Evidence map›Paper›PMID 34461780›Full record

ArticleTrends in hearing

Effect of Channel Interaction on Vocal Cue Perception in Cochlear Implant Users.

Waldo Nogueira, Nawal El Boghdady, Florian Langner, Etienne Gaudrain, Deniz Başkent

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 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Weighting of Spectral and Temporal Cues with n-of-m Cochlear Implant Strategies Depends on Voice Pitch.Journal of the Association for Research in Otolaryngology : JARO · 2026
    Article
  3. Article
  4. 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.

Waldo NogueiraDepartment of Otolaryngology, Medical University Hannover and Cluster of Excellence Hearing4all, Hanover, Germany.
Nawal El BoghdadyDepartment of Otorhinolaryngology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.ORCID 0000-0001-5191-8223
Florian LangnerDepartment of Otolaryngology, Medical University Hannover and Cluster of Excellence Hearing4all, Hanover, Germany.ORCID 0000-0001-6870-4125
Etienne GaudrainDepartment of Otorhinolaryngology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.
Deniz BaşkentDepartment of Otorhinolaryngology, University Medical Center Groningen, University of Groningen, Groningen, Netherlands.ORCID 0000-0002-6560-1451

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Speech intelligibility in multitalker settings is challenging for most cochlear implant (CI) users. One possibility for this limitation is the suboptimal representation of vocal cues in implant processing, such as the fundamental frequency (F0), and the vocal tract length (VTL). Previous studies suggested that while F0 perception depends on spectrotemporal cues, VTL perception relies largely on spectral cues. To investigate how spectral smearing in CIs affects vocal cue perception in speech-on-speech (SoS) settings, adjacent electrodes were simultaneously stimulated using current steering in 12 Advanced Bionics users to simulate channel interaction. In current steering, two adjacent electrodes are simultaneously stimulated forming a channel of parallel stimulation. Three such stimulation patterns were used: Sequential (one current steering channel), Paired (two channels), and Triplet stimulation (three channels). F0 and VTL just-noticeable differences (JNDs; Task 1), in addition to SoS intelligibility (Task 2) and comprehension (Task 3), were measured for each stimulation strategy. In Tasks 2 and 3, four maskers were used: the same female talker, a male voice obtained by manipulating both F0 and VTL (F0+VTL) of the original female speaker, a voice where only F0 was manipulated, and a voice where only VTL was manipulated. JNDs were measured relative to the original voice for the F0, VTL, and F0+VTL manipulations. When spectral smearing was increased from Sequential to Triplet, a significant deterioration in performance was observed for Tasks 1 and 2, with no differences between Sequential and Paired stimulation. Data from Task 3 were inconclusive. These results imply that CI users may tolerate certain amounts of channel interaction without significant reduction in performance on tasks relying on voice perception. This points to possibilities for using parallel stimulation in CIs for reducing power consumption.

Indexed as

Cochlear ImplantationCochlear ImplantsSpeech PerceptionAcoustic StimulationCuesFemaleHumansMaleSpeech Intelligibilitychannel interactioncochlear implantF0speech-on-speechVTL

Identifiers

PMID34461780
PMCPMC8411629

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LicenceCC BY
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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.