The effect of cross-over frequency on binaural hearing performance of adults using electric-acoustic stimulation

Cochlear Implants Int. 2019 Jul;20(4):190-206. doi: 10.1080/14670100.2019.1590499. Epub 2019 Mar 18.

Abstract

Objective: To investigate the effect of varying cross-over frequency (CF) settings for electric-acoustic (EA) stimulation in one ear combined with acoustic (A) hearing in the opposite ear on binaural speech perception, localization and functional performance in real life. Methods: Performance with three different CF settings set according to audiometric-based criterion were compared, following a four week familiarisation period with each, in ten adult cochlear implant recipients with residual hearing in both ears. On completion of all trials participants selected their preferred CF setting. Results: On average, CF settings did not have a significant effect on performance scores. However, higher ratings on device usage were associated with the preferred CF settings. Conclusion: Individuals who use EA + A stimulation may benefit from access to different CF settings to achieve maximal device usage.

Keywords: Cochlear Implants; Cross-Over Frequency; Electric And Acoustic Stimulation; Fitting; Hearing Aids; Word.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Artificial Intelligence
  • Auditory Threshold
  • Cochlear Implants*
  • Electric Stimulation
  • Hearing Loss, Sensorineural / rehabilitation*
  • Hearing Tests*
  • Humans
  • Prosthesis Design
  • Sound Localization
  • Sound Spectrography*
  • Speech Perception*
  • Speech Reception Threshold Test