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https://www.audiologyonline.com/ce/audiology-online/events/details/28029/bilateral-cochlear-implants-28029
Bilateral Cochlear Implants
There are now>350,000 cochlear implant (Cl) recipients worldwide. Bilateral implantation has become a standard treatment in many countries, in an attempt to provide patients with auditory cues needed to segregate speech from noise and localize sounds. Despite notable benefits when listening with bilateral vs. unilateral Cls, most patients continue to perform significantly worse than normal hearing {NH) listeners. Binaural functioning in NH depends on neural coding of interaural differences in time level. Although today's clinical processors are designed to maximize speech understanding, they do not encode binaural cues in a reliable and suitable manner. By using reverse engineering approaches, we work towards discovering how to preserve these cues in order to ultimately design binaural Cl processors. The roles of experience, age and auditory plasticity are all important considerations in this research. Studies in children also show what benefits can be leveraged with early bilateral stimulation and longitudinal experience. In addition, improvement in speech intelligibility does not capture all the added benefits that are experienced by patients, such as reduced cognitive load or listening effort. Our recent studies are aimed at gaining insight into this dimension of real-world listening that is poorly understood, using an eye tracking system to measure pupillary responses, which have been shown to be an index of listening effort.
auditory, textual, visual
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AudiologyOnline
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Bilateral Cochlear Implants
There are now>350,000 cochlear implant (Cl) recipients worldwide. Bilateral implantation has become a standard treatment in many countries, in an attempt to provide patients with auditory cues needed to segregate speech from noise and localize sounds. Despite notable benefits when listening with bilateral vs. unilateral Cls, most patients continue to perform significantly worse than normal hearing {NH) listeners. Binaural functioning in NH depends on neural coding of interaural differences in time level. Although today's clinical processors are designed to maximize speech understanding, they do not encode binaural cues in a reliable and suitable manner. By using reverse engineering approaches, we work towards discovering how to preserve these cues in order to ultimately design binaural Cl processors. The roles of experience, age and auditory plasticity are all important considerations in this research. Studies in children also show what benefits can be leveraged with early bilateral stimulation and longitudinal experience. In addition, improvement in speech intelligibility does not capture all the added benefits that are experienced by patients, such as reduced cognitive load or listening effort. Our recent studies are aimed at gaining insight into this dimension of real-world listening that is poorly understood, using an eye tracking system to measure pupillary responses, which have been shown to be an index of listening effort.
28029
Online
PT60M
Presented by Ruth Litovsky, PhD
Course: #280291 Hour
No CEUs/Hours Offered
There are now>350,000 cochlear implant (Cl) recipients worldwide. Bilateral implantation has become a standard treatment in many countries, in an attempt to provide patients with auditory cues needed to segregate speech from noise and localize sounds. Despite notable benefits when listening with bilateral vs. unilateral Cls, most patients continue to perform significantly worse than normal hearing {NH) listeners. Binaural functioning in NH depends on neural coding of interaural differences in time level. Although today's clinical processors are designed to maximize speech understanding, they do not encode binaural cues in a reliable and suitable manner. By using reverse engineering approaches, we work towards discovering how to preserve these cues in order to ultimately design binaural Cl processors. The roles of experience, age and auditory plasticity are all important considerations in this research. Studies in children also show what benefits can be leveraged with early bilateral stimulation and longitudinal experience. In addition, improvement in speech intelligibility does not capture all the added benefits that are experienced by patients, such as reduced cognitive load or listening effort. Our recent studies are aimed at gaining insight into this dimension of real-world listening that is poorly understood, using an eye tracking system to measure pupillary responses, which have been shown to be an index of listening effort.