Search PubMedSearch

Biomedical subjects

B J Edgerton

Publications and source records attributed to B J Edgerton.

At least 19 recordsLinked to original sources

Prosodic and segmental aspects of speech perception with the House/3M single-channel implant.

Four adult users of the House/3M single-channel cochlear implant were tested for their ability to label question and statement intonation contours (by auditory means alone) and to identify a set of 12 intervocalic consonants (with and without lipreading). Nineteen of 20 scores obtained on the question/statement task were significantly better than chance. Simplifying the stimulating waveform so as to signal fundamental frequency alone sometimes led to an improvement in performance. In consonant identification, lipreading alone scores were always far inferior to those obtained by lipreading with the implant. Phonetic feature analyses showed that the major effect of using the implant was to increase the transmission of voicing information, although improvements in the appropriate labelling of manner distinctions were also found. Place of articulation was poorly identified from the auditory signal alone. These results are best explained by supposing that subjects can use the relatively gross temporal information found in the stimulating waveforms (periodicity, randomness and silence) in a linguistic fashion. Amplitude envelope cues are of significant, but secondary, importance. By providing information that is relatively invisible, the House/3M device can thus serve as an important aid to lipreading, even though it relies primarily on the temporal structure of the stimulating waveform. All implant systems, including multi-channel ones, might benefit from the appropriate exploitation of such temporal features.

Adult

Vowel perception: experiments with a single-electrode cochlear implant.

We investigated vowel perception by 15 subjects using the single-electrode cochlear implant used at the House Ear Institute in Los Angeles. Subjects were postlingually deaf adults having histories of unsuccessful hearing aid use and a minimum of 6 to 12 months experience with the implant. Eleven American English vowels spoken by a male talker were tape recorded, digitized, analyzed, and controlled for the experiments. The stimuli were audio-recordings of both natural and loudness-matched vowels. Subjects rated the dissimilarity of both the naturally spoken and the loudness-matched vowels, and performed identification of the latter. Two normal-hearing subjects served as controls for the dissimilarity tasks. Multidimensional scaling, hierarchical clustering, and percent correct identification analyses were used to help determine the perceptual features used by the subjects in their judgments. Generally, the normal-hearing subjects took advantage of second formant (F2) frequency information. The cochlear-implant users relied primarily upon fundamental (F0) and first formant (F1) frequency information and demonstrated difficulty in vowel identification. No major differences were noted for the natural versus loudness-matched vowels. F2 information, requisite for accurate vowel recognition, did not correspond to any of the perceptual dimensions discerned in the results obtained from implant subjects.

Adult

Auditory/visual speech perception by cochlear implant users and hearing aid wearers.

This study assessed the auditory/visual speech perception abilities of profoundly hearing-impaired subjects using the cochlear implant (CI) developed at the House Ear Institute with those of patients using traditional hearing aids (HA). Audio-video tape recordings of consonant-vowel-consonants (CVCs) consisting of: ten vowels in the context/mvm/, vowel-consonant-vowels (VCVs) consisting of twenty-four consonants in the context/ C /, and the CID Everyday Sentences were presented through auditory, visual, and auditory-visual modes. Subjects' verbal responses to the stimuli were transcribed by the experimenters. Statistical analyses of the data revealed significant differences for groups, stimuli, and conditions. Inspection of the subject's confusion matrices revealed that both groups used closed-bilabial, velar, dental, labial, and easy to see/hard to see features based on place of articulation in the visual mode. Salient features in the auditory mode for the CI group were duration, sonorancy, and some manner attributes, while the HA subjects used these features as well as sibilancy and voicing. Both groups integrated auditory and visual cues to improve scores in the auditory-visual condition. These findings have implications for future developments of auditory prostheses and auditory rehabilitation programs.

Adult

Use of the California Consonant Test in evaluating hearing aids.

The California Consonant Test (CCT) was used to evaluate different hearing aids for twelve listeners with mild to moderate sensorineural hearing losses. The CCT was mixed with white noise at signal-to-noise ratios (S/Ns) of +30 (quiet), +15, +5, and O dB and presented through hearing aids for each listener; the quiet condition was retested. Significant differences were found between mean test scores for the high and low S/Ns. Intralistener hearing aid differences were found most frequently in the quiet condition. Truncation errors were frequent for the low S/Ns. These findings indicate that the sensitivity of the CCT is decreased rather than increased by mixing it with noise. Critical differences of 5% or more between hearing aids were more frequent as the S/N improved; the greatest number of differences occurred for the quiet condition.

Aged

Auditory capabilities of single-channel cochlear implant patients. Etiologic considerations.

The clinical audiometric test results from 53 postlingually deafened adults using the House single-channel cochlear implant were analyzed according to cause of deafness (otosclerosis, ototoxic drugs, meningitis, and trauma). With the exception of one measure, the routine clinical tests did not show a relationship between cause of deafness and performance with the cochlear implant. These findings suggest that, clinically, the single-channel cochlear implant is a viable prosthesis for patients with a wide variety of causes of deafness.

Adolescent

Three-dimensional reconstruction of the cochlear nuclear complex in humans.

For accurate physical three-dimensional reconstruction of the cochlear nuclear complex (CN), we used light microscopy to analyze the CN boundaries, cell types, and myelinated nerve bundles and transferred traced contours from enlarged photographs of serial sections onto acrylic plates. We produced two models, one demonstrating the CN in relation to the brain stem and the other showing the CN completely dissected out of the brain stem. The models localized the CN boundaries on the brain-stem surface and revealed topographic characteristics of the CN and a part of the eighth nerve adjacent to the brain stem. The major parts of the CN, namely, the ventral and dorsal cochlear nuclei, are located mainly within the lateral recess. The models produced are currently used in our institution to determine the optimal surgical and electrophysiologic approach to the CN.

Auditory Pathways

Surface topography of the cochlear nuclei in humans: two- and three-dimensional analysis.

We used three-dimensional reconstruction to study the cochlear nuclear complex (CN) in postmortem adult brains. Resulting data show that the largest part of the CN surface, particularly the dorsal cochlear nucleus (DCN), is fully within the lateral recess of the fourth ventricle. The surface of another subdivision, the ventral cochlear nucleus (VCN), is also almost entirely within the recess, except for a narrow zone adjacent to the caudoventral border of the nucleus. The caudal portion of the exposed zone of the VCN is in the vicinity of the rootlets of the glossopharyngeal (IX) nerve, and the ventral portion is close to the terminal part of the vestibulocochlear (VIII) nerve. The border between the intraventricular part of the CN and the extraventricular portion and also the terminal part of the VIII nerve approximately coincides with the line of attachment of the inferior medullary velum of the fourth ventricle (tenia of the choroid plexus). In the narrow strip of this ventral most part of the tenia we did not observe big blood vessels or neurons. Accordingly this could be a reasonably safe surgical route to the intraventricular surface of the CN.

Adult

English, Spanish, and bilingual speakers' performance on a nonsense syllable test (NST) of speech sound discrimination.

This study investigated the ability of a 25-item open-set CVCV Nonsense Syllable Test (NST; Edgerton & Danhauer, 1979) to assess English, Spanish, and bilingual native speakers' speech sound discrimination skills (i.e., both the subjects and the NST were evaluated). The NST was presented at five sensation levels (SLs) between 25 and 65 dB to 29 normally hearing individuals from three native language backgrounds: monolingual English speakers, bilingual Spanish-English speakers having equal experience in each language, and Spanish speakers having little exposure to English. Articulation functions were plotted for each group and compared across SLs, groups, and scoring methods. Results indicated that the phoneme scoring method best described the responses, and all groups' scores improved with increases in SL until they reached a plateau at 45 dB SL. The bilingual group performed similarly to the English speakers; but, as expected, the Spanish group scored significantly poorer than the other two groups. Thus, while the NST may not be highly useful for Spanish speakers, it can help describe the speech sound discrimination abilities of bilingual (Spanish-English) speakers.

Adolescent

Performance on a nonsense syllable test for normal and hearing-impaired subjects.

The Nonsense Syllable Test (NST) developed by Edgerton and Danhauer in 1979 was administered to 22 normal-hearing and 26 hearing-impaired Ss. Tape recordings from Auditec of St. Louis were presented at 5 SLs from 25 to 65 db re: SRT. Responses were transcribed phonetically using both auditory and visual cues and were scored by the phoneme method. Interjudge scorer reliability was high (94%). Performance vs level functions were plotted and analyzed for differences both within and among groups. The NST differentiated between the normals and the hearing-impaired Ss. Percent-correct discrimination scores for the hearing-impaired Ss were about 10 to 15 points poorer than for the normals. The results were favorably compared to the earlier version of the NST and the potential clinical use of this taped version was discussed.

Adult