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Effects of Electrode Array Length on Frequency-Place Mismatch and Speech Perception with Cochlear Implants

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Venail, Frédéric | Mathiolon, Caroline | Menjot de Champfleur, Sophie | Piron, Jean Pierre | Sicard, Marielle | Villemus, Françoise | Vessigaud, Marie Aude | Sterkers-Artieres, Françoise | Mondain, Michel | Uziel, Alain

Edité par CCSD ; Karger -

International audience. Frequency-place mismatch often occurs after cochlear implantation, yet its effect on speech perception outcome remains unclear. In this article, we propose a method, based on cochlea imaging, to determine the cochlear place-frequency map. We evaluated the effect of frequency-place mismatch on speech perception outcome in subjects implanted with 3 different lengths of electrode arrays. A deeper insertion was responsible for a larger frequency-place mismatch and a decreased and delayed speech perception improvement by comparison with a shallower insertion, for which a similar but slighter effect was noticed. Our results support the notion that selecting an electrode array length adapted to each individual's cochlear anatomy may reduce frequency-place mismatch and thus improve speech perception outcome.

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