Residual frequency selectivity in the profoundly hearing-impaired listener.

The extent to which auditory frequency analysis is retained in profoundly hearing-impaired listeners has major implications for hearing aid design. We have measured simplified psychoacoustic tuning curves in nine such listeners, using sinusoidal probes at 125 and 250 Hz, and 80-Hz wide narrow-band noise maskers. Two listeners showed PTCs at 125 and 250 Hz whose shapes were independent of probe frequency and parallel to their absolute thresholds, indicating the complete absence of frequency selectivity. Seven listeners showed evidence of frequency selectivity at 125 or 250 Hz or at both frequencies; at 250 Hz, frequency selectivity was evident in the six listeners whose 250-Hz hearing level was 95 dB or less, but not in the listeners with 250 Hz hearing levels above 95 dB. Where conventional 'v'-shaped PTCs were observed, estimated 3-dB auditory filter bandwidths were two to three times larger than those typically found in normal listeners. Notched-noise masking results at 250 Hz from the least hearing-impaired listener gave an estimated 3-dB bandwidth in reasonable agreement with that from the same listener's PTC data. Listeners who retain some frequency selectivity are able to make some use of first formant information in vowel identification, and preliminary results from one patient showed the ability to distinguish a variety of noise spectra. Both of these abilities could be of potential importance as a basis for the recoding of speech spectral patterning through stimulation matched to the listener's residual frequency selectivity.