Speech Understanding in Noise by Patients With Cochlear Implants Using a Monaural Adaptive Beamformer

使用单耳自适应波束形成器对人工耳蜗植入患者在噪声环境下的语音理解进行研究

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Abstract

PURPOSE: The aim of this experiment was to compare, for patients with cochlear implants (CIs), the improvement for speech understanding in noise provided by a monaural adaptive beamformer and for two interventions that produced bilateral input (i.e., bilateral CIs and hearing preservation [HP] surgery). METHOD: Speech understanding scores for sentences were obtained for 10 listeners fit with a single CI. The listeners were tested with and without beamformer activated in a "cocktail party" environment with spatially separated target and maskers. Data for 10 listeners with bilateral CIs and 8 listeners with HP CIs were taken from Loiselle, Dorman, Yost, Cook, and Gifford (2016), who used the same test protocol. RESULTS: The use of the beamformer resulted in a 31 percentage point improvement in performance; in bilateral CIs, an 18 percentage point improvement; and in HP CIs, a 20 percentage point improvement. CONCLUSION: A monaural adaptive beamformer can produce an improvement in speech understanding in a complex noise environment that is equal to, or greater than, the improvement produced by bilateral CIs and HP surgery.

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