人工耳蜗的刺激位置是人工耳蜗声音质量的决定因素之一。

Audiology and Neurotology Pub Date : 2019-01-01 Epub Date: 2019-10-29 DOI:10.1159/000503217
Michael F Dorman, Sarah Cook Natale, Leslie Baxter, Daniel M Zeitler, Mathew L Carlson, Jack H Noble
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引用次数: 0

摘要

目的我们的目的是确定人工耳蜗刺激位置的急性变化对人工耳蜗(CI)音质的影响:在实验 1 中,我们测试了 5 名安装了长(28 毫米)电极阵列的单侧耳聋(SSD)听者。通过关闭最顶端的电极并将滤波器重新分配到更基底的电极上,实现了刺激位置的基底转移。在实验 2 中,对 2 名安装了较短(16.5 毫米)电极阵列的 SSD 患者进行了测试。对刺激位置进行了基底和心尖移动。心尖位移是通过电流转向和创建一个比最心尖电极更心尖的虚拟刺激位置来实现的:结果:听者通过在正常听力的耳朵中改变整个频谱的频率和/或增加语音音高(F0)来匹配基底位移。听者通过降低正常听力耳的整体频谱来匹配耳尖偏移:结论:决定人工晶体植入语音质量的一个因素是沿耳蜗分区的刺激位置。
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Cochlear Place of Stimulation Is One Determinant of Cochlear Implant Sound Quality.

Objective: Our aim was to determine the effect of acute changes in cochlear place of stimulation on cochlear implant (CI) sound quality.

Design: In Experiment 1, 5 single-sided deaf (SSD) listeners fitted with a long (28-mm) electrode array were tested. Basal shifts in place of stimulation were implemented by turning off the most apical electrodes and reassigning the filters to more basal electrodes. In Experiment 2, 2 SSD patients fitted with a shorter (16.5-mm) electrode array were tested. Both basal and apical shifts in place of stimulation were implemented. The apical shifts were accomplished by current steering and creating a virtual place of stimulation more apical that that of the most apical electrode.

Results: Listeners matched basal shifts by shifting, in the normal-hearing ear, the overall spectrum up in frequency and/or increasing voice pitch (F0). Listeners matched apical shifts by shifting down the overall frequency spectrum in the normal-hearing ear.

Conclusion: One factor determining CI voice quality is the location of stimulation along the cochlear partition.

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