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双侧人工耳蜗植入中聆听时的电极插入深度差和独立频带选择对噪声中句子识别和空间掩蔽释放的影响。

Effect of interaural electrode insertion depth difference and independent band selection on sentence recognition in noise and spatial release from masking in simulated bilateral cochlear implant listening.

机构信息

Department of Audiology and Speech-Language Pathology, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, 575001, India.

Department of Audiology and Speech-Language Pathology, National Institute of Speech and Hearing, Trivandrum, Kerala, 695017, India.

出版信息

Eur Arch Otorhinolaryngol. 2023 Jul;280(7):3209-3217. doi: 10.1007/s00405-023-07845-w. Epub 2023 Jan 25.

DOI:10.1007/s00405-023-07845-w
PMID:36695909
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10220123/
Abstract

PURPOSE

Inter-aural insertion depth difference (IEDD) in bilateral cochlear implant (BiCI) with continuous interleaved sampling (CIS) processing is known to reduce the recognition of speech in noise and spatial release from masking (SRM). However, the independent channel selection in the 'n-of-m' sound coding strategy might have a different effect on speech recognition and SRM when compared to the effects of IEDD in CIS-based findings. This study aimed to investigate the effect of bilateral 'n-of-m' processing strategy and interaural electrode insertion depth difference on speech recognition in noise and SRM under conditions that simulated bilateral cochlear implant listening.

METHODS

Five young adults with normal hearing sensitivity participated in the study. The target sentences were spatially filtered to originate from 0° and the masker was spatially filtered at 0°, 15°, 37.5°, and 90° using the Oldenburg head-related transfer function database for behind the ear microphone. A 22-channel sine wave vocoder processing based on 'n-of-m' processing was applied to the spatialized target-masker mixture, in each ear. The perceptual experiment involved a test of speech recognition in noise under one co-located condition (target and masker at 0°) and three spatially separated conditions (target at 0°, masker at 15°, 37.5°, or 90° to the right ear).

RESULTS

The results were analyzed using a three-way repeated measure analysis of variance (ANOVA). The effect of interaural insertion depth difference (F (2,8) = 3.145, p = 0.098, ɳ = 0.007) and spatial separation between target and masker (F (3,12) = 1.239, p = 0.339, ɳ = 0.004) on speech recognition in noise was not significant.

CONCLUSIONS

Speech recognition in noise and SRM were not affected by IEDD ≤ 3 mm. Bilateral 'n-of-m' processing resulted in reduced speech recognition in noise and SRM.

摘要

目的

双侧人工耳蜗植入(BiCI)中采用连续交错采样(CIS)处理的耳间插入深度差(IEDD)已知会降低噪声中的语音识别和空间掩蔽释放(SRM)。然而,与 CIS 研究结果中的 IEDD 相比,“n-of-m”声音编码策略中的独立通道选择可能对语音识别和 SRM 产生不同的影响。本研究旨在研究双侧“n-of-m”处理策略和耳间电极插入深度差对模拟双侧人工耳蜗听力条件下噪声中的语音识别和 SRM 的影响。

方法

5 名听力正常的年轻人参与了本研究。目标句子被空间滤波,使其源自 0°,掩蔽器被空间滤波,位于 0°、15°、37.5°和 90°,使用奥登堡头部相关传递函数数据库,用于耳后麦克风。每个耳朵应用基于“n-of-m”处理的 22 通道正弦波声码器处理,对空间化的目标-掩蔽器混合物进行处理。感知实验包括在一个共定位条件(目标和掩蔽器在 0°)和三个空间分离条件(目标在 0°,掩蔽器在右耳 15°、37.5°或 90°)下的噪声中的语音识别测试。

结果

使用三因素重复测量方差分析(ANOVA)对结果进行分析。耳间插入深度差的影响(F(2,8)=3.145,p=0.098,ɳ=0.007)和目标与掩蔽器之间的空间分离(F(3,12)=1.239,p=0.339,ɳ=0.004)对噪声中的语音识别没有显著影响。

结论

噪声中的语音识别和 SRM 不受 IEDD≤3mm 的影响。双侧“n-of-m”处理导致噪声中的语音识别和 SRM 降低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa19/10220123/13ffd1089f58/405_2023_7845_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa19/10220123/3d5af166a9ff/405_2023_7845_Fig1_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa19/10220123/a5619fb2999f/405_2023_7845_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa19/10220123/13ffd1089f58/405_2023_7845_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa19/10220123/3d5af166a9ff/405_2023_7845_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa19/10220123/3dd47e81ba42/405_2023_7845_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa19/10220123/5b2cb72dbbdb/405_2023_7845_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa19/10220123/a5619fb2999f/405_2023_7845_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aa19/10220123/13ffd1089f58/405_2023_7845_Fig5_HTML.jpg

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本文引用的文献

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Valid Acoustic Models of Cochlear Implants: One Size Does Not Fit All.有效的人工耳蜗声学模型:一种模式并不适合所有人。
Otol Neurotol. 2021 Dec 1;42(10S):S2-S10. doi: 10.1097/MAO.0000000000003373.
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Interaural Place-of-Stimulation Mismatch Estimates Using CT Scans and Binaural Perception, But Not Pitch, Are Consistent in Cochlear-Implant Users.利用 CT 扫描和双耳感知而非音高来估计两耳刺激位置差异,在人工耳蜗使用者中是一致的。
J Neurosci. 2021 Dec 8;41(49):10161-10178. doi: 10.1523/JNEUROSCI.0359-21.2021. Epub 2021 Nov 1.
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The effect of synchronized linked band selection on speech intelligibility of bilateral cochlear implant users.
同步链接带选择对双侧人工耳蜗使用者言语可懂度的影响。
Hear Res. 2020 Oct;396:108051. doi: 10.1016/j.heares.2020.108051. Epub 2020 Aug 10.
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Spatial Release From Masking in Adults With Bilateral Cochlear Implants: Effects of Distracter Azimuth and Microphone Location.双侧人工耳蜗植入成人的掩蔽空间释放:干扰声源方位和麦克风位置的影响
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The Effect of Simulated Interaural Frequency Mismatch on Speech Understanding and Spatial Release From Masking.模拟耳间频率失配对言语理解和掩蔽空间释放的影响。
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