Due to poor perception of fundamental frequency (F0) cues that are important for lexical tone perception and talker segregation, pediatric Chinese cochlear implant (CI) users may be especially susceptible to informational masking. Here, speech recognition thresholds (SRTs) were measured in steady noise or competing speech in Mandarin-speaking CI and normal-hearing (NH) children. CI children were more susceptible to informational masking and were unable to use F0 cues to segregate talkers. SRTs were significantly correlated with chronological age in NH children and with duration of deafness in CI children, suggesting that auditory deprivation may limit developmental processes important for talker segregation.

Compared to normal-hearing (NH) listeners, cochlear implant (CI) listeners have greater difficulty segregating competing speech. Neurophysiological studies have largely investigated the neural foundations for CI listeners' speech recognition in quiet, mainly using the P300 component of event-related potentials (ERPs). P300 is closely related to cognitive processes involving auditory discrimination, selective attention, and working memory. Different from speech perception in quiet, little is known about the neurophysiological foundations for segregation of competing speech by CI listeners. In this study, ERPs were measured for a 1 vs. 2 kHz contrast in 11 Mandarin-speaking bimodal CI listeners and 11 NH listeners. Speech reception thresholds (SRTs) for a male target talker were measured in steady noise or with a male or female masker. Results showed that P300 amplitudes were significantly larger and latencies were significantly shorter for the NH than for the CI group. Similarly, SRTs were significantly better for the NH than for the CI group. Across all participants, P300 amplitude was significantly correlated with SRTs in steady noise (r = −0.65, p = 0.001) and with the competing male (r = −0.62, p = 0.002) and female maskers (r = −0.60, p = 0.003). Within the CI group, there was a significant correlation between P300 amplitude and SRTs with the male masker (r = −0.78, p = 0.005), which produced the most informational masking. The results suggest that P300 amplitude may be a clinically useful neural correlate of central auditory processing capabilities (e.g., susceptibility to informational masking) in bimodal CI patients.

Elderly adults often experience difficulties in speech understanding, possibly due to age-related deficits in frequency perception. It is unclear whether age-related deficits in frequency perception differ between the apical or basal regions of the cochlea. It is also unclear how aging might differently affect frequency discrimination or detection of a change in frequency within a stimulus. In the present study, pure-tone frequency thresholds were measured in 19 older (61–74 years) and 20 younger (22–28 years) typically hearing adults. Participants were asked to discriminate between reference and probe frequencies or to detect changes in frequency within a probe stimulus. Broadband spectro-temporal pattern perception was also measured using the spectro-temporal modulated ripple test (SMRT). Frequency thresholds were significantly poorer in the basal than in the apical region of the cochlea; the deficit in the basal region was 2 times larger for the older than for the younger group. Frequency thresholds were significantly poorer in the older group, especially in the basal region where frequency detection thresholds were 3.9 times poorer for the older than for the younger group. SMRT thresholds were 1.5 times better for the younger than for the older group. Significant age effects were observed for SMRT thresholds and for frequency thresholds only in the basal region. SMRT thresholds were significantly correlated with frequency thresholds only in the older group. The poorer frequency and spectro-temporal pattern perception may contribute to age-related deficits in speech perception, even when audiometric thresholds are nearly normal.

This study aimed to investigate the topological properties of brain functional networks in patients with tinnitus of varying durations. A total of 51 tinnitus patients (divided into recent‐onset tinnitus (ROT) and persistent tinnitus (PT) groups) and 27 healthy controls (HC) were recruited. All participants underwent resting‐state functional MRI and audiological assessments. Graph theory was used to examine brain network topology.The results showed that the ROT group exhibited lower clustering coefficient, gamma, sigma and local efficiency compared to both the HC and PT groups (all P < 0.05). Significant reductions in nodal clustering coefficient and local efficiency were found in the left caudate nucleus and left olfactory cortex, while increased nodal centralities were observed in the left orbital middle frontal gyrus and left postcentral gyrus in ROT patients (all P < 0.05). Furthermore, the ROT group had decreased nodal clustering in the right lenticular putamen and reduced nodal efficiency in the left olfactory cortex compared to both PT patients and HCs (all P < 0.05).Additionally, PT patients showed weaker functional connectivity between the subcortical and occipital lobe modules, as well as between the prefrontal and intra‐frontal modules, compared to ROT patients. However, intra‐module connectivity in the subcortical module was stronger in PT patients than in HCs.These findings suggest that recent‐onset tinnitus is associated with alterations in brain network topology, but many of these changes are restored with the persistence of tinnitus.

Tinnitus affects 10–15% of adults globally, yet there are still no effective treatments for this major health condition. Repetitive transcranial magn