Reducing the Device Delay Mismatch Can Improve Sound Localization in Bimodal Cochlear Implant/Hearing-Aid Users

Autor: Stefan Zirn, Julian Angermeier, Susan Arndt, Antje Aschendorff, Thomas Wesarg
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Trends in Hearing, Vol 23 (2019)
Druh dokumentu: article
ISSN: 2331-2165
23312165
DOI: 10.1177/2331216519843876
Popis: In users of a cochlear implant (CI) together with a contralateral hearing aid (HA), so-called bimodal listeners, differences in processing latencies between digital HA and CI up to 9 ms constantly superimpose interaural time differences. In the present study, the effect of this device delay mismatch on sound localization accuracy was investigated. For this purpose, localization accuracy in the frontal horizontal plane was measured with the original and minimized device delay mismatch. The reduction was achieved by delaying the CI stimulation according to the delay of the individually worn HA. For this, a portable, programmable, battery-powered delay line based on a ring buffer running on a microcontroller was designed and assembled. After an acclimatization period to the delayed CI stimulation of 1 hr, the nine bimodal study participants showed a highly significant improvement in localization accuracy of 11.6% compared with the everyday situation without the delay line ( p
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