The effect of an active transcutaneous bone conduction device on spatial release from masking

Purpose The purpose of this study was to characterize spatial hearing abilities of children with longstanding unilateral hearing loss (UHL). UHL was expected to negatively impact children's sound source localization and masked speech recognition, particularly when the target and masker were separated in space. Spatial release from masking (SRM) in the presence of a two-talker speech masker was expected to predict functional auditory performance as assessed by parent report. Method Participants were 5- to 14-year-olds with sensorineural or mixed UHL, age-matched children with normal hearing (NH), and adults with NH. Sound source localization was assessed on the horizontal plane (-90° to 90°), with noise that was either all-pass, low-pass, high-pass, or an unpredictable mixture. Speech recognition thresholds were measured in the sound field for sentences presented in two-talker speech or speech-shaped noise. Target speech was always presented from 0°; the masker was either colocated with the target or spatially separated at ±90°. Parents of children with UHL rated their children's functional auditory performance in everyday environments via questionnaire. Results Sound source localization was poorer for children with UHL than those with NH. Children with UHL also derived less SRM than those with NH, with increased masking for some conditions. Effects of UHL were larger in the two-talker than the noise masker, and SRM in two-talker speech increased with age for both groups of children. Children with UHL whose parents reported greater functional difficulties achieved less SRM when either masker was on the side of the better-hearing ear. Conclusions Children with UHL are clearly at a disadvantage compared with children with NH for both sound source localization and masked speech recognition with spatial separation. Parents' report of their children's real-world communication abilities suggests that spatial hearing plays an important role in outcomes for children with UHL.

Purpose: The ability to benefit from spatial separation between target and masker signals is important in multi-sound source listening environments. The goal of this study was to measure the spatial release from masking (SRM) in unilateral cochlear implant (CI) users with bilateral profound hearing loss. We also determined the relationships between the SRMs and the self-reported spatial hearing abilities.Methods: Fourteen unilateral CI users with bilateral profound hearing loss participated in this study. The target sentence was always presented to the front of the listener, and the nonfluctuating speech-shaped noise (SSN) or fluctuating speech noise was either co-located with the target (speech at 0°, noise at 0°, S0N0) or spatially separated at ± 90°. The SRM was quantified as the difference between speech recognition thresholds (SRTs) in the co-located and spatially separated conditions. The self-reported spatial hearing abilities were also measured using validated subjective questionnaires.Results: Overall, the SRTs were lower (better) with SSN than with fluctuating speech noise. When the noise was presented to the non-CI ear (speech at 0°, noise at non-CI ear, S0Nnonci), speech-in-noise recognition was the greatest due to head shadow or better-ear listening effect, resulting in the SRMs of approximately 5~6 dB regardless of noise type. When the noise was given to the CI ear (speech at 0°, noise at CI ear, S0Nci), some individuals exhibited positive SRMs (3~8 dB), while others showed negative SRMs, leading to little SRMs overall. When the SSN was given, subjects with less SRMs (less spatial separation benefits on the objective test) reported greater subjective spatial hearing difficulties.Conclusion: The spatial hearing of unilateral CI users varied by the position of the sound source. Listeners' spatial hearing abilities, which are unpredictable from clinical routine tests, need to be assessed by either objective or subjective measures.

Spatial Release from Masking (SRM) is defined as the ability to obtain better Speech Recognition Thresholds (SRTs) when the masking sounds are spatially separated from the target sound. Localization refers our ability identify the direction of the sound and localization acuity is measured as the difference in locations between the actual and perceived locations. SRM and localization share many common cues on how the task is performed. Here, we present data from young normal hearing on SRM task using Coordinate Response Measure (CRM) sentences and localization acuity using three different noise Gaussian white noise bursts: low pass (1/3 octave wide centered at 500 Hz), high pass (1/3 octave wide centered at 3150 Hz), and broadband (200–5000 Hz). Thirteen loudspeakers (Orb Mod 1), separated by 15 deg in the frontal plane were used to present the stimuli. Initial analyses of the results indicated that, as expected, all the listeners obtained substantial spatial release from masking consistent with the literature, filtering the broadband noise had little effect on localization acuity for listeners with normal hearing. Finally, the relationship between SRM and localization acuity will be discussed.Spatial Release from Masking (SRM) is defined as the ability to obtain better Speech Recognition Thresholds (SRTs) when the masking sounds are spatially separated from the target sound. Localization refers our ability identify the direction of the sound and localization acuity is measured as the difference in locations between the actual and perceived locations. SRM and localization share many common cues on how the task is performed. Here, we present data from young normal hearing on SRM task using Coordinate Response Measure (CRM) sentences and localization acuity using three different noise Gaussian white noise bursts: low pass (1/3 octave wide centered at 500 Hz), high pass (1/3 octave wide centered at 3150 Hz), and broadband (200–5000 Hz). Thirteen loudspeakers (Orb Mod 1), separated by 15 deg in the frontal plane were used to present the stimuli. Initial analyses of the results indicated that, as expected, all the listeners obtained substantial spatial release from masking consistent with the litera...

<b>Purpose: </b>Normal-hearing and hard-of-hearing listeners suffer from reduced speech intelligibility in noisy and reverberant environments. Although daily listening environments are in constant motion, most researchers have only studied speech-in-noise perception for stationary masker locations. The aim of this study was to investigate the spatial release from masking (SRM) of circularly and radially moving maskers under different room acoustic conditions for young and elderly subjects.<b>Method: </b>Twelve young subjects with normal hearing and 12 elderly subjects with normal hearing or mild hearing loss were tested. Several different room acoustic conditions were simulated and reproduced via headphones using binaural synthesis. The target speech stream consisted of German digit triplets, and masker stream consisted of quasistationary noise with matched long-term averaged speech spectra. During the experiment, the position of the masker was changed to be in different stationary positions, or varied continuously. In the latter case, it was moved either on a circular trajectory spanning a 90° azimuth angle or on a radial trajectory linearly increasing the distance to the receiver from 0.5 m to 1.8 m. Absorption characteristics of the virtual room’s surfaces were changed, recreating an anechoic room, a treated room with mean reverberation times (RT60) = 0.48 s, and an untreated room with mean RT60 = 1.26 s.<b>Results:</b> For the circular condition, a significant difference was found between moving and stationary maskers,<i> F</i>(4, 44) = 20.91, <i>p</i> &lt; .001, with a bigger SRM for stationary maskers than moving masker conditions. Also, both age groups displayed a significant decrease in SRM over the reverberation conditions: <i>F</i>(2, 22) = 12.24, <i>p</i> &lt; .001.For the radial condition, both age groups showed a significant decrease in SRM over the reverberation conditions, <i>F</i>(2, 22) = 13.62, <i>p</i> &lt; .001, as well as the moving and stationary masker conditions, <i>F</i>(8, 88) = 29.23, <i>p</i> &lt; .001. In general, the SRM of a moving masker decreased when the reverberation increased, especially for elderly subjects.<b>Conclusions:</b> A radially moving masker led to improved SRM in an anechoic environment for both age groups, whereas a circularly moving masker caused degraded SRM, especially for elderly subjects in the highly reverberant environment.<br><b>Supplemental Material S1.</b> Additional data for experiments on spatial release from masking in different room acoustic conditions. <br>Viveros Muñoz, R., Aspöck, L., &amp; Fels, J. (2019). Spatial release from masking under different reverberant conditions in young and elderly subjects: Effect of moving or stationary maskers at circular and radial conditions.<i> Journal of Speech, Language, and Hearing Research</i>. Advance online publication. https://doi.org/10.1044/2019_JSLHR-H-19-0092

Cochlear implantation (CI) in subjects with unilateral profound sensorineural hearing loss was investigated. The authors of the present study demonstrated the binaural auditory outcomes in a 12- and 36-month prospective cohort outcome study. The present study aimed to do a long-term (LT) evaluation of the auditory outcomes in an analogous study group. LT evaluation was derived from 12 single-sided deaf (SSD) CI recipients and from 11 CI recipients with asymmetric hearing loss (AHL). A structured interview was conducted with each subjects. Speech perception in noise and sound localization were assessed in a CIOFF and in a CION condition. Four binaural effects were calculated: summation effect (S0N0), squelch effect (S0NCI), combined head shadow effect (SCIN0), and spatial release from masking (SRM). At the LT evaluation, the contribution of a CI or a bone conduction device on speech perception in noise was investigated in two challenging spatial configurations in the SSD group. All (23/23) subjects wore their CI 7 days a week at LT follow-up evaluation, which ranged from 3 to 10 years after implantation. In the SSD group, a significant combined head shadow effect of 3.17 dB and an SRM benefit of 4.33 dB were found. In the AHL group, on the other hand, the summation effect (2.00 dB), the squelch effect (2.67 dB), the combined head shadow effect (3.67 dB), and SRM benefit (2.00 dB) were significant at LT testing. In both the spatial challenging configurations, the speech in noise results was significantly worse in the condition with the bone conduction device compared with the unaided condition. No negative effect was found for the CION condition. A significant benefit in the CION condition was found for sound localization compared with the CIOFF condition in the SSD group and in the AHL group. All subjects wore their CI 7 days a week at LT follow-up evaluation. The presence of binaural effects has been demonstrated with speech in noise testing, sound localization, and subjective evaluation. In the AHL group, all investigated binaural effects were found to be significant. In the SSD group on the other hand, only SRM and the head shadow, the two most robust binaural effects, were significantly present. However, it took 12M before the SSD and the AHL subjects significantly benefit from the head shadow effect. These reported results could guide counseling of future CI candidates with SSD and AHL in general.

To assess long-term binaural hearing abilities for cochlear implant (CI) users with unilateral hearing loss (UHL) or asymmetric hearing loss (AHL). A prospective, longitudinal, repeated measures study was completed at a tertiary referral center evaluating adults with UHL or AHL undergoing cochlear implantation. Binaural hearing abilities were assessed with masked speech recognition tasks using AzBio sentences in a 10-talker masker. Performance was evaluated as the ability to benefit from spatial release from masking (SRM). SRM was calculated as the difference in scores when the masker was presented toward the CI-ear (SRMci ) or the contralateral ear (SRMcontra ) relative to the co-located condition (0°). Assessments were completed pre-operatively and at annual intervals out to 5 years post-activation. Twenty UHL and 19 AHL participants were included in the study. Linear Mixed Models showed significant main effects of interval and group for SRMcontra . There was a significant interaction between interval and group, with UHL participants reaching asymptotic performance early and AHL participants demonstrating continued growth in binaural abilities to 5 years post-activation. The improvement in SRM showed a significant positive correlation with contralateral unaided hearing thresholds (p=0.050) as well as age at implantation (p=0.031). CI recipients with UHL and AHL showed improved SRM with long-term device use. The time course of improvement varied by cohort, with the UHL cohort reaching asymptotic performance early and the AHL cohort continuing to improve beyond 1 year. Differences between cohorts could be driven by differences in age at implantation as well as contralateral unaided hearing thresholds. 3 Laryngoscope, 133:1480-1485, 2023.

Due to interaural frequency mismatch, bilateral cochlear-implant (CI) users may be less able to take advantage of binaural cues that normal-hearing (NH) listeners use for spatial hearing, such as interaural time differences and interaural level differences. As such, bilateral CI users have difficulty segregating competing speech even when the target and competing talkers are spatially separated. The goal of this study was to evaluate the effects of spectral resolution, tonotopic mismatch (the frequency mismatch between the acoustic center frequency assigned to CI electrode within an implanted ear relative to the expected spiral ganglion characteristic frequency), and interaural mismatch (differences in the degree of tonotopic mismatch in each ear) on speech understanding and spatial release from masking (SRM) in the presence of competing talkers in NH subjects listening to bilateral vocoder simulations. During testing, both target and masker speech were presented in five-word sentences that had the same syntax but were not necessarily meaningful. The sentences were composed of five categories in fixed order (Name, Verb, Number, Color, and Clothes), each of which had 10 items, such that multiple sentences could be generated by randomly selecting a word from each category. Speech reception thresholds (SRTs) for the target sentence presented in competing speech maskers were measured. The target speech was delivered to both ears and the two speech maskers were delivered to (1) both ears (diotic masker), or (2) different ears (dichotic masker: one delivered to the left ear and the other delivered to the right ear). Stimuli included the unprocessed speech and four 16-channel sine-vocoder simulations with different interaural mismatch (0, 1, and 2 mm). SRM was calculated as the difference between the diotic and dichotic listening conditions. With unprocessed speech, SRTs were 0.3 and -18.0 dB for the diotic and dichotic maskers, respectively. For the spectrally degraded speech with mild tonotopic mismatch and no interaural mismatch, SRTs were 5.6 and -2.0 dB for the diotic and dichotic maskers, respectively. When the tonotopic mismatch increased in both ears, SRTs worsened to 8.9 and 2.4 dB for the diotic and dichotic maskers, respectively. When the two ears had different tonotopic mismatch (e.g., there was interaural mismatch), the performance drop in SRTs was much larger for the dichotic than for the diotic masker. The largest SRM was observed with unprocessed speech (18.3 dB). With the CI simulations, SRM was significantly reduced to 7.6 dB even with mild tonotopic mismatch but no interaural mismatch; SRM was further reduced with increasing interaural mismatch. The results demonstrate that frequency resolution, tonotopic mismatch, and interaural mismatch have differential effects on speech understanding and SRM in simulation of bilateral CIs. Minimizing interaural mismatch may be critical to optimize binaural benefits and improve CI performance for competing speech, a typical listening environment. SRM (the difference in SRTs between diotic and dichotic maskers) may be a useful clinical tool to assess interaural frequency mismatch in bilateral CI users and to evaluate the benefits of optimization methods that minimize interaural mismatch.

The ability to segregate speech from noise is an important skill for children as they navigate everyday noisy environments. Spatial release from masking (SRM) is a measure of benefit observed when target speech is co-located versus spatially separated from maskers. SRM is typically studied with target-maskers in front versus maskers displaced to fixed angles towards the side. Children fitted with bilateral cochlear implants (BiCIs) typically show smaller SRM than children with normal hearing (NH), even for target-masker angular separation of 90°, and when monaural head shadow cues exist. Here, we used an open-set corpus that has high informational masking and better mimics realistic listening situations for children. First, SRM was measured by adapting target-masker separation, and quantified as the minimal angular separation needed to achieve 20% improvement in target intelligibility. Second, SRM was measured for target-masker separation of 180°. Preliminary results suggested that, in the BiCI group, all children achieved 20% SRM with a target-masker angular separation smaller than 180°. With the full 180° target-masker separation, children in the BiCI group achieved a much larger SRM (6–8 dB) than previously reported while NH children’s SRM was larger. Acoustic cues available through CI processors will be discussed. [Work funded by NIH-NIDCD.]

The central auditory system encompasses two primary functions: identification and localization. Spatial release from masking (SRM) highlights speech recognition in competing noise and improves the listening experience when a spatial cue is introduced between noise and target speech. This assessment focuses on the integrity of auditory function and holds clinical significance. However, infants or pre-lingual subjects sometimes provide less reliable results. This study investigates the value of cortical auditory evoked potentials (CAEPs) onset and acoustic change complex (ACC) as an objective measurement of SRM. Thirty normal-hearing young adults (11 males) were recruited. We found the spatial separation of signals and noise (±90° symmetrically) resulted in a signal-to-noise ratio (SNR) improvement of 9.00 ± 1.71 dB behaviorally. It significantly enhanced cortical processing at all SNR levels, shortened CAEP latencies, and increased amplitudes, resulting in a greater number of measurable peaks for ACC. SRM showed mild to moderate correlations with the differences between two conditions in CAEP measures. The regression model combining N1'-P2' amplitude at 5 dB SNR (R2 = 0.26), P1 amplitude at 0 dB SNR (R2 = 0.14), and P1 latency at -5 dB SNR (R2 = 0.15), explained 45.3% of the variance in SRM. Our study demonstrates that introducing spatial cues can improve speech perception and enhance central auditory processing in normal-hearing young adults. CAEPs may contribute to predictions about SRM and hold potential for practical application.NEW & NOTEWORTHY The neural encoding of spatial release from masking (SRM) can be observed in normal-hearing young adults. Spatial separation between target and masker improves speech perception in noise and enhances central auditory processing. The behavioral results showed mild-to-moderate correlations with electrophysiological measures, with acoustic change complex (ACC) amplitude being a better indicator than onset components. Cortical auditory evoked potentials (CAEPs) may contribute to predictions about spatial release from masking, especially when behavioral tests are less reliable.

Objective The primary objective of this experiment was to measure the temporal and spatial processing capabilities of older individuals and use statistical models to identify the individual contributions of these temporal and spatial processing capabilities to spatial release from masking (SRM). Design Repeated measures Study sample Twenty-five older listeners with varying degrees of hearing loss participated in this experiment. SRM using the coordinate response measure, gap detection thresholds and localisation acuity for 1/3-octave-wide Gaussian noise bands centred at 500 and 4000 Hz were measured for all the listeners. Results Older listeners had better speech recognition thresholds when target and maskers were spatially separated as compared to when they were co-located. In addition, hearing loss and localisation acuity at 500 Hz were significant predictors in a multiple regression model predicting SRM. However, gap detection thresholds did not significantly contribute to the multiple regression model predicting SRM. Conclusion Based on our data, we conclude that SRM at 30° spatial separation between the target and symmetric maskers is driven by the ability of the individuals to use interaural time difference cues.

Spatially separating a speech target from interfering masker(s) generally improves target intelligibility; an effect known as spatial release from masking (SRM). This study assessed the contribution of envelope cues to SRM. Target speech was presented from the front (0° azimuth) and speech maskers were either colocated or symmetrically separated from the target in azimuth (±15°, ±30°, ±45° and ±90°) using KEMAR head-related transfer functions. The target and maskers were presented either as natural speech or as noise-vocoded speech. For the vocoded speech, intelligibility was conveyed only by the envelopes from M frequency bands. Experiment 1 examined the effects of varying the number of frequency bands for the vocoder, and the degree of target-masker spatial separation, on SRM. Experiment 2 examined the effects of low-pass filtering the envelopes of the vocoded speech bands on SRM. Preliminary results for Experiment 1 indicated that SRM improved as the number of spectral channels providing independent envelope cues increased for all spatial separations. Preliminary results for Experiment 2 showed no difference in SRM between low and high envelope-frequency cutoffs. Potential implications for studying hearing-impaired and cochlear-implant subjects will be discussed.

A previous study found that spatial release from masking (SRM) could be observed under virtual reverberant environments using a first order Ambisonic-based sound reproduction system, however, poor localisation accuracy made it difficult to examine effect of varying reverberation time on SRM. The present study follows on using higher order Ambisonics (HOA) to examine how benefits from SRM vary in different spatial acoustics. Subjective speech intelligibility was measured where four room acoustics:reverberation time (RT)= 0.7 s (clarity (C50)= 16 dB, 7 dB); RT= 1.8 s (C50= 8 dB, 2 dB) were simulated via a third order Ambisonic system with a 16 channel spherical loudspeaker array. The masker was played from 8 azimuthal angles (0, +-45, +-90, +-135, 180 degrees) while the target speech was played from 0 degree. The listeners are deemed to benefit from SRM if their intelligibility scores were higher when the masker comes from a different angle than that of the target. We found while listeners could benefit from SRM at C50 = 16 dB and 8 dB, the benefit starts to diminish at C50 = 7 dB, and listeners could no longer benefit from SRM at C50 = 2 dB.

Speech recognition in noisy environments improves when the speech signal is spatially separated from the interfering sound. This effect, known as spatial release from masking (SRM), was recently shown in young children. The present study compared SRM in children of ages 5-7 with adults for interferers introducing energetic, informational, and/or linguistic components. Three types of interferers were used: speech, reversed speech, and modulated white noise. Two female voices with different long-term spectra were also used. Speech reception thresholds (SRTs) were compared for: Quiet (target 0 degrees front, no interferer), Front (target and interferer both 0 degrees front), and Right (interferer 90 degrees right, target 0 degrees front). Children had higher SRTs and greater masking than adults. When spatial cues were not available, adults, but not children, were able to use differences in interferer type to separate the target from the interferer. Both children and adults showed SRM. Children, unlike adults, demonstrated large amounts of SRM for a time-reversed speech interferer. In conclusion, masking and SRM vary with the type of interfering sound, and this variation interacts with age; SRM may not depend on the spectral peculiarities of a particular type of voice when the target speech and interfering speech are different sex talkers.

Spatially separating a speech target from interfering masker(s) generally improves target intelligibility; an effect known as spatial release from masking (SRM). This study assessed the contribution of envelope cues to SRM. Target speech was presented from the front (0° azimuth) and speech maskers were either colocated or symmetrically separated from the target in azimuth (±15°, ±30°, ±45° and ±90°) using KEMAR head-related transfer functions. The target and maskers were presented either as natural speech or as noise-vocoded speech. For the vocoded speech, intelligibility was conveyed only by the envelopes from M frequency bands. Experiment 1 examined the effects of varying the number of frequency bands for the vocoder, and the degree of target-masker spatial separation, on SRM. Experiment 2 examined the effects of low-pass filtering the envelopes of the vocoded speech bands on SRM. Preliminary results for Experiment 1 indicated that SRM improved as the number of spectral channels providing independent envelope cues increased for all spatial separations. Preliminary results for Experiment 2 showed no difference in SRM between low and high envelope-frequency cutoffs. Potential implications for studying hearing-impaired and cochlear-implant subjects will be discussed.

Unilateral hearing loss (UHL) is a condition as common as bilateral hearing loss in adults. Because of the unilaterally reduced audibility associated with UHL, binaural processing of sounds may be disrupted. As a consequence, daily tasks such as listening to speech in a background of spatially distinct competing sounds may be challenging. A growing body of subjective and objective data suggests that spatial hearing is negatively affected by UHL. However, the type and degree of UHL vary considerably in previous studies. The aim here was to determine the effect of a profound sensorineural UHL, and of a simulated UHL, on recognition of speech in competing speech, and the binaural and monaural contributions to spatial release from masking, in a demanding multisource listening environment. Nine subjects (25 to 61 years) with profound sensorineural UHL [mean pure-tone average (PTA) across 0.5, 1, 2, and 4 kHz = 105 dB HL] and normal contralateral hearing (mean PTA = 7.2 dB HL) were included based on the criterion that the target and competing speech were inaudible in the ear with hearing loss. Thirteen subjects with normal hearing (19 to 60 years; mean left PTA = 4.1 dB HL; mean right PTA = 5.5 dB HL) contributed data in normal and simulated "mild-to-moderate" UHL conditions (PTA = 38.6 dB HL). The main outcome measure was the threshold for 40% correct speech recognition in colocated (0°) and spatially and symmetrically separated (±30° and ±150°) competing speech conditions. Spatial release from masking was quantified as the threshold difference between colocated and separated conditions. Thresholds in profound UHL were higher (worse) than normal hearing in separated and colocated conditions, and comparable to simulated UHL. Monaural spatial release from masking, that is, the spatial release achieved by subjects with profound UHL, was significantly different from zero and 49% of the magnitude of the spatial release from masking achieved by subjects with normal hearing. There were subjects with profound UHL who showed negative spatial release, whereas subjects with normal hearing consistently showed positive spatial release from masking in the normal condition. The simulated UHL had a larger effect on the speech recognition threshold for separated than for colocated conditions, resulting in decreased spatial release from masking. The difference in spatial release between normal-hearing and simulated UHL conditions increased with age. The results demonstrate that while recognition of speech in colocated and separated competing speech is impaired for profound sensorineural UHL, spatial release from masking may be possible when competing speech is symmetrically distributed around the listener. A "mild-to-moderate" simulated UHL decreases spatial release from masking compared with normal-hearing conditions and interacts with age, indicating that small amounts of residual hearing in the UHL ear may be more beneficial for separated than for colocated interferer conditions for young listeners.