Effects of temporal fine structure preservation on spatial hearing in bilateral cochlear implant users

HIGH levels of speech recognition have been achieved with a new sound processing strategy for multielectrode cochlear implants. A cochlear implant system consists of one or more implanted electrodes for direct electrical activation of the auditory nerve, an external speech processor that transforms a microphone input into stimuli for each electrode, and a transcutaneous (rf-link) or percutaneous (direct) connection between the processor and the electrodes. We report here the comparison of the new strategy and a standard clinical processor. The standard compressed analogue (CA) processor presented analogue waveforms simultaneously to all electrodes, whereas the new continuous interleaved sampling (CIS) strategy presented brief pulses to each electrode in a nonoverlapping sequence. Seven experienced implant users, selected for their excellent performance with the CA processor, participated as subjects. The new strategy produced large improvements in the scores of speech reception tests for all subjects. These results have important implications for the treatment of deafness and for minimal representations of speech at the auditory periphery.

As research on sensation and perception has grown more sophisticated during the last century, new adaptive methodologies have been developed to increase efficiency and reliability of measurement. An experimental procedure is said to be adaptive if the physical characteristics of the stimuli on each trial are determined by the stimuli and responses that occurred in the previous trial or sequence of trials. In this paper, the general development of adaptive procedures is described, and three commonly used methods are reviewed. Typically, a threshold value is measured using these methods, and, in some cases, other characteristics of the psychometric function underlying perceptual performance, such as slope, may be developed. Results of simulations and experiments with human subjects are reviewed to evaluate the utility of these adaptive procedures and the special circumstances under which one might be superior to another.