Abstract

Cochlear implant users are known to have limited access to spatial cues. This study investigated the perception of spatial cues in normal-hearing listeners and cochlear implant simulation users. Perception of spatial cues is assessed for performance in determining the direction of the sound and understanding the speech. The results show that cochlear implant simulation users still have access to spatial cues, just like normal- hearing listeners. Normal-hearing listeners and cochlear implant simulation users can perceive spatial cues in ILD and ITD. Both can accurately identify the direction of the sound (slope ≈ 1.00 and of set ≈ 0.00°). Cochlear implant simulation users can understand sentences as well as normal-hearing listeners (PCW = 113.64 rau) by using the coding strategy SPEAK in all channels or CIS with channel above 8. Perception of spatial cues in normal-hearing listeners and cochlear implant users can be improved by listening with two ears and spatially separating the target-masker position. The largest improvement in spatial cue perception was obtained from the head shadow effect (normal-hearing (NH) = 12.96, cochlear implant simulation users (CI) = 59.02), followed by binaural summation (NH = 5.72, CI = 19, 86) and binaural squelch (NH = 3.76, CI = 7.66).

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