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低频至电极分配对混合短电极人工耳蜗语音和音高感知的影响。

Effects of lower frequency-to-electrode allocations on speech and pitch perception with the hybrid short-electrode cochlear implant.

作者信息

Reiss Lina A J, Perreau Ann E, Turner Christopher W

机构信息

Oregon Health and Science University, Portland, OR 97239, USA.

出版信息

Audiol Neurootol. 2012;17(6):357-72. doi: 10.1159/000341165. Epub 2012 Aug 14.

DOI:10.1159/000341165
PMID:22907151
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3519932/
Abstract

Because some users of a Hybrid short-electrode cochlear implant (CI) lose their low-frequency residual hearing after receiving the CI, we tested whether increasing the CI speech processor frequency allocation range to include lower frequencies improves speech perception in these individuals. A secondary goal was to see if pitch perception changed after experience with the new CI frequency allocation. Three subjects who had lost all residual hearing in the implanted ear were recruited to use an experimental CI frequency allocation with a lower frequency cutoff than their current clinical frequency allocation. Speech and pitch perception results were collected at multiple time points throughout the study. In general, subjects showed little or no improvement for speech recognition with the experimental allocation when the CI was worn with a hearing aid in the contralateral ear. However, all 3 subjects showed changes in pitch perception that followed the changes in frequency allocations over time, consistent with previous studies showing that pitch perception changes upon provision of a CI.

摘要

由于一些混合短电极人工耳蜗(CI)使用者在接受CI后失去了低频残余听力,我们测试了将CI言语处理器频率分配范围扩大到包括更低频率是否能改善这些个体的言语感知。第二个目标是观察在使用新的CI频率分配后音高感知是否发生变化。招募了三名在植入耳中已失去所有残余听力的受试者,使用一种实验性CI频率分配,其低频截止频率低于他们当前的临床频率分配。在整个研究过程中的多个时间点收集了言语和音高感知结果。总体而言,当在对侧耳佩戴助听器并使用CI时,受试者在采用实验性分配时言语识别几乎没有改善或没有改善。然而,所有3名受试者的音高感知都随着时间的频率分配变化而变化,这与先前表明提供CI后音高感知会发生变化的研究一致。

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本文引用的文献

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Effects of extreme tonotopic mismatches between bilateral cochlear implants on electric pitch perception: a case study.双侧人工耳蜗极不匹配的音调感知效果:病例研究。
Ear Hear. 2011 Jul-Aug;32(4):536-40. doi: 10.1097/AUD.0b013e31820c81b0.
2
Combining acoustic and electric stimulation in the service of speech recognition.声电联合刺激在言语识别中的应用。
Int J Audiol. 2010 Dec;49(12):912-9. doi: 10.3109/14992027.2010.509113. Epub 2010 Sep 27.
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Pitch comparisons between electrical stimulation of a cochlear implant and acoustic stimuli presented to a normal-hearing contralateral ear.人工耳蜗电刺激与正常对侧耳听到的声刺激的频率比较。
J Assoc Res Otolaryngol. 2010 Dec;11(4):625-40. doi: 10.1007/s10162-010-0222-7. Epub 2010 Jun 5.
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Hybrid 10 clinical trial: preliminary results.混合10临床试验:初步结果。
Audiol Neurootol. 2009;14 Suppl 1(Suppl 1):32-8. doi: 10.1159/000206493. Epub 2009 Apr 22.
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Electro-acoustic stimulation. Acoustic and electric pitch comparisons.电声刺激。声学和电音高比较。
Audiol Neurootol. 2009;14 Suppl 1:2-7. doi: 10.1159/000206489. Epub 2009 Apr 22.
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Electric acoustic stimulation of the auditory system: results of a multi-centre investigation.听觉系统的电声刺激:一项多中心研究的结果
Acta Otolaryngol. 2008 Sep;128(9):968-75. doi: 10.1080/00016480701805471.
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Word recognition following implantation of conventional and 10-mm hybrid electrodes.传统电极和10毫米混合电极植入后的单词识别。
Audiol Neurootol. 2009;14(3):181-9. doi: 10.1159/000171480. Epub 2008 Nov 13.
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A new combined speech processor for electric and acoustic stimulation--eight months experience.一种用于电刺激和声刺激的新型组合式言语处理器——八个月的使用经验
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The influence of different speech processor and hearing aid settings on speech perception outcomes in electric acoustic stimulation patients.不同言语处理器和助听器设置对电声刺激患者言语感知结果的影响。
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Otol Neurotol. 2008 Feb;29(2):160-7. doi: 10.1097/mao.0b013e31815aedf4.