Horizontal sound localisation accuracy in individuals with conductive hearing loss: effect of the bone conduction implant
Artikel i vetenskaplig tidskrift, 2018

Objective: The objective of this study is to quantify the effect of the Bone Conduction Implant (BCI) on sound localisation accuracy in subjects with conductive hearing loss (CHL).
Design: The subjects were tested in a horizontal sound localisation task in which localisation responses were objectively obtained by eye-tracking, in a prospective, cross-sectional design. The tests were performed unaided and unilaterally aided. The stimulus used had a spectrum similar to female speech and was presented at 63 and 73 dB SPL. The main outcome measure was the error index (EI), ranging from 0 to 1 (perfect to random performance). Study sample: Eleven subjects (aged 21–75 years, five females) with BCI participated in the study. Their mixed/conductive hearing loss was either unilateral (n = 5) or bilateral (n = 6).
Results: Three of five subjects (60%) with unilateral CHL, and four of six subjects (67%) with bilateral CHL showed significantly improved sound localisation when using a unilateral BCI (p <.05). For the subjects with bilateral CHL, a distinct linear relation between aided sound localisation and hearing thresholds in the non-implant ear existed at 73 dB SPL (18% decrease in the EI per 10 dB decrease in pure-tone average, r = 0.98, p <.001). Conclusions: Individuals with mixed/conductive hearing loss may benefit from a unilateral BCI in sound localisation.


Sound localisation

conductive hearing loss


Filip Asp

Karolinska Institutet

Sabine Reinfeldt

Chalmers, Elektroteknik, Signalbehandling och medicinsk teknik

International Journal of Audiology

1499-2027 (ISSN) 1708-8186 (eISSN)

Vol. 57 9 657-664


Psykologi (exklusive tillämpad psykologi)

Övrig annan medicin och hälsovetenskap






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