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...
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MDPI AG
2020-06-01
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Series: | Journal of Clinical Medicine |
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Online Access: | https://www.mdpi.com/2077-0383/9/6/1758 |
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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. |
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format | Article |
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institution | Directory Open Access Journal |
issn | 2077-0383 |
language | English |
last_indexed | 2024-03-10T19:21:02Z |
publishDate | 2020-06-01 |
publisher | MDPI AG |
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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 |
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