¸ñÀû: Normal-hearing (NH) listeners rely on two binaural cues, the
interaural time (ITD) and level difference (ILD), for sound
localization. Cochlear-implant (CI) listeners, however, rely almost
entirely on ILDs. We wanted to determine whether significant
improvements in sound source localization are achieved in cochlear
implant (CI) recipients with single-sided deafness (SSD), a hearing
aid (HA) in the contralateral ear (asymmetric hearing loss, ASHL) and
bilateral CI recipients. ¹æ¹ý:This is a retrospective study of 10 CI recipients with NH in the
contralateral ear(SSD), 15 CI recipients with a HA in the contralateral
ear (ASHL), and 10 bilateral CI recipients. Sound source localization
assessment was performed after at least 6 months from the date of
cochlear implantation. Participants were asked to indicate the sound
source for a narrow-band noise presented randomly at varied frequency
(500 Hz and 4 kHz) and 65 dB HL stimulation levels from one of 7
speakers along a semi-circle. Localization performance was quantified as
average error degree (AED) error and right-to-left correct
discrimination ratio (RLD). °á°ú:Overall, bilateral CI group showed better localization abilities in AED
and RLD at 500 Hz than the other groups and ASHL group showed the poor
localization ability. Superior post-CI localization performance was
obtained with CI use as compared to unaided localization abilities in
SSD and ASHL groups. In both SSD and ASHL groups, a significant
improvement in RLD at 4 kHz was observed in aided condition compared to
unaided condition. A significant improvement in AED at 500 Hz and 4 kHz
was observed in only SSD, but not in ASHL group. °á·Ð:CI recipients experience significant improvements in sound source
localization, as demonstrated in sound localization test. Our findings
suggest that bilateral CI group uses ITD cues for sound source
localization better than ASHL group, though some SSD group may use ILD
cues as well. |