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双耳声级差线索决定了单侧聋患者佩戴人工耳蜗时的声源定位。

Interaural level difference cues determine sound source localization by single-sided deaf patients fit with a cochlear implant.

作者信息

Dorman Michael F, Zeitler Daniel, Cook Sarah J, Loiselle Louise, Yost William A, Wanna George B, Gifford Rene H

机构信息

Department of Speech and Hearing Science, Arizona State University, Tempe, Ariz., USA.

出版信息

Audiol Neurootol. 2015;20(3):183-8. doi: 10.1159/000375394. Epub 2015 Apr 18.

DOI:10.1159/000375394
PMID:25896774
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5869030/
Abstract

In this report, we used filtered noise bands to constrain listeners' access to interaural level differences (ILDs) and interaural time differences (ITDs) in a sound source localization task. The samples of interest were listeners with single-sided deafness (SSD) who had been fit with a cochlear implant in the deafened ear (SSD-CI). The comparison samples included listeners with normal hearing and bimodal hearing, i.e., with a cochlear implant in 1 ear and low-frequency acoustic hearing in the other ear. The results indicated that (i) sound source localization was better in the SSD-CI condition than in the SSD condition, (ii) SSD-CI patients rely on ILD cues for sound source localization, (iii) SSD-CI patients show functional localization abilities within 1-3 months after device activation and (iv) SSD-CI patients show better sound source localization than bimodal CI patients but, on average, poorer localization than normal-hearing listeners. One SSD-CI patient showed a level of localization within normal limits. We provide an account for the relative localization abilities of the groups by reference to the differences in access to ILD cues.

摘要

在本报告中,我们使用滤波后的噪声频段,在声源定位任务中限制听众获取双耳声级差(ILD)和双耳时间差(ITD)的能力。感兴趣的样本是单侧耳聋(SSD)患者,他们在患侧耳朵植入了人工耳蜗(SSD-CI)。对照样本包括听力正常和双模式听力的听众,即一只耳朵植入人工耳蜗,另一只耳朵具有低频声学听力。结果表明:(i)SSD-CI条件下的声源定位比SSD条件下更好;(ii)SSD-CI患者依靠ILD线索进行声源定位;(iii)SSD-CI患者在设备激活后1至3个月内表现出功能性定位能力;(iv)SSD-CI患者的声源定位比双模式人工耳蜗患者更好,但平均而言,比听力正常的听众定位能力更差。一名SSD-CI患者的定位水平在正常范围内。我们通过参考获取ILD线索的差异,对各群体的相对定位能力做出了解释。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b08/5869030/6bbae48df89c/nihms946643f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b08/5869030/5701dec6ef0e/nihms946643f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b08/5869030/815688f4b4bb/nihms946643f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b08/5869030/6bbae48df89c/nihms946643f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b08/5869030/5701dec6ef0e/nihms946643f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b08/5869030/815688f4b4bb/nihms946643f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b08/5869030/6bbae48df89c/nihms946643f3.jpg

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本文引用的文献

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Ear Hear. 2014 Nov-Dec;35(6):633-40. doi: 10.1097/AUD.0000000000000057.
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Improving sound localization after cochlear implantation and auditory training for the management of single-sided deafness.改善单侧聋患者的人工耳蜗植入和听觉训练后的声源定位效果。
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Comparison of pseudobinaural hearing to real binaural hearing rehabilitation after cochlear implantation in patients with unilateral deafness and tinnitus.单侧聋伴耳鸣患者人工耳蜗植入后伪双耳与真双耳助听效果的比较。
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