scholarly journals The Benefits of Using RONDO and an In-the-Ear Hearing Aid in Patients Using a Combined Electric-Acoustic System

2015 ◽  
Vol 2015 ◽  
pp. 1-4 ◽  
Author(s):  
Dayse Távora-Vieira ◽  
Stuart Miller
Keyword(s):  
Single Unit ◽  
Hearing Aid ◽  
Control Unit ◽  
Acoustic Stimulation ◽  
Profound Hearing Loss ◽  
Low Frequencies ◽  
Speech Processor ◽  
High Frequencies ◽  
Acoustic Hearing ◽  
Electric Acoustic Stimulation

People with residual hearing in the low frequencies and profound hearing loss in the high frequencies often do not benefit from acoustic amplification. Focus on this group of patients led to the development of the combined electric-acoustic stimulation (EAS) systems which can provide users with greater speech perception than can cochlear implant (CI) alone or acoustic hearing alone. EAS users wear a combined speech processor that incorporates a behind-the-ear audio processor that sits with an ear hook on the user’s pinna and a hearing aid, which sits in the ear canal. However, with the introduction of single-unit processors, which combine the audio processor, coil, control unit, and battery pack into a single device that sits on the implant site, therefore off the ear, simultaneous electric (CI) and acoustic (hearing aid) stimulation is not currently possible with a combined processor. To achieve EAS with a single-unit processor, a CI user must also wear a hearing aid. This study seeks to determine if experienced users of combined EAS speech processors could also benefit from using a combination of a single-unit speech processor that sits off the ear and an in-the-ear hearing aid.

Effects of Hearing Aid Settings for Electric-Acoustic Stimulation

2014 ◽  
Vol 25 (02) ◽  
pp. 133-140 ◽  
Author(s):  
Margaret T. Dillon ◽  
Emily Buss ◽  
Harold C. Pillsbury ◽  
Oliver F. Adunka ◽  
Craig A. Buchman ◽  
...  
Keyword(s):  
Speech Perception ◽  
Signal To Noise Ratio ◽  
Hearing Aid ◽  
Hearing Preservation ◽  
Acoustic Stimulation ◽  
Speech Processor ◽  
Listening Condition ◽  
Nonlinear Fitting ◽  
Fitting Procedure ◽  
Electric Acoustic Stimulation

Background: Cochlear implant (CI) recipients with postoperative hearing preservation may utilize an ipsilateral bimodal listening condition known as electric-acoustic stimulation (EAS). Studies on EAS have reported significant improvements in speech perception abilities over CI-alone listening conditions. Adjustments to the hearing aid (HA) settings to match prescription targets routinely used in the programming of conventional amplification may provide additional gains in speech perception abilities. Purpose: Investigate the difference in users’ speech perception scores when listening with the recommended HA settings for EAS patients versus HA settings adjusted to match National Acoustic Laboratories’ nonlinear fitting procedure version 1 (NAL-NL1) targets. Research Design: Prospective analysis of the influence of HA settings. Study Sample: Nine EAS recipients with greater than 12 mo of listening experience with the DUET speech processor. Intervention: Subjects were tested in the EAS listening condition with two different HA setting configurations. Speech perception materials included consonant-nucleus-consonant (CNC) words in quiet, AzBio sentences in 10-talker speech babble at a signal-to-noise ratio (SNR) of +10, and the Bamford-Kowal-Bench sentences in noise (BKB-SIN) test. Data Collection and Analysis: The speech perception performance on each test measure was compared between the two HA configurations. Results: Subjects experienced a significant improvement in speech perception abilities with the HA settings adjusted to match NAL-NL1 targets over the recommended HA settings. Conclusions: EAS subjects have been shown to experience improvements in speech perception abilities when listening to ipsilateral combined stimulation. This population’s abilities may be underestimated with current HA settings. Tailoring the HA output to the patient’s individual hearing loss offers improved outcomes on speech perception measures.

scholarly journals Investigation of intracochlear dual actuator stimulation in a scaled test rig

2017 ◽  
Vol 3 (2) ◽  
pp. 119-122
Author(s):  
Wouter J. van Drunen ◽  
Sarra Kacha Lachheb ◽  
Anatoly Glukhovskoy ◽  
Jens Twiefel ◽  
Marc C. Wurz ◽  
...  
Keyword(s):  
Low Frequency ◽  
Acoustic Stimulation ◽  
Residual Hearing ◽  
Frequency Range ◽  
Test Rig ◽  
Profound Hearing Loss ◽  
Ongoing Research ◽  
Electric Acoustic Stimulation ◽  
Single Implant

AbstractFor patients suffering from profound hearing loss or deafness still having respectable residual hearing in the low frequency range, the combination of a hearing aid with a cochlear implant results in the best quality of hearing perception (EAS – electric acoustic stimulation). In order to optimize EAS, ongoing research focusses on the integration of these stimuli in a single implant device. Within this study, the performance of piezoelectric actuators, particularly the dual actuator stimulation, in a scaled uncoiled test rig was investigated.

Application of electric-acoustic stimulation in patients with profound hearing loss—case study

2003 ◽  
Vol 1240 ◽  
pp. 291-295
Author(s):  
H Skarżyński ◽  
A Piotrowska ◽  
A Lorens ◽  
J Szuchnik ◽  
A Walkowiak ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Acoustic Stimulation ◽  
Profound Hearing Loss ◽  
Electric Acoustic Stimulation

Preferred Low- and High-Frequency Compression Ratios among Hearing Aid Users with Moderately Severe to Profound Hearing Loss

2007 ◽  
Vol 18 (01) ◽  
pp. 017-033 ◽  
Author(s):  
Gitte Keidser ◽  
Harvey Dillon ◽  
Ole Dyrlund ◽  
Lyndal Carter ◽  
David Hartley
Keyword(s):  
Hearing Loss ◽  
High Frequency ◽  
Hearing Aid ◽  
Low Frequency ◽  
Fine Tuning ◽  
Adaptive Procedure ◽  
Profound Hearing Loss ◽  
Low Frequencies ◽  
Frequency Compression ◽  
Fast Acting

This study aimed to determine the low- and high-frequency compression ratios of a fast-acting device that were preferred by people with moderately severe to profound hearing loss. Three compression ratios (1:1, 1.8:1, and 3:1) were combined in the low and high frequencies to produce nine schemes that were evaluated pair-wise for three weeks in the field using an adaptive procedure. The evaluation was performed by 21 experienced hearing aid users with a moderately severe to profound hearing loss. Diaries and an exit interview were used to monitor preferences. Generally, the subjects preferred lower compression ratios than are typically prescribed, especially in the low frequencies. Specifically, 11 subjects preferred linear amplification in the low frequencies, and 14 subjects preferred more compression in the high than in the low frequencies. Preferences could not be predicted from audiometric data, onset of loss, or past experience with amplification. The data suggest that clients with moderately severe to profound hearing loss should be fitted with low-frequency compression ratios in the range 1:1 to 2:1 and that fine-tuning is essential. Este estudio trató de determinar las tasas de compresión de alta y baja frecuencia de un dispositivo de acción rápida, que resultara preferido por personas con hipoacusias moderadamente severas a profundas. Se combinaron tres tasas de compresión (1:1, 1.8:1, y 3:1) en las frecuencias graves y agudas para producir nueve esquemas que fueron evaluados en el campo, en pares, durante tres semanas, utilizando un procedimiento de adaptación. La evaluación fue realizada por 21 usuarios experimentados de audífono con hipoacusias moderadamente severas a profundas. Se usaron diarios y un cuestionario final para monitorear las preferencias. Generalmente, los sujetos prefirieron menores tasas de compresión de lo que típicamente se prescribe, especialmente en las bajas frecuencias. Específicamente, 11 sujetos prefirieron la amplificación lineal en las frecuencias graves y 14 sujetos prefirieron más compresión en las frecuencias altas. Las preferencias no podían predecirse a partir de los datos audiométricos, del inicio de la pérdida, o por experiencias anteriores con amplificación. Los datos sugieren que los clientes con hipoacusias moderadamente severas a profundas, deberían adaptarse con tasas de compresión en las frecuencias graves en el rango de 1:1 a 2:1, y que un ajuste fino es esencial.

scholarly journals Assessment of the Subjective Benefit of Electric Acoustic Stimulation with the Abbreviated Profile of Hearing Aid Benefit

ORL ◽  
2011 ◽  
Vol 73 (6) ◽  
pp. 321-329 ◽  
Author(s):  
Wolfgang K. Gstoettner ◽  
Paul Van de Heyning ◽  
Alec Fitzgerald O’Connor ◽  
Jan Kiefer ◽  
Constantino Morera ◽  
...  
Keyword(s):  
Hearing Aid ◽  
Acoustic Stimulation ◽  
Electric Acoustic Stimulation ◽  
Hearing Aid Benefit

Evaluation of Special Hearing Aids for Deaf Children

1971 ◽  
Vol 36 (4) ◽  
pp. 527-537 ◽  
Author(s):  
Norman P. Erber
Keyword(s):  
Hearing Aids ◽  
High Frequency ◽  
Hearing Aid ◽  
Low Frequency ◽  
Acoustic Stimulation ◽  
Deaf Children ◽  
Frequency Range ◽  
Frequency Limit ◽  
Unpublished Studies ◽  
Published Research

Two types of special hearing aid have been developed recently to improve the reception of speech by profoundly deaf children. In a different way, each special system provides greater low-frequency acoustic stimulation to deaf ears than does a conventional hearing aid. One of the devices extends the low-frequency limit of amplification; the other shifts high-frequency energy to a lower frequency range. In general, previous evaluations of these special hearing aids have obtained inconsistent or inconclusive results. This paper reviews most of the published research on the use of special hearing aids by deaf children, summarizes several unpublished studies, and suggests a set of guidelines for future evaluations of special and conventional amplification systems.

Effect of Blowing Agent on Cell Morphology and Acoustic Absorption of Natural Rubber Foam

2015 ◽  
Vol 804 ◽  
pp. 25-29 ◽  
Author(s):  
Wanlop Harnnarongchai ◽  
Kantima Chaochanchaikul
Keyword(s):  
Natural Rubber ◽  
Cell Size ◽  
Cell Morphology ◽  
Foam Cell ◽  
Adsorption Coefficient ◽  
Low Frequencies ◽  
Potassium Oleate ◽  
High Frequencies ◽  
Blowing Agent ◽  
Open Cell Foam

The sound absorbing efficiency of natural rubber (NR) foam is affected by the cell morphology of foam. Potassium oleate (K-oleate) and sodium bicarbonate (NaHCO3) were used as blowing agents to create open-cell foam. Amounts of the blowing agent were varied from 0.5 to 8.0 part per hundred of rubber (phr) to evaluate cell size and number of foam cell as well as sound adsorption coefficient of NR foam. The NR foam specimens were prepared using mould and air-circulating oven for vulcanizing and foaming processes. The results indicated that K-oleate at 2.0 phr and NaHCO3 at 0.5 phr led to form NR foam with the smallest cell size and the largest number of foam cell. At low frequencies, the optimum sound adsorption coefficient of NR foam was caused by filling K-oleate 2 phr. However, that of NR foam at high frequencies was provided by 0.5 phr-NaHCO3 addition.

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