-2100 Antwerp-Deurne, BelgiumDe Oorgroep, Herentalsebaan 75, B-2100 Antwerp-Deurne, BelgiumUniversité Laval, 1050, Avenue de la Médecine, Québec, QC G1V 0A6, CanadaUniversité Laval, 1050, Avenue de la Médecine, Québec, QC G1V 0A6, CanadaThe University of Melbourne, Melbourne, VIC 3053, AustraliaThe University of Melbourne, Melbourne, VIC 3053, AustraliaHospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo, Brazil. Av. Dr. Eneas de Carvalho Aguiar, 255, 05403-000 São Paulo, BrazilHospital das Clinicas da Faculdade de Medicina da Universidade de São Paulo, Brazil. Av. Dr. Eneas de Carvalho Aguiar, 255, 05403-000 São Paulo, BrazilDepartment of Neurosciences, School of Medicine and Surgery, University of Padua, 35128 Padua, ItalyDepartment of Neurosciences, School of Medicine and Surgery, University of Padua, 35128 Padua, ItalyIn recent years there has been an increasing percentage of cochlear implant (CI) users who have usable residual hearing in the contralateral, nonimplanted ear, typically aided by acoustic amplification. This raises the issue of the extent to which the signal presented through the cochlear implant may influence how listeners process information in the acoustically stimulated ear. This multicenter retrospective study examined pre- to postoperative changes in speech perception in the nonimplanted ear, the implanted ear, and both together. Results in the latter two conditions showed the expected increases, but speech perception in the nonimplanted ear showed a modest yet meaningful decrease that could not be completely explained by changes in unaided thresholds, hearing aid malfunction, or several other demographic variables. Decreases in speech perception in the nonimplanted ear were more likely in individuals who had better levels of speech perception in the implanted ear, and in those who had better speech perception in the implanted than in the nonimplanted ear. This raises the possibility that, in some cases, bimodal listeners may rely on the higher quality signal provided by the implant and may disregard or even neglect the input provided by the nonimplanted ear.https://www.mdpi.com/2077-0383/9/6/1758cochlear implantshearing aidbimodalspeech perceptionauditory neglectdeafness
spellingShingle Mario A. Svirsky
Arlene C. Neuman
Jonathan D. Neukam
Annette Lavender
Margaret K. Miller
Ksenia A. Aaron
Piotr H. Skarzynski
Katarzyna B. Cywka
Henryk Skarzynski
Eric Truy
Fabien Seldran
Ruben Hermann
Paul Govaerts
Geert De Ceulaer
Francois Bergeron
Matthieu Hotton
Michelle Moran
Richard C. Dowell
Maria Valeria Schmidt Goffi-Gomez
Ana Tereza de Matos Magalhães
Rosamaria Santarelli
Pietro Scimemi
Speech Perception Changes in the Acoustically Aided, Nonimplanted Ear after Cochlear Implantation: A Multicenter Study
Journal of Clinical Medicine
cochlear implants
hearing aid
bimodal
speech perception
auditory neglect
deafness
title Speech Perception Changes in the Acoustically Aided, Nonimplanted Ear after Cochlear Implantation: A Multicenter Study
title_full Speech Perception Changes in the Acoustically Aided, Nonimplanted Ear after Cochlear Implantation: A Multicenter Study
title_fullStr Speech Perception Changes in the Acoustically Aided, Nonimplanted Ear after Cochlear Implantation: A Multicenter Study
title_full_unstemmed Speech Perception Changes in the Acoustically Aided, Nonimplanted Ear after Cochlear Implantation: A Multicenter Study
title_short Speech Perception Changes in the Acoustically Aided, Nonimplanted Ear after Cochlear Implantation: A Multicenter Study
title_sort speech perception changes in the acoustically aided nonimplanted ear after cochlear implantation a multicenter study
topic cochlear implants
hearing aid
bimodal
speech perception
auditory neglect
deafness
url https://www.mdpi.com/2077-0383/9/6/1758
work_keys_str_mv AT marioasvirsky speechperceptionchangesintheacousticallyaidednonimplantedearaftercochlearimplantationamulticenterstudy
AT arlenecneuman speechperceptionchangesintheacousticallyaidednonimplantedearaftercochlearimplantationamulticenterstudy
AT jonathandneukam speechperceptionchangesintheacousticallyaidednonimplantedearaftercochlearimplantationamulticenterstudy
AT annettelavender speechperceptionchangesintheacousticallyaidednonimplantedearaftercochlearimplantationamulticenterstudy
AT margaretkmiller speechperceptionchangesintheacousticallyaidednonimplantedearaftercochlearimplantationamulticenterstudy
AT kseniaaaaron speechperceptionchangesintheacousticallyaidednonimplantedearaftercochlearimplantationamulticenterstudy
AT piotrhskarzynski speechperceptionchangesintheacousticallyaidednonimplantedearaftercochlearimplantationamulticenterstudy
AT katarzynabcywka speechperceptionchangesintheacousticallyaidednonimplantedearaftercochlearimplantationamulticenterstudy
AT henrykskarzynski speechperceptionchangesintheacousticallyaidednonimplantedearaftercochlearimplantationamulticenterstudy
AT erictruy speechperceptionchangesintheacousticallyaidednonimplantedearaftercochlearimplantationamulticenterstudy
AT fabienseldran speechperceptionchangesintheacousticallyaidednonimplantedearaftercochlearimplantationamulticenterstudy
AT rubenhermann speechperceptionchangesintheacousticallyaidednonimplantedearaftercochlearimplantationamulticenterstudy
AT paulgovaerts speechperceptionchangesintheacousticallyaidednonimplantedearaftercochlearimplantationamulticenterstudy
AT geertdeceulaer speechperceptionchangesintheacousticallyaidednonimplantedearaftercochlearimplantationamulticenterstudy
AT francoisbergeron speechperceptionchangesintheacousticallyaidednonimplantedearaftercochlearimplantationamulticenterstudy
AT matthieuhotton speechperceptionchangesintheacousticallyaidednonimplantedearaftercochlearimplantationamulticenterstudy
AT michellemoran speechperceptionchangesintheacousticallyaidednonimplantedearaftercochlearimplantationamulticenterstudy
AT richardcdowell speechperceptionchangesintheacousticallyaidednonimplantedearaftercochlearimplantationamulticenterstudy
AT mariavaleriaschmidtgoffigomez speechperceptionchangesintheacousticallyaidednonimplantedearaftercochlearimplantationamulticenterstudy
AT anaterezadematosmagalhaes speechperceptionchangesintheacousticallyaidednonimplantedearaftercochlearimplantationamulticenterstudy
AT rosamariasantarelli speechperceptionchangesintheacousticallyaidednonimplantedearaftercochlearimplantationamulticenterstudy
AT pietroscimemi speechperceptionchangesintheacousticallyaidednonimplantedearaftercochlearimplantationamulticenterstudy