Novel Use of Speech Recognition Testing for Counseling Cochlear Implant Recipients
AD is a 76-year-old male with a CI on one ear and a conventional hearing aid on the opposite ear. He had an appointment six months postimplantation of a CochlearTM Americas (Centennial, CO) Nucleus Freedom Contour Advance (CI24RE-CA) electrode array and activation of his CP810 sound processor. At this visit, AD reported frustration when listening in background noise and also reported that he performs more poorly on speech recognition with the CI than he did with his bilateral hearing aids despite extensive auditory training after the implantation. AD had a history of progressive postlingual hearing loss for approximately 40 years that is likely related to occupational noise exposure. A preoperative audiological examination revealed a bilateral severe sensorineural hearing loss with word recognition scores (WRSs) of approximately 40%.