Evaluation of a cochlear-implant processing strategy incorporating phantom stimulation and asymmetric pulses

Abstract

Objective: To evaluate a speech-processing strategy in which the lowest frequency channel is conveyed using an asymmetric pulse shape and "phantom stimulation", where current is injected into one intra-cochlear electrode and where the return current is shared between an intra-cochlear and an extra-cochlear electrode. This strategy is expected to provide more selective excitation of the cochlear apex, compared to a standard strategy where the lowest-frequency channel is conveyed by symmetric pulses in monopolar mode. In both strategies all other channels were conveyed by monopolar stimulation. Design: Within-subjects comparison between the two strategies. Four experiments: (1) discrimination between the strategies, controlling for loudness differences, (2) consonant identification, (3) recognition of lowpass-filtered sentences in quiet, (4) sentence recognition in the presence of a competing speaker. Study sample: Eight users of the Advanced Bionics CII/Hi-Res 90k cochlear implant. Results: Listeners could easily discriminate between the two strategies but no consistent differences in performance were observed. Conclusions: The proposed method does not improve speech perception, at least in the short term.