Interaural time difference sensitivity under binaural cochlear implant stimulation persists at high pulse rates up to 900 pps

Alexa N. Buck (Co-first Author), Sarah Buchholz, Jan W. Schnupp, Nicole Rosskothen-Kuhl* (Co-first Author)

*Corresponding author for this work

Research output: Journal Publications and ReviewsRGC 21 - Publication in refereed journalpeer-review

8 Citations (Scopus)
44 Downloads (CityUHK Scholars)

Abstract

Spatial hearing remains one of the major challenges for bilateral cochlear implant (biCI) users, and early deaf patients in particular are often completely insensitive to interaural time differences (ITDs) delivered through biCIs. One popular hypothesis is that this may be due to a lack of early binaural experience. However, we have recently shown that neonatally deafened rats fitted with biCIs in adulthood quickly learn to discriminate ITDs as well as their normal hearing litter mates, and perform an order of magnitude better than human biCI users. Our unique behaving biCI rat model allows us to investigate other possible limiting factors of prosthetic binaural hearing, such as the effect of stimulus pulse rate and envelope shape. Previous work has indicated that ITD sensitivity may decline substantially at the high pulse rates often used in clinical practice. We therefore measured behavioral ITD thresholds in neonatally deafened, adult implanted biCI rats to pulse trains of 50, 300, 900 and 1800 pulses per second (pps), with either rectangular or Hanning window envelopes. Our rats exhibited very high sensitivity to ITDs at pulse rates up to 900 pps for both envelope shapes, similar to those in common clinical use. However, ITD sensitivity declined to near zero at 1800 pps, for both Hanning and rectangular windowed pulse trains. Current clinical cochlear implant (CI) processors are often set to pulse rates ≥ 900 pps, but ITD sensitivity in human CI listeners has been reported to decline sharply above ~ 300 pps. Our results suggest that the relatively poor ITD sensitivity seen at > 300 pps in human CI users may not reflect the hard upper limit of biCI ITD performance in the mammalian auditory pathway. Perhaps with training or better CI strategies good binaural hearing may be achievable at pulse rates high enough to allow good sampling of speech envelopes while delivering usable ITDs. © 2023, The Author(s).
Original languageEnglish
Article number3785
JournalScientific Reports
Volume13
Online published7 Mar 2023
DOIs
Publication statusPublished - 2023

Funding

Open Access funding enabled and organized by Projekt DEAL. Work leading to this publication was supported by grants from the Hong Kong General Research Fund (11100219 and 11101020), the Shenzhen Science and Innovation Fund Grant (JCYJ20180307124024360), Health and Medical Research Fund (07181406), the German Academic Exchange Service (DAAD) with funds from the German Federal Ministry of Education and Research (BMBF) and the People Programme (Marie Curie Actions) of the European Union’s Seventh Framework Programme (FP7/2007-2013) under REA grant agreement n° 605728 (PRIME—Postdoctoral Researchers International Mobility Experience), the Research Commission of the Medical Faculty of the Medical Center— University of Freiburg, and friends’ association “Taube Kinder lernen hören e. V.“. Eight cochlear implant animal arrays were kindly provided by MED-EL Medical Electronics, Innsbruck, Austria (Research Agreement PVFR2019/2)

Publisher's Copyright Statement

  • This full text is made available under CC-BY 4.0. https://creativecommons.org/licenses/by/4.0/

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