Effects of Electrode Insertion Depth on Mandarin Speech Understanding Using Combined Electric and Acoustic Stimulation

Experiments based on combined electric andacoustic stimulation (EAS) had acquired a good recovery effecton English-speaking patients with moderate to severehigh-frequency hearing loss. This paper focused on the effect ofthe electrode insertion depth on Mandarin speechunderstanding when using EAS. Through acoustic simulationexperiments in large amount of Mandarin material generatedby EAS simulation model, we assessed the recognitionaccuracy in vowels, consonants, numbers, tones and singlewords, and discussed the effect of the electrode insertion depth.The recognition scores of all kinds of materials droppedrespectively with the decreasing insertion depth, whichsuggested that electrodes as long as possible for specificpatients were preferable to recover their speech recognition.However, long electrodes increase the risk of damagingresidual low-frequency hearing. Therapist should strike abalance between recovery effect and risks.

[1]  Fan-Gang Zeng,et al.  Cochlear implant speech recognition with speech maskers. , 2004, The Journal of the Acoustical Society of America.

[2]  Sharon A McKarns,et al.  The Benefits of Combining Acoustic and Electric Stimulation for the Recognition of Speech, Voice and Melodies , 2007, Audiology and Neurotology.

[3]  Bruce J Gantz,et al.  Speech recognition in noise for cochlear implant listeners: benefits of residual acoustic hearing. , 2004, The Journal of the Acoustical Society of America.

[4]  Philipos C. Loizou,et al.  Simulations of combined acoustic/electric hearing , 2003, Proceedings of the 25th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (IEEE Cat. No.03CH37439).

[5]  Anna Piotrowska,et al.  A new method of partial deafness treatment. , 2003, Medical science monitor : international medical journal of experimental and clinical research.

[6]  P J Blamey,et al.  A comparison of three speech coding strategies using an acoustic model of a cochlear implant. , 1985, The Journal of the Acoustical Society of America.

[7]  Anna Piotrowska,et al.  Partial deafness cochlear implantation in children. , 2007, International journal of pediatric otorhinolaryngology.

[8]  Bruce J Gantz,et al.  Combining acoustic and electrical hearing. , 2003, The Laryngoscope.

[9]  Ilona Anderson,et al.  The Influence of Different Speech Processor and Hearing Aid Settings on Speech Perception Outcomes in Electric Acoustic Stimulation Patients , 2007, Ear and hearing.

[10]  R. Hartmann,et al.  Electric-Acoustic Stimulation of the Auditory System , 1999, ORL.

[11]  Anna Piotrowska,et al.  Preservation of low frequency hearing in partial deafness cochlear implantation (PDCI) using the round window surgical approach , 2007, Acta oto-laryngologica.

[12]  Anna Piotrowska,et al.  Partial deafness cochlear implantation provides benefit to a new population of individuals with hearing loss , 2006, Acta oto-laryngologica.

[13]  M. Dorman,et al.  Speech intelligibility as a function of the number of channels of stimulation for signal processors using sine-wave and noise-band outputs. , 1997, The Journal of the Acoustical Society of America.

[14]  Jan Kiefer,et al.  Conservation of low-frequency hearing in cochlear implantation , 2004, Acta oto-laryngologica.

[15]  Jan Kiefer,et al.  Combined Electric and Acoustic Stimulation of the Auditory System: Results of a Clinical Study , 2005, Audiology and Neurotology.

[16]  Thomas Lenarz,et al.  Residual Hearing Conservation and Electroacoustic Stimulation with the Nucleus 24 Contour Advance Cochlear Implant , 2006, Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology.

[17]  Richard M Warren,et al.  Intelligibility of bandpass filtered speech: steepness of slopes required to eliminate transition band contributions. , 2004, The Journal of the Acoustical Society of America.

[18]  Philipos C. Loizou,et al.  Acoustic Simulations of Combined Electric and Acoustic Hearing (EAS) , 2005, Ear and hearing.

[19]  D. D. Greenwood A cochlear frequency-position function for several species--29 years later. , 1990, The Journal of the Acoustical Society of America.

[20]  Anna Piotrowska,et al.  [New method of partial deafness treatment]. , 2003, Otolaryngologia polska = The Polish otolaryngology.

[21]  Richard Lippmann,et al.  Accurate consonant perception without mid-frequency speech energy , 1996, IEEE Trans. Speech Audio Process..

[22]  Chris James,et al.  Contralateral Masking in Cochlear Implant Users with Residual Hearing in the Non-Implanted Ear , 2001, Audiology and Neurotology.

[23]  Michael A Novak,et al.  Standard Cochlear Implantation of Adults With Residual Low-Frequency Hearing: Implications for Combined Electro-Acoustic Stimulation , 2007, Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology.

[24]  P. Socha,et al.  Beta-carotene and vitamin A serum concentration in children with progressive familial intrahepatic cholestasis with complete relief cholestasis after ursodeoxycholic acid or surgical treatment , 2003 .

[25]  Michael F Dorman,et al.  Combined electric and contralateral acoustic hearing: word and sentence recognition with bimodal hearing. , 2007, Journal of speech, language, and hearing research : JSLHR.