Deafness Clinical Trial
Official title:
Assessment of the Contribution of the Combined Acoustic Hearing Via a Hearing Aid and Electric Hearing Via a Cochlear Implant in Adult Bimodal Users With Moderate to Severe Residual Hearing in the Implanted and Non Implanted Ear.
To evaluate the combination of electric hearing through Cochlear Implant and acoustic hearing through hearing aid in bimodal users with moderate-to-severe hearing loss in the non-implanted ear. The research will also provide pilot study data on unilateral Cochlear Implant recipients with residual useful acoustic hearing in the implanted ear whose acoustic hearing has been preserved.
Many current unilateral Cochlear Implant users have some residual acoustic hearing in the
opposite ear as well as in the implanted ear. The amount of useful residual acoustic hearing
varies among these implantees. There are several acoustic and electric combinations in the
bilateral-bimodal listening mode depending on the amount of useful residual acoustic hearing
in each ear. The combination of low frequency acoustic information provided by the hearing
aid on each ear, completes the high frequency electric information provided by the Cochlear
Implant (complementary bimodal benefit). Each of the different rehabilitation
combinationsfor unilateral Cochlear Implant users enablesa unique integration of the three
aspects of bilateral hearing bilaterality, binaurality and bimodality which may provide
significant advantages over unilateral Cochlear Implant stimulation in terms of speech
perception in noise, complementary information as well as localization abilities.
The study will include 20 bilateral-bimodal users with moderate-to-severe hearing loss at
250 Hz, 500 Hz and 1000 Hz in the non-implanted ear, who use hearing aids for at least 75%
of their waking hours. Evaluation utilizes bilateral-binaural and bimodal complementary
effects task-specific test batteries based on published doctoral research project. The
assessment protocol consisted of tests that include various speech materials, different
maskers, presentation of the noise from different locations in space, right/left speech
lateralization, pitch-related tasks and subjective questionnaires. All tests will be
administered in three listening conditions: Cochlear Implant -alone, hearing aid-alone and
Cochlear Implant +hearing aid.
;
Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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