Effect of Synchronized Linked Band Selection on Speech Intelligibility of Bilateral Cochlear Implant Users

Normal hearing listeners have the ability to exploit the audio input perceived by each ear to extract target information in challenging listening scenarios. Bilateral cochlear implant (BiCI) users, however, do not benefit as much as normal hearing listeners do from a bilateral input. In this study, we investigate the effect that bilaterally linked band selection, bilaterally synchronized electrical stimulation and ideal binary masks (IdBMs) have on the ability of 10 BiCIs to understand speech in background noise. The performance was assessed through a sentence-based speech intelligibility test, in a scenario where the speech signal was presented from the front and the interfering noise from one side. The linked band selection relies on the most favorable signal-to-noise-ratio (SNR) ear, which will select the bands to be stimulated for both CIs. Results show that no benefit from adding a second CI to the most favorable SNR side was achieved for any of the tested bilateral conditions. However, when using both devices, speech perception results show that performing linked band selection, besides delivering bilaterally synchronized electrical stimulation, leads to an improvement compared to standard clinical setups. Moreover, the outcomes of this work show that by applying IdBMs, subjects achieve speech intelligibility scores similar to the ones without background noise.