The Effect of Binaural Beamforming Technology on Speech Intelligibility in Bimodal Cochlear Implant Recipients

Audiol Neurootol. 2018;23(1):32-38. doi: 10.1159/000487749. Epub 2018 Jun 22.

Abstract

Although the benefit of bimodal listening in cochlear implant users has been agreed on, speech comprehension remains a challenge in acoustically complex real-life environments due to reverberation and disturbing background noises. One way to additionally improve bimodal auditory performance is the use of directional microphones. The objective of this study was to investigate the effect of a binaural beamformer for bimodal cochlear implant (CI) users. This prospective study measured speech reception thresholds (SRT) in noise in a repeated-measures design that varied in listening modality for static and dynamic listening conditions. A significant improvement in SRT of 4.7 dB was found with the binaural beamformer switched on in the bimodal static listening condition. No significant improvement was found in the dynamic listening condition. We conclude that there is a clear additional advantage of the binaural beamformer in bimodal CI users for predictable/static listening conditions with frontal target speech and spatially separated noise sources.

Keywords: Bimodal hearing; Binaural beamformer; Cochlear implant; Fitting; Hearing aid.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Auditory Perception / physiology*
  • Auditory Threshold
  • Cochlear Implantation*
  • Cochlear Implants*
  • Female
  • Hearing
  • Humans
  • Male
  • Middle Aged
  • Noise
  • Prospective Studies
  • Speech Intelligibility / physiology*
  • Speech Perception / physiology