Effects of the electrode location on tonal discrimination and speech perception of mandarin-speaking patients with a cochlear implant

Objectives/Hypothesis: This study assessed the effects of varying the electrode location on tonal discrimination and speech perception in Mandarin Chinese‐speaking patients. Study Design: A controlled study with six experimental conditions. Methods: Seven Mandarin‐speaking listeners who received a M...

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Veröffentlicht in:The Laryngoscope 2012-06, Vol.122 (6), p.1366-1378
Hauptverfasser: Lee, Fei-Peng, Hsu, Hsin-Te, Lin, Yung-Song, Hung, Su-Chen
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Hsu, Hsin-Te
Lin, Yung-Song
Hung, Su-Chen
description Objectives/Hypothesis: This study assessed the effects of varying the electrode location on tonal discrimination and speech perception in Mandarin Chinese‐speaking patients. Study Design: A controlled study with six experimental conditions. Methods: Seven Mandarin‐speaking listeners who received a MED‐EL cochlear implant (CI), ranging in age from 12.88 to 36.43 years (mean, 25.51 years), with an average of 5.28 years of device experience, participated this study. To evaluate the effects of electrode location, six experimental conditions each with the switch off at six different electrodes were designed. Identification tests of Mandarin lexical tones and words were performed. Results: Among experimental conditions with electrode lengths of 31, 23.8, and 16.6 mm, the CI subjects exhibited improved vowel and consonant identification in the condition of 31 mm, reflecting the apical location of electrodes. Specifically, the improvement was observed in the identification score for the vowel backness and height, as well as for the consonant place of articulation. Comparison among three settings with a same electrode length of 12.6 mm and the setting with stimulation to the midregion of the cochlea produces better words as well as the vowel and consonant identification compared with stimulation to basal and apical regions. However, no significant difference was observed for the lexical tone identification among conditions with different electrode location and stimulating region. Conclusions: Less mismatch of the frequency‐to‐place alignment may account for the improvement of word identification in conditions with electrodes coverage to more apical location; and in conditions where the mid‐region of the cochlea were stimulated. Laryngoscope, 2012
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Study Design: A controlled study with six experimental conditions. Methods: Seven Mandarin‐speaking listeners who received a MED‐EL cochlear implant (CI), ranging in age from 12.88 to 36.43 years (mean, 25.51 years), with an average of 5.28 years of device experience, participated this study. To evaluate the effects of electrode location, six experimental conditions each with the switch off at six different electrodes were designed. Identification tests of Mandarin lexical tones and words were performed. Results: Among experimental conditions with electrode lengths of 31, 23.8, and 16.6 mm, the CI subjects exhibited improved vowel and consonant identification in the condition of 31 mm, reflecting the apical location of electrodes. Specifically, the improvement was observed in the identification score for the vowel backness and height, as well as for the consonant place of articulation. Comparison among three settings with a same electrode length of 12.6 mm and the setting with stimulation to the midregion of the cochlea produces better words as well as the vowel and consonant identification compared with stimulation to basal and apical regions. However, no significant difference was observed for the lexical tone identification among conditions with different electrode location and stimulating region. Conclusions: Less mismatch of the frequency‐to‐place alignment may account for the improvement of word identification in conditions with electrodes coverage to more apical location; and in conditions where the mid‐region of the cochlea were stimulated. 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Comparison among three settings with a same electrode length of 12.6 mm and the setting with stimulation to the midregion of the cochlea produces better words as well as the vowel and consonant identification compared with stimulation to basal and apical regions. However, no significant difference was observed for the lexical tone identification among conditions with different electrode location and stimulating region. Conclusions: Less mismatch of the frequency‐to‐place alignment may account for the improvement of word identification in conditions with electrodes coverage to more apical location; and in conditions where the mid‐region of the cochlea were stimulated. 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Stomatology</subject><subject>Pitch Discrimination</subject><subject>Pitch Perception</subject><subject>Reference Values</subject><subject>Risk Assessment</subject><subject>Speech Discrimination Tests</subject><subject>Speech Perception - physiology</subject><subject>Young Adult</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kV1rFDEUhoModlu98QdIbgQRpp0kk5nJZSndrrBUKIp6Fc5mzrixmQ-TWWp_QP-3p51tvSsEQs553vPxhrF3Ij8WeS5PAsTbY6mUUC_YQmglssIY_ZItKKmyWssfB-wwpd95Liql89fsQEpdGlOWC3Z33rbopsSHlk9b5BjoFYcGeRgcTH7oOZ1p6CHwxicXfef7OQ59w9OI6LZ8xOhwnOmWd5SB6PuMsnDt-198JAX21OXGT1sO3A1uGxAi990YoJ_esFcthIRv9_cR-7Y8_3q2ytZfLj6fna4zp0ylMqygdpuN1EUta5DagNpgDkprDYKQElA4V8oWTEMRY0ACKnSFgMoUqNQR-zjXHePwZ4dpsh3thIFmwGGXrMiFKYWp6oLQTzPq4pBSxNaOtDs5TZC9t93e224fbCf4_b7ubtNh84Q--kzAhz0AyUFoI_TOp_9cSV9TFBVxYuZufMDbZ1ra9enVz8fm2azxacK_TxqI17asVKXt98sLq5YrcbVSS1L_AydbrC0</recordid><startdate>201206</startdate><enddate>201206</enddate><creator>Lee, Fei-Peng</creator><creator>Hsu, Hsin-Te</creator><creator>Lin, Yung-Song</creator><creator>Hung, Su-Chen</creator><general>Wiley Subscription Services, Inc., A Wiley Company</general><general>Wiley-Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201206</creationdate><title>Effects of the electrode location on tonal discrimination and speech perception of mandarin-speaking patients with a cochlear implant</title><author>Lee, Fei-Peng ; Hsu, Hsin-Te ; Lin, Yung-Song ; Hung, Su-Chen</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3973-e7a8cbb254828a259a3be0a3555a1c396ae1cc62fa9d5a199a2ae3ec41a794e33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Asian Continental Ancestry Group - statistics &amp; numerical data</topic><topic>auditory physiology</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Cochlear implant</topic><topic>Cochlear Implantation - methods</topic><topic>Cochlear Implants</topic><topic>Deafness - surgery</topic><topic>Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology</topic><topic>Electric Stimulation</topic><topic>Electrodes, Implanted</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>hearing loss</topic><topic>Humans</topic><topic>Language</topic><topic>Level of Evidence: 2c</topic><topic>lexical tone</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Non tumoral diseases</topic><topic>Otorhinolaryngology. Stomatology</topic><topic>Pitch Discrimination</topic><topic>Pitch Perception</topic><topic>Reference Values</topic><topic>Risk Assessment</topic><topic>Speech Discrimination Tests</topic><topic>Speech Perception - physiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee, Fei-Peng</creatorcontrib><creatorcontrib>Hsu, Hsin-Te</creatorcontrib><creatorcontrib>Lin, Yung-Song</creatorcontrib><creatorcontrib>Hung, Su-Chen</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee, Fei-Peng</au><au>Hsu, Hsin-Te</au><au>Lin, Yung-Song</au><au>Hung, Su-Chen</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of the electrode location on tonal discrimination and speech perception of mandarin-speaking patients with a cochlear implant</atitle><jtitle>The Laryngoscope</jtitle><addtitle>The Laryngoscope</addtitle><date>2012-06</date><risdate>2012</risdate><volume>122</volume><issue>6</issue><spage>1366</spage><epage>1378</epage><pages>1366-1378</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><coden>LARYA8</coden><abstract>Objectives/Hypothesis: This study assessed the effects of varying the electrode location on tonal discrimination and speech perception in Mandarin Chinese‐speaking patients. 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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Adolescent
Adult
Age Factors
Asian Continental Ancestry Group - statistics & numerical data
auditory physiology
Biological and medical sciences
Child
Cochlear implant
Cochlear Implantation - methods
Cochlear Implants
Deafness - surgery
Ear, auditive nerve, cochleovestibular tract, facial nerve: diseases, semeiology
Electric Stimulation
Electrodes, Implanted
Female
Follow-Up Studies
hearing loss
Humans
Language
Level of Evidence: 2c
lexical tone
Male
Medical sciences
Non tumoral diseases
Otorhinolaryngology. Stomatology
Pitch Discrimination
Pitch Perception
Reference Values
Risk Assessment
Speech Discrimination Tests
Speech Perception - physiology
Young Adult
title Effects of the electrode location on tonal discrimination and speech perception of mandarin-speaking patients with a cochlear implant
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