简介:BilateralCochlearimplants(CIs)improvedspeechintelligibility,speechperceptioninbackgroundnoise,andsoundlocalizationinquietandnoisysituations.However,itisunclearwhethertheseadvantagesessentiallyresultinbinauralintegrationofacousticstimulifromeachear.Inthisstudy,weinvestigatedtheeffectivenessofbinauralintegrationbybilateralCIsplacementusingbinauralhearingtestsandsubjectiveauditoryperceptualassessment.A61-year-oldbilateralCIssubjectunderwentthefollowingfourtests:theJapaneseHearinginNoiseTest(HINT-J),thedichoticlisteningtest(DLT),theRapidlyAlternatingSpeechPerception(RASP)test,andsubjectiveauditoryperceptualassessment.TheHINTJscorewassignificantlyhigherforbilateralCIsthanforaunilateralCI.However,DLTandtheRASPtestrevealedcontradictoryresults.Subjectiveauditoryperceptualassessmentrevealedactiveandbrightimpressionsforbilateralhearing,whichwerealsonoisyandstrongcomparedwiththoseforunilateralhearing.TheresultsofthisstudyrevealedthatbilateralCIsimprovedspeechperceptioninbackgroundnoiseandanimprovedauditoryimpression,althoughthebilateralintegrationabilitieswerenotimproved.ThiswasprobablybecausethepatientwasrequiredtocombineinformationfromthetwoearsintoasingleperceptioninDLTandtheRASPtest.Morelongitudinaldatashouldbecollectedandanalyzedinfuturestudiestoevaluatethelong-termeffectsofbilateralCIs.