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Polarity Sensitivity as a Potential Correlate of Neural Degeneration in Cochlear Implant Users.

Accepted version
Peer-reviewed

Type

Article

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Authors

Mesnildrey, Quentin 
Venail, Frédéric 
Carlyon, Robert P 
Macherey, Olivier 

Abstract

Cochlear implant (CI) performance varies dramatically between subjects. Although the causes of this variability remain unclear, the electrode-neuron interface is thought to play an important role. Here we evaluate the contribution of two parameters of this interface on the perception of CI listeners: the electrode-to-modiolar wall distance (EMD), estimated from cone-beam computed tomography (CT) scans, and a measure of neural health. Since there is no objective way to quantify neural health in CI users, we measure stimulus polarity sensitivity, which is assumed to be related to neural degeneration, and investigate whether it also correlates with subjects' performance in speech recognition and spectro-temporal modulation detection tasks. Detection thresholds were measured in fifteen CI users (sixteen ears) for partial-tripolar triphasic pulses having an anodic or a cathodic central phase. The polarity effect was defined as the difference in threshold between cathodic and anodic stimuli. Our results show that both the EMD and the polarity effect correlate with detection thresholds, both across and within subjects, although the within-subject correlations were weak. Furthermore, the mean polarity effect, averaged across all electrodes for each subject, was negatively correlated with performance on a spectro-temporal modulation detection task. In other words, lower cathodic thresholds were associated with better spectro-temporal modulation detection performance, which is also consistent with polarity sensitivity being a marker of neural degeneration. Implications for the design of future subject-specific fitting strategies are discussed.

Description

Keywords

cochlear implant, computed tomography scans, neural degeneration, polarity, Adult, Aged, Auditory Threshold, Cochlea, Cochlear Implants, Cone-Beam Computed Tomography, Humans, Middle Aged, Speech Perception, Young Adult

Journal Title

JARO: Journal of the Association for Research in Otolaryngology

Conference Name

Journal ISSN

1438-7573
1438-7573

Volume Title

21

Publisher

Springer Nature
Sponsorship
MRC (unknown)
Medical Research Council (MC_UU_00005/3)