ArticleOtology & neurotology open2026
Audiovisual Speech Recognition in Adult Cochlear Implant Candidates: Relations with Cognitive-Linguistic Abilities.
Article in Otology & neurotology open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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8 authors.
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Abstract
Objective: To examine audiovisual (AV) sentence recognition performance in adults with moderate-to-profound sensorineural hearing loss who are cochlear implant (CI) candidates, and to identify the demographic, audiologic, and cognitive-linguistic abilities that explain individual differences in AV performance. Study Design: Cross-sectional observational study. Setting: Tertiary referral center. Patients: Twenty-four postlingually deafened adults (mean age = 70.3 years, SD = 11.2) meeting clinical CI candidacy criteria in both ears, with no known history of cognitive or neurological disorders. Interventions: Participants completed the Multimodal Lexical Sentence Test (MLST) for Adults for AV sentence recognition and a battery of cognitive-linguistic tasks measuring short-term memory, working memory, inhibition-concentration, nonverbal reasoning, and speed of lexical/phonological access. Main Outcome Measures: AV sentence recognition accuracy on the MLST. Results: MLST performance varied broadly across participants (range = 11%-98%, mean = 67.6, SD = 29.7) and was strongly correlated with auditory-only sentence recognition abilities ( Conclusions: AV sentence recognition in adult CI candidates is partially explained by short-term memory capacity. Ecologically valid AV assessments may help identify cognitively mediated barriers to real-world communication that are not captured using conventional auditory-only speech recognition tests.
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