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. Author manuscript; available in PMC: 2018 Sep 1.
Published in final edited form as: Ear Hear. 2017 Sep-Oct;38(5):539–553. doi: 10.1097/AUD.0000000000000418

Table 1.

Summary of study outcomes investigating the effects of CI fitting parameters for bilateral-aided EAS patients. Studies primarily investigating the effect of HA parameters on EAS benefit were not included here.

Study Devices Study details Findings
Gantz and Turner (2003) • Nucleus Hybrid S8, 6 mm & 10 mm
• Straight electrode
• Electrode insertion depth: 6 to 10 mm
• n = 6 (3, 6 mm; 3 10 mm)
• HA bandwidth:
• LF CI cutoffs: multiple tested, details not provided
• Speech understanding differences were not presented
• “most successful maps” had LF CI cutoff of 1000 or 2000 Hz
• no difference between 1000 & 2000 Hz
Kiefer et al. (2005) • MED-EL Combi 40+ standard or medium
• Straight electrode
• Electrode insertion depth: 19 to 24 mm
• n = 13
• HA bandwidth:
• 125 to 1000 Hz (audibility up to 500 Hz for all listeners)
• LF CI cutoffs: 300, 650, and 1000 Hz
• 12 of 13 listener preferred 300 Hz
• speech understanding not assessed across LF CI cutoff
James et al. (2005) • Nucleus CI24RCA
• Perimodiolar electrode
• Electrode insertion depth: 17–19 mm
• CI cutoffs: full spectral bandwidth, 188+ Hz, • results for the different LF CI cutoffs were not reported
Fraysse et al. (2006) • Nucleus CI24RCA
• Perimodiolar electrode
• Electrode insertion depth: 17 mm
• n = 9
• HA bandwidth: 125 up to ≥ 500 Hz (amplify up to audiometric frequency reaching 80 dB HL, range not specified)
• 2 CI cutoffs: 1) MAP A = full spectral bandwidth, 188+ Hz, 2) MAP C = higher LF CI cutoff, but not specified
• 7 of 9 listeners preferred MAP C (less EAS overlap)
• no difference for speech understanding across the cutoffs
• trend for higher sentence recognition in noise with MAP C
Vermeire et al. (2008) • MED-EL Combi 40+ standard or medium
• Straight electrode
• Electrode insertion depth: 18 mm
• n = 4
• HA bandwidth: amplifying frequencies with thresholds 1) ≤ 85 dB HL and 2) ≤ 120 dB HL
• 2 CI cutoffs: 1) full spectral bandwidth, 200+ Hz, and 2) “falloff” frequency at which audiogram > 65 dB HL (ranging from 250 to 700 Hz)
• higher LF CI cutoff (audiogram falloff) yielded significantly higher speech understanding in noise
Simpson et al. (2009) • Nucleus CI24RE(CA)
• Perimodiolar electrode
• Electrode insertion depth: ~18 mm
• n = 5
• HA bandwidth: full audible bandwidth per NAL-NL1 prescriptive fitting formula
• 2 CI cutoffs: 1) full spectral bandwidth, 188+ Hz, and 2) acoustic frequency pitch-matched to most apical electrode (ranging from 579 to 887 Hz)
• no difference for speech understanding across the cutoffs
Karsten et al. (2012) • Nucleus Hybrid S8 & S12
• Straight electrode
• Electrode insertion depth: 10 mm
• n = 10
• HA bandwidth: full audible bandwidth per NAL-NL1 prescriptive fitting formula
• 3 CI cutoffs: 1) overlap—LF CI cutoff = 50% below upper limit of acoustic audibility (e.g., if audibility upper limit is 1000 Hz, the overlap cutoff = 500 Hz), 2) meet—LF CI cutoff = upper acoustic audibility), and 3) gap—LF CI cutoff = 50% above upper limit of acoustic audibility (i.e. if audibility upper limit is 1000 Hz, the gap cutoff = 1500 Hz)
• “meet” LF CI cutoff yielded significantly higher speech recognition in noise as compared to “overlap”
• “meet” and “gap” were not significantly different
Plant and Babic (2016) • Nucleus Hybrid L24, CI422, CI24RE(CA)/CI512, and modiolar research array (MRA)
• Electrode insertion depths: 16 to 20 mm
• n = 16 in total study; n=11 with comparison of overlapping vs. non-overlapping frequency assignment for EAS)
• HA bandwidth: full audible bandwidth per NAL-NL1 [for 422, CI24RE(CA) & 512] or NAL-RP (for Hybrid-L24) prescriptive fitting formula
• 2 CI cutoffs: 1) overlapping—full spectral bandwidth 188+ Hz, and 2) non-overlapping—ranging from 688 to 1060 Hz—equivalent to the frequency at which audiogram ≤ 80 dB HL or 125-Hz lower (per subjective report of sound quality)
• Speech understanding differences were not presented
• 7 participants expressed preference for non-overlapping
• 2 expressed preference for overlapping
• 2 expressed no preference