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This study compares the Nucleus F0F1F2 and F0F1F2B3B4B5 (also known as "Multipeak") of "Mpeak") processing schemes in 17 patients wearing the Mini Speech Processor. All patients had at least 18 months implant experience using the F0F1F2 processing strategy. For this study, they were switched to the F0F1F2B3B4B5 processing strategy for 3 months. They then returned to using the F0F1F2 strategy for 3 months, then used the F0F1F2B3B4B5 strategy again for 3 months, and lastly used the F0F1F2 strategy for 3 months. Performance' was evaluated with both schemes after each interval, using speech recognition tests and subjective ratings. Overall, differences between the results for the two processing schemes were not large. Average performance was somewhat better for the F0F1F2B3B4B5 strategy for word and sentence identification, but not for any of the other speech measures. Superior performance was observed in 8 patients with the F0F1F2B3B4B5 strategy. However, 6 of the 8 individuals were significantly better on only one of the six speech measures in the test battery. The other 2 patients performed better on two of the speech measures. Superior performance was also observed in 3 patients with F0F1F2 strategy for consonant recognition. For the remaining patients, there was little difference in their performance with the two strategies. Information transmission analyses indicated that the F0F1F2B3B4B5 strategy transmitted consonant duration and frication cues more efficiently than F0F1F2. Experience with one strategy appeared to benefit performance with the other strategy.

The speech perception performance of 10 congenitally deaf and 3 postlingually deafened children who received the Cochlear Corporation multichannel cochlear implant was examined and compared. The children were tested preimplant and at 6-month intervals up to 2 years using the Monosyllable-Trochee-Spondee test (MTS), the Word Intelligibility by Picture Identification test (WIPI), and Phonetically Balanced Kindergarten (PB-K) or Northwestern University List 6 (NU-6) word lists. The postlingually deafened children exhibited significantly improved performance on open- and closed-set tests of word recognition after 6 months of implant use, a pattern similar to that of postlingually deafened adult implant users. In contrast, the congenitally deaf children did not exhibit measurably improved performance on speech perception tests until after 12 months or more of implant use. With as much as 18-24 months of use, however, some congenitally deaf children demonstrated limited open-set word recognition.

We have attempted to determine a meaningful measure of tinnitus loudness that considers loudness recruitment. Sixteen subjects with sensorineural tinnitus adjusted the level of a pure tone so that it was (a) at threshold, (b) equal in loudness to the tinnitus, and (c) uncomfortably loud. The pure-tone frequency was (a) at the frequency of the tinnitus pitch, and (b) at the octave frequency between 500 and 4000 Hz having the pure-tone threshold closest to 0 dB HL. In addition, the subjects adjusted the level of a broadband noise so that it (a) was at threshold, (b) just masked the tinnitus, and (c) was uncomfortably loud. These measurements were performed both in the ear ipsilateral and in the ear contralateral to the tinnitus. Formulae based on abnormal loudness functions and uncomfortable loudness levels are presented that convert equal-loudness matches in dB sensation level (SL) into loudness in sones. The level of broadband noise (in dB SL) required to mask tinnitus was about the same in the ipsilateral and in the contralateral ear for most of our subjects, regardless of the ear in which the tinnitus was localized. This noise level (in dB SL) required to mask the tinnitus correlated well with the level (in dB SL) of a tone at the most normal frequency judged equal in loudness to the tinnitus.

Two subjects who use the Melbourne multichannel cochlear implant were studied. Live-voice word, consonant, and vowel recognition tests, and a speech-tracking task were administered at regular intervals during the first 90 days after implantation. Results indicated 30-50% correct recognition of vowels (given 9 alternatives) and about 30-60% correct recognition of consonants (given 12 alternatives). Speech tracking showed from two to three times faster rates with the implant and vision compared to a vision-alone condition. After 3-4 months of implant experience, a number of recorded tests from the Minimal Auditory Capabilities battery and the Iowa Cochlear-Implant tests were then administered. These results indicated about 80% recognition of everyday sounds in a five-choice closed-set condition and about 50% recognition of everyday sounds in an open-set condition. The subjects were 50% correct at identifying the accented words in a sentence and about 50% correct at determining the number of syllables in a word. One subject was unable to recognize a sentence as a statement or a question. Background noise (+10 dB S/N) reduced their performance on a four-choice spondee test to chance. Both subjects were able to identify a sound as either a voice or a modulated noise at 95% correct, and both could recognize speaker sex at 95% correct. Neither could discriminate whether two (successive) sentences were spoken by the same speaker or by two different speakers. Remarkably, one subject identified 45% and the other 85% of the words in sentences that were preceded by a contextual picture using sound alone. One subject identified 13% of the words in sentences in sound alone even without contextual information.

In 10 subjects with sensorineural tinnitus (associated with a sensorineural hearing loss and no apparent source for a tinnitus originating elsewhere), the minimum level required to mask the tinnitus was determined for tonal maskers at several masker frequencies. This tinnitus masking pattern was compared to a psychoacoustical tuning curve (PTC) in which the signal frequency and level were determined from tinnitus pitch and loudness matching. Different patterns emerged. One subject showed a near-normal PTC but required high-level maskers across the frequency range to mask the tinnitus. Another subject showed some frequency resolution in the PTC but required low-level maskers across the frequency range to mask the tinnitus. For the remaining eight subjects, the masker levels required to mask the tone were generally higher than those levels required to mask the tinnitus. In addition, it was noted that the tinnitus pitch-match frequency was sometimes associated with an increase or a decrease in threshold sensitivity, or it was found at the low-frequency edge of a steep high-frequency threshold loss. In other subjects there was no apparent relationship between the tinnitus pitch and the audiogram shape.

In this study we provide some preliminary results of our attempt to measure the perception of tinnitus after the termination of a masker. The minimum level to mask tinnitus was determined for a 1-s masker in 10 subjects with sensorineural tinnitus. A continuous masker (parametrically varied in duration, frequency, and level) was then presented to the ear ipsilateral to the tinnitus. At the termination of the masker, subjects were required to press a button when their tinnitus "first returned" and a second button when it returned to "normal loudness." These response times were recorded automatically, and subjects reported what they heard after each trial. At low-level and short-duration maskers, the tinnitus typically was heard immediately after the masker termination. At higher levels and longer durations, different responses were observed. In two subjects, a silent interval was present after the masker, then the tinnitus returned at a softer loudness before returning to its premasker loudness. In one subject, the tinnitus was louder after the masker, and gradually returned to its premasker loudness. In another subject, the tinnitus returned immediately after the masker, but was softer than before. It then gradually increased to its premasker loudness. In the other two subjects, the tinnitus returned immediately to its normal loudness when the masker was terminated at all masker levels and durations. Higher level and longer duration maskers generally produced greater effects. Masker frequency, however, had little effect.

The masking level difference (MLD) at 500 Hz was examined in wide-band (960 Hz) and narrow-band (50 Hz) noise for normal-hearing subjects and subjects with symmetrical mild-to-moderate cochlear hearing loss. Monaural tasks of intensity discrimination, temporal resolution, and frequency resolution were performed in order to examine relationships between monaural dysfunction and MLD performance. Interaural time discrimination for a 500-Hz pure tone also was examined. The performance of the hearing-impaired subjects was poorer than that of the normal-hearing subjects for MLD, interaural delta t, and most monaural tasks. However, no significant relationships were found between monaural and MLD performance when effects of threshold were taken into account. MLDs were more reduced in wide-band noise than in narrow-band noise for the hearing-impaired subjects (when contrasted with normal-hearing subjects). MLD performance was correlated with interaural time discrimination, and it is suggested that one reason for poor MLD performance with hearing impairment may be poor temporal coding of stimulus-fine structure.

The effectiveness of alternating current (AC) stimulus on tinnitus was investigated in 10 patients who reported constant tinnitus in at least one ear. Patients were first screened to determine their responsiveness to electrical stimulation in relation to tinnitus reduction. The responsive patients were then stimulated for a treatment period of at least 10 min, during which time the tinnitus was measured. The AC stimuli (62 Hz to 8000 Hz) were applied to the eardrum of the patients via a specially constructed electrode. Psychophysical measurements (pitch matching, loudness matching, minimum masking level, and loudness and annoyance scaling) of the patient's tinnitus were made before and after electrical stimulation. Minimal masking level was determined and tinnitus scaling was performed during the treatment period. Electrical stimulation was effective in tinnitus reduction in 5 of the 10 patients. These 5 patients reported that the loudness and the annoyance of their tinnitus decreased during the treatment period. These observations were consistent with psychophysical measures of contralateral broadband noise masking. Poststimulation reduction in tinnitus varied in duration among individuals from 40 s to about 4 hr.

We measured masked thresholds for pulsed pure tone (5, 1.0, 2.0, and 4.0 kHz) in the presence of different levels of broad-band noise (nominally 0, 20, 40, and 60 dB/Hz). Several of the 16 cochlear-impaired listeners displayed masked thresholds that were considerably higher than those obtained from 10 normal listeners. At the 60 dB/hz noise level the correlation coefficients between thresholds in noise and thresholds in quiet were r = 36, .44, .63 and .64 for signal frequencies of .5, 1.0, 2.0, and 4.0 kHz, respectively. The growth of masking, as masker level was increased, was linear for the normal listeners but was disproportionate and nonlinear in some cochlear-impaired listeners. In these data and data from others studies, it is clear that thresholds in noise cannot be predicted from thresholds in quiet. Masked thresholds are related to other measures of frequency resolution and to speech intelligibility in noise, but it is argued that psychoacoustic tuning curves provide more direct measures of the auditory-filter characteristics.

The main purpose of this study was to provide an independent corroboration of open-set word recognition in some of the better cochlear-implant patients. These included the Chorimac, Nucleus (one group from the U.S.A. and one group from Hannover, Germany), Symbion, Duren/Cologne and 3M/Vienna implants. Three experiments are reported: (1) word recognition in word lists and in sentences; (2) environmental sound perception, and (3) gap detection. On word recognition, the scores of 6 Chorimac patients averaged 2.5% words and 0.7% words in sentences correct in the French tests. In the German tests, the scores averaged 17% words and 10% words in sentences for 10 Duren/Cologne patients, 15% words and 16% words in sentences for 9 3M/Vienna patients, and 10% words and 16% words in sentences (3% to 26%) for 10 Nucleus/Hannover patients. In the English tests, the scores averaged 11% words and 29.6% words in sentences for 10 Nucleus-U.S.A. patients, and 13.7% words and 35.7% words in sentences for the 9 Symbion patients. The ability to recognize recorded environmental sounds was measured with a closed set of 18 sounds. Performance averaged 23% correct for Chorimac patients, 41% correct for 3M/Vienna patients, 44% correct for Nucleus/Hannover patients, 21% correct for Duren/Cologne patients, 58% correct for Nucleus/U.S.A. patients, and 83% correct for Symbion patients. A multidimensional scaling analysis suggested that patients were, in part, utilizing information about the envelope and about the periodic/aperiodic nature of some of the sounds. Gap detection thresholds with a one-octave wide noise centered at 500 Hz varied widely among patients. Typically, patients with gap thresholds less than 40 ms showed a wide range of performance on speech perception tasks, whereas patients with gap-detection thresholds greater than 40 ms showed poor word recognition skills.

It is of great importance to compare the relative merits of different cochlear-implant speech-processing strategies. Some groups have compared different strategies within single subjects, but usually the subject has prior experience with one strategy, and no allowance is made for this prior experience. We show in the present study that this is inappropriate. We tested one subject using the Melbourne (Cochlear Corp.) multichannel implant with the device set to process sounds in two different ways. In the first processing scheme, the device functioned normally, extracting information about voicing frequency, amplitude and second-formant frequency. This information activated the 21-channel device, determining pulse rate, pulse amplitude and electrode position (respectively). In the second processing scheme, a single electrode (with the largest dynamic range) was activated. This electrode coded overall amplitude and voicing frequency. The subject was tested on an audiovisual test of a 14-choice consonant recognition in the form /iCi/ over a period of over 4 months. During this time the subject used the 21-channel processor outside of the laboratory. Upon initial connection, there was little difference between the results obtained with the two schemes when tested in sound alone or in sound plus vision. However, after about 4 months, scores obtained with the 21-channel processor in sound plus vision were superior to the scores obtained with the one channel. This advantage came from a superiority in the features of voicing and nasality, but not place. Scores for sound-alone conditions between the two processing schemes remained similar for the 4-month period.(ABSTRACT TRUNCATED AT 250 WORDS)

Minimum-detectable gaps for sinusoidal stimuli were measured for three users of a multi electrode cochlear prosthesis as functions of stimulus level, frequency, and electrode place within the cochlea. Stimulus level was scaled by sensation level and by growth-of-loudness functions generated for each condition by direct magnitude estimation. Minimum-detectable gaps decreased with increase in either sensation level or loudness, up to a plateau. When compared at equal sensation levels, the minimum-detectable gaps decreased with frequency increases. The frequency effect on minimum-detectable gaps is reduced if the data are considered at equal loudness. Comparison across place of stimulation within the cochlea showed minimum-detectable gaps to be shorter for more basal electrode placement at low stimulus levels. No differences in minimum-detectable gap as a function of place were found at higher stimulus levels.