title: A new fine structure speech coding strategy: speech perception at a reduced number of channels.
abstract: OBJECTIVE
  One of the most commonly used speech coding strategies for cochlear implants is continuous interleaved sampling (CIS), which codes the envelope information of an acoustic signal. Based on this strategy, MED-EL has recently developed the new fine structure processing (FSP) speech coding strategy, which also transmits subtle pitch and temporal cues. The aim of this study was to investigate the number of active channels necessary for good speech perception with FSP and whether there is an advantage for FSP compared with CIS at a reduced number of channels.
  
  
  METHODS
  Ten postlingually deafened patients using MED-EL Pulsar cochlear implants participated in this study. Patients were tested with all 12, 8, 5, 3, and 2 channels with CIS and FSP strategy, resulting in a total of 10 conditions. Performance was tested with numbers, monosyllables, and sentence tests.
  
  
  RESULTS
  Our results showed an improvement in speech perception, with up to 5 channels for numbers and for monosyllables and sentence tests. Statistically significant increases in performance were noted from 3 to 8 channels for numbers, from 3 to 5 channels for monosyllables, and from 5 to 8 channels for sentence tests. No statistical significance was observed whether FSP or CIS was used.
  
  
  CONCLUSIONS
  Based on these findings, the number of channels necessary for speech perception with FSP is similar to published results using CIS. There seems to be no advantage for FSP compared with CIS in the conditions of the present experiment.
authors.affiliation: Department of Otorhinolaryngology, Medical University of Vienna, Vienna, Austria.
authors.forename: Dominik
authors.initials: D
authors.lastname: Riss
authors.forename: Christoph
authors.initials: C
authors.lastname: Arnoldner
authors.forename: Wolf-Dieter
authors.initials: WD
authors.lastname: Baumgartner
authors.forename: Alexandra
authors.initials: A
authors.lastname: Kaider
authors.forename: Jafar-Sasan
authors.initials: JS
authors.lastname: Hamzavi
mesh_terms: D000328:Adult; D000368:Aged; D019929:Cochlear Implantation / Q000295:instrumentation; D018450:Disease Progression; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D013067:Speech Perception; D055815:Young Adult