Evidence map›Paper›PMID 31018790›Full record

ArticleTrends in hearing

Reducing the Device Delay Mismatch Can Improve Sound Localization in Bimodal Cochlear Implant/Hearing-Aid Users.

Stefan Zirn, Julian Angermeier, Susan Arndt, Antje Aschendorff, Thomas Wesarg

Abstract read
In one paragraph

Article in Trends in hearing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed.

  1. Trial
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  4. The"symbiotic"regulation approach in bimodal hearing adults.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2025
    Article
  5. Review
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  7. Article
  8. Article
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  10. Impact of processing-latency induced interaural delay and level discrepancy on sensitivity to interaural level differences in cochlear implant users.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2023
    Article
  11. Article
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  18. Effects of Efferent Activity on Hair Bundle Mechanics.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2020
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Stefan Zirn1 Department of Electrical Engineering, Medical Engineering and Computer Science, University of Applied Sciences Offenburg, Germany.
Julian Angermeier1 Department of Electrical Engineering, Medical Engineering and Computer Science, University of Applied Sciences Offenburg, Germany.
Susan Arndt2 Department of Otorhinolaryngology-Head and Neck Surgery, Medical Center, Faculty of Medicine-University of Freiburg, Germany.
Antje Aschendorff2 Department of Otorhinolaryngology-Head and Neck Surgery, Medical Center, Faculty of Medicine-University of Freiburg, Germany.
Thomas Wesarg2 Department of Otorhinolaryngology-Head and Neck Surgery, Medical Center, Faculty of Medicine-University of Freiburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In users of a cochlear implant (CI) together with a contralateral hearing aid (HA), so-called bimodal listeners, differences in processing latencies between digital HA and CI up to 9 ms constantly superimpose interaural time differences. In the present study, the effect of this device delay mismatch on sound localization accuracy was investigated. For this purpose, localization accuracy in the frontal horizontal plane was measured with the original and minimized device delay mismatch. The reduction was achieved by delaying the CI stimulation according to the delay of the individually worn HA. For this, a portable, programmable, battery-powered delay line based on a ring buffer running on a microcontroller was designed and assembled. After an acclimatization period to the delayed CI stimulation of 1 hr, the nine bimodal study participants showed a highly significant improvement in localization accuracy of 11.6% compared with the everyday situation without the delay line ( p < .01). Concluding, delaying CI stimulation to minimize the device delay mismatch seems to be a promising method to increase sound localization accuracy in bimodal listeners.

Indexed as

Hearing AidsAdultAgedAuditory PerceptionCochlear ImplantationCochlear ImplantsFemaleHumansMaleMiddle AgedSound LocalizationSpeech Perceptionbimodal hearingcochlear implanthearing aidinteraural stimulation timingsound localization

Identifiers

PMID31018790
PMCPMC6484236

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.