title: Interleaved Processors Improve Cochlear Implant Patients' Spectral Resolution.
abstract: OBJECTIVE
  Cochlear implant patients have difficulty in noisy environments, in part, because of channel interaction. Interleaving the signal by sending every other channel to the opposite ear has the potential to reduce channel interaction by increasing the space between channels in each ear. Interleaving still potentially provides the same amount of spectral information when the two ears are combined. Although this method has been successful in other populations such as hearing aid users, interleaving with cochlear implant patients has not yielded consistent benefits. This may be because perceptual misalignment between the two ears, and the spacing between stimulation locations must be taken into account before interleaving.
  
  
  METHODS
  Eight bilateral cochlear implant users were tested. After perceptually aligning the two ears, 12-channel maps were made that spanned the entire aligned portions of the array. Interleaved maps were created by removing every other channel from each ear. Participants' spectral resolution and localization abilities were measured with perceptually aligned processing strategies both with and without interleaving.
  
  
  RESULTS
  There was a significant improvement in spectral resolution with interleaving. However, there was no significant effect of interleaving on localization abilities.
  
  
  CONCLUSIONS
  The results indicate that interleaving can improve cochlear implant users' spectral resolution. However, it may be necessary to perceptually align the two ears and/or use relatively large spacing between stimulation locations.
authors.affiliation: 1Department of Speech and Hearing Science, University of Illinois at Urbana-Champaign, Champaign, Illinois, USA; 2Department of Otolaryngology - Head and Neck Surgery, University of Illinois at Chicago, Chicago, Illinois, USA; 3Communication and Neuroscience Division, House Ear Institute, Los Angeles, California, USA; and 4Department of Otolaryngology, New York University, New York, New York, USA.
authors.forename: Justin M
authors.initials: JM
authors.lastname: Aronoff
authors.forename: Julia
authors.initials: J
authors.lastname: Stelmach
authors.forename: Monica
authors.initials: M
authors.lastname: Padilla
authors.forename: David M
authors.initials: DM
authors.lastname: Landsberger
mesh_terms: D000368:Aged; D019929:Cochlear Implantation; D003054:Cochlear Implants; D012048:Correction of Hearing Impairment; D005260:Female; D006319:Hearing Loss, Sensorineural / Q000534:rehabilitation*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013017:Sound Localization; D013067:Speech Perception