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Chen YP, Neff P, Leske S, Wong DDE, Peter N, Obleser J, Kleinjung T, Dimitrijevic A, Dalal SS, Weisz N. Cochlear implantation in adults with acquired single-sided deafness improves cortical processing and comprehension of speech presented to the non-implanted ears: a longitudinal EEG study. Brain Commun 2025; 7:fcaf001. [PMID: 39816191 PMCID: PMC11733687 DOI: 10.1093/braincomms/fcaf001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2023] [Revised: 09/26/2024] [Accepted: 01/01/2025] [Indexed: 01/18/2025] Open
Abstract
Former studies have established that individuals with a cochlear implant (CI) for treating single-sided deafness experience improved speech processing after implantation. However, it is not clear how each ear contributes separately to improve speech perception over time at the behavioural and neural level. In this longitudinal EEG study with four different time points, we measured neural activity in response to various temporally and spectrally degraded spoken words presented monaurally to the CI and non-CI ears (5 left and 5 right ears) in 10 single-sided CI users and 10 age- and sex-matched individuals with normal hearing. Subjective comprehension ratings for each word were also recorded. Data from single-sided CI participants were collected pre-CI implantation, and at 3, 6 and 12 months after implantation. We conducted a time-resolved representational similarity analysis on the EEG data to quantify whether and how neural patterns became more similar to those of normal hearing individuals. At 6 months after implantation, the speech comprehension ratings for the degraded words improved in both ears. Notably, the improvement was more pronounced for the non-CI ears than the CI ears. Furthermore, the enhancement in the non-CI ears was paralleled by increased similarity to neural representational patterns of the normal hearing control group. The maximum of this effect coincided with peak decoding accuracy for spoken-word comprehension (600-1200 ms after stimulus onset). The present data demonstrate that cortical processing gradually normalizes within months after CI implantation for speech presented to the non-CI ear. CI enables the deaf ear to provide afferent input, which, according to our results, complements the input of the non-CI ear, gradually improving its function. These novel findings underscore the feasibility of tracking neural recovery after auditory input restoration using advanced multivariate analysis methods, such as representational similarity analysis.
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Affiliation(s)
- Ya-Ping Chen
- Centre for Cognitive Neuroscience, University of Salzburg, 5020 Salzburg, Austria
- Department of Psychology, University of Salzburg, 5020 Salzburg, Austria
| | - Patrick Neff
- Centre for Cognitive Neuroscience, University of Salzburg, 5020 Salzburg, Austria
- Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Zurich, University of Zurich, 8091 Zurich, Switzerland
- Department of Psychiatry and Psychotherapy, University of Regensburg, 93053 Regensburg, Germany
- Neuro-X Institute, Ecole Polytechnique Fédérale de Lausanne (EPFL), Campus Biotech, 1202 Geneva, Switzerland
| | - Sabine Leske
- RITMO Centre for Interdisciplinary Studies in Rhythm, Time and Motion, University of Oslo, 0313 Oslo, Norway
- Department of Musicology, University of Oslo, 0313 Oslo, Norway
- Department of Neuropsychology, Helgeland Hospital, 8657 Mosjøen, Norway
- Department of Psychology, Universität Konstanz, 78457 Konstanz, Germany
| | - Daniel D E Wong
- Department of Psychology, Universität Konstanz, 78457 Konstanz, Germany
| | - Nicole Peter
- Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Zurich, University of Zurich, 8091 Zurich, Switzerland
| | - Jonas Obleser
- Center of Brain, Behavior, and Metabolism, University of Lübeck, 23562 Lübeck, Germany
- Department of Psychology, University of Lübeck, 23562 Lübeck, Germany
| | - Tobias Kleinjung
- Department of Otorhinolaryngology, Head and Neck Surgery, University Hospital Zurich, University of Zurich, 8091 Zurich, Switzerland
| | - Andrew Dimitrijevic
- Evaluative Clinical Sciences Platform, Sunnybrook Research Institute, Toronto, ON M4N 3M5, Canada
- Otolaryngology-Head and Neck Surgery, Sunnybrook Health Sciences Centre, Toronto, ON M4N 3M5, Canada
- Faculty of Medicine, Otolaryngology-Head and Neck Surgery, University of Toronto, Toronto, ON M5S 3H2, Canada
| | - Sarang S Dalal
- Department of Psychology, Universität Konstanz, 78457 Konstanz, Germany
- Department of Clinical Medicine, Center of Functionally Integrative Neuroscience, Aarhus University, 8200 Aarhus, Denmark
| | - Nathan Weisz
- Centre for Cognitive Neuroscience, University of Salzburg, 5020 Salzburg, Austria
- Department of Psychology, University of Salzburg, 5020 Salzburg, Austria
- Neuroscience Institute, Christian Doppler University Hospital, Paracelsus Medical University, 5020 Salzburg, Austria
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Neuroethology of auditory systems: contributions in memory of Albert S. Feng. J Comp Physiol A Neuroethol Sens Neural Behav Physiol 2023; 209:1-4. [PMID: 36585471 DOI: 10.1007/s00359-022-01603-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2022] [Revised: 12/10/2022] [Accepted: 12/13/2022] [Indexed: 12/31/2022]
Abstract
Albert (Al) S. Feng (1944 - 1921) was a pioneer in the area of neuroethology of auditory systems. This special issue of the Journal of Comparative Physiology A commemorates his life and work by presenting 15 articles written by friends, students, and colleagues, many of whom have become leading experts themselves in this field. Their contributions not only provide a comprehensive overview of bioacoustics in amphibians and mammals (including bats), but also are intended to inspire a new generation of scientists to advance our understanding of brain mechanisms of acoustic perception.
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