{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T07:18:39Z","timestamp":1765351119698,"version":"3.46.0"},"reference-count":85,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T00:00:00Z","timestamp":1765324800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The variability in bimodal advantage among bimodal users remains a significant challenge in clinical approaches. This study compared confusion patterns in consonant recognition between bimodal users who received greater bimodal advantage (GBA) and those who received less bimodal advantage (LBA), aiming to clarify these patterns in order to identify underlying causes that can help improve speech perception for all users.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Confusion matrices were measured monaurally and binaurally in both quiet and noisy conditions. Twenty-one subjects were divided into GBA (\n                      <jats:italic>n<\/jats:italic>\n                      =\u202f8) and LBA (\n                      <jats:italic>n<\/jats:italic>\n                      =\u202f13) groups using K-means clustering based on percentage points of bimodal advantage. Participants represented a diverse range of hearing experiences, ensuring the study\u2019s findings would apply to many bimodal users.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>By analyzing consonant confusion patterns, the study identifies distinct listening strategies that differentiate GBA and LBA groups. Spectral integration was observed on \/ga\/, \/ma\/, \/fa\/, \/\u0283a\/, \/va\/, \/za\/, and \/\u02a4a\/ for the GBA group but only on \/ga\/ and \/za\/ for the LBA group. Spectral interference was observed on \/na\/ for the GBA group, but on \/ba\/, \/da\/, \/pa\/, \/ta\/, \/ka\/, \/ma\/, \/sa\/, and \/\u02a4a\/ for the LBA group. Cochlear implant (CI)-ear dominance occurred on \/ba\/, \/da\/, \/pa\/, \/ta\/, \/ka\/, and \/sa\/ for the GBA group and on \/na\/, \/fa\/, \/\u0283a\/, and \/va\/ for the LBA group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These findings suggest that individual differences in speech perception among bimodal users reflect how each individual combines input from both ears. Three distinct listening strategies emerged: spectral integration, spectral interference, and CI-ear dominance. Users with greater advantage were more successful at integrating complementary inputs across ears, while others experienced conflicting auditory inputs or mainly relied on their CI ear. These results highlight the importance of looking beyond overall speech scores and focusing on specific speech sound patterns to understand why some bimodal users benefit more than others. By identifying the roles of listening strategies in consonant perception, we can better explain individual variability and improve clinical approaches to hearing device fitting.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyg.2025.1647119","type":"journal-article","created":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T07:13:44Z","timestamp":1765350824000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Differences in consonant confusion patterns between bimodal cochlear implant users with greater and less bimodal advantage"],"prefix":"10.3389","volume":"16","author":[{"given":"Yang-Soo","family":"Yoon","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amir","family":"Majidpour","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,12,10]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"2212","DOI":"10.1121\/1.1856231","article-title":"Consonant recognition and the articulation index","volume":"117","author":"Allen","year":"2005","journal-title":"J. Acoust. Soc. Am."},{"key":"ref2","doi-asserted-by":"publisher","first-page":"23312165211016165","DOI":"10.1177\/23312165211016165","article-title":"Sound localization bias and error in bimodal listeners improve instantaneously when the device delay mismatch is reduced","volume":"25","author":"Angermeier","year":"2021","journal-title":"Trends Hear."},{"key":"ref3","doi-asserted-by":"publisher","first-page":"23312165231171987","DOI":"10.1177\/23312165231171987","article-title":"Clinical feasibility and familiarization effects of device delay mismatch compensation in bimodal CI\/HA users","volume":"27","author":"Angermeier","year":"2023","journal-title":"Trends Hearing"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"747","DOI":"10.1097\/aud.0000000000000805","article-title":"Acoustic hearing can interfere with single-sided deafness cochlear-implant speech perception","volume":"41","author":"Bernstein","year":"2019","journal-title":"Ear Hear."},{"key":"ref5","first-page":"341","article-title":"Praat, a system for doing phonetics by computer","volume":"5","author":"Boersma","year":"2001","journal-title":"Glot. Int."},{"key":"ref6","doi-asserted-by":"publisher","first-page":"1807","DOI":"10.1121\/1.416000","article-title":"Effects of spectral smearing on phoneme and word recognition","volume":"100","author":"Boothroyd","year":"1996","journal-title":"J. Acoust. Soc. Am."},{"key":"ref7","doi-asserted-by":"publisher","first-page":"916","DOI":"10.1001\/jamaoto.2020.1584","article-title":"Assessment of speech understanding after cochlear implantation in adult hearing aid users: a nonrandomized controlled trial","volume":"146","author":"Buchman","year":"2020","journal-title":"JAMA Otolaryngol. Head Neck Surg."},{"key":"ref8","doi-asserted-by":"publisher","first-page":"143","DOI":"10.1016\/j.heares.2007.11.004","article-title":"Processing F0 with cochlear implants: modulation frequency discrimination and speech intonation recognition","volume":"235","author":"Chatterjee","year":"2008","journal-title":"Hear. Res."},{"key":"ref9","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1097\/00025572-199502000-00001","article-title":"Using loudness data for hearing aid selection: the IHAFF approach","volume":"48","author":"Cox","year":"1995","journal-title":"Hear. J."},{"key":"ref10","doi-asserted-by":"publisher","first-page":"109088","DOI":"10.1016\/j.heares.2024.109088","article-title":"The temporal mismatch across listening sides affects cortical auditory evoked responses in normal hearing listeners and cochlear implant users with contralateral acoustic hearing","volume":"451","author":"Dolhopiatenko","year":"2024","journal-title":"Hear. Res."},{"key":"ref11","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1159\/000111782","article-title":"The benefits of combining acoustic and electric stimulation for the recognition of speech, voice and melodies","volume":"13","author":"Dorman","year":"2008","journal-title":"Audiol. Neurootol."},{"key":"ref12","doi-asserted-by":"publisher","first-page":"1503","DOI":"10.1121\/1.395194","article-title":"Effects of spectral flattening on vowel identification","volume":"82","author":"Dubno","year":"1987","journal-title":"J. Acoust. Soc. Am."},{"key":"ref13","volume-title":"New nonsense syllables database: Analyses and preliminary ASR experiments. The international conference on spoken language processing","author":"Fousek","year":"2004"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"99","DOI":"10.1044\/2015_jslhr-h-15-0247","article-title":"Effects of removing low-frequency electric information on speech perception with bimodal hearing","volume":"59","author":"Fowler","year":"2016","journal-title":"J Speech Language Hearing Research"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"1667","DOI":"10.1044\/1092-4388(2011\/09-0279)","article-title":"Auditory spectral integration in the perception of static vowels","volume":"54","author":"Fox","year":"2011","journal-title":"J Speech Language Hearing Research"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"624","DOI":"10.1097\/01.mao.0000226289.04048.0f","article-title":"Residual hearing conservation and electroacoustic stimulation with the nucleus 24 contour advance cochlear implant","volume":"27","author":"Fraysse","year":"2006","journal-title":"Otol. Neurotol."},{"key":"ref17","doi-asserted-by":"publisher","first-page":"198","DOI":"10.1016\/j.heares.2007.11.010","article-title":"Maximizing cochlear implant patients\u2019 performance with advanced speech training procedures","volume":"242","author":"Fu","year":"2008","journal-title":"Hear. Res."},{"key":"ref18","doi-asserted-by":"publisher","first-page":"EL561-EL566","DOI":"10.1121\/1.5017530","article-title":"Effect of carrier bandwidth on integration of simulations of acoustic and electric hearing within or across ears","volume":"142","author":"Fu","year":"","journal-title":"J. Acoust. Soc. Am."},{"key":"ref19","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1038\/s41598-017-12298-3","article-title":"Integration of acoustic and electric hearing is better in the same ear than across ears","volume":"7","author":"Fu","year":"","journal-title":"Sci. Rep."},{"key":"ref20","doi-asserted-by":"publisher","first-page":"501","DOI":"10.1097\/aud.0000000000000657","article-title":"Bimodal hearing or bilateral Cochlear implants? Ask the patient","volume":"40","author":"Gifford","year":"2019","journal-title":"Ear Hear."},{"key":"ref21","doi-asserted-by":"publisher","first-page":"835","DOI":"10.1044\/1092-4388(2007\/058)","article-title":"Combined electric and contralateral acoustic hearing: word and sentence recognition with bimodal hearing","volume":"50","author":"Gifford","year":"2007","journal-title":"J Speech Language Hearing Research"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"413","DOI":"10.1097\/AUD.0b013e31827e8163","article-title":"Cochlear implantation with hearing preservation yields significant benefit for speech recognition in complex listening environments","volume":"34","author":"Gifford","year":"2013","journal-title":"Ear Hear."},{"key":"ref23","doi-asserted-by":"publisher","first-page":"110","DOI":"10.1097\/aud.0000000000000470","article-title":"Contralateral interference caused by binaurally presented competing speech in adult bilateral Cochlear-implant users","volume":"39","author":"Goupell","year":"2018","journal-title":"Ear Hear."},{"key":"ref24","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1177\/2331216516670388","article-title":"Aging and spectro-temporal integration of speech","volume":"20","author":"Grose","year":"2016","journal-title":"Trends Hear."},{"key":"ref25","doi-asserted-by":"publisher","first-page":"1105","DOI":"10.1121\/1.2940582","article-title":"Spectral integration of speech bands in normal-hearing and hearing-impaired listeners","volume":"124","author":"Hall","year":"2008","journal-title":"J. Acoust. Soc. Am."},{"key":"ref26","doi-asserted-by":"publisher","first-page":"11114","DOI":"10.1523\/jneurosci.0689-10.2010","article-title":"Spectral integration in primary auditory cortex attributable to temporally precise convergence of thalamocortical and intracortical input","volume":"30","author":"Happel","year":"2010","journal-title":"J. Neurosci."},{"key":"ref27","doi-asserted-by":"publisher","first-page":"217","DOI":"10.1080\/00437956.1950.11659381","article-title":"The relative frequency of phonemes in general-American English","volume":"6","author":"Hayden","year":"1950","journal-title":"Word"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"1902","DOI":"10.1016\/s0028-3932(02)00063-5","article-title":"Hemispheric lateralization of the processing of consonant-vowel syllables (formant transitions): effects of stimulus characteristics and attentional demands on evoked magnetic fields","volume":"40","author":"Hertrich","year":"2002","journal-title":"Neuropsychologia"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"107873","DOI":"10.1016\/j.heares.2019.107873","article-title":"Psychoacoustic and electrophysiological electric-acoustic interaction effects in cochlear implant users with ipsilateral residual hearing","volume":"386","author":"Imsiecke","year":"","journal-title":"Hear. Res."},{"key":"ref30","doi-asserted-by":"publisher","first-page":"868","DOI":"10.1097\/aud.0000000000000807","article-title":"Interaction between electric and acoustic stimulation influences speech perception in ipsilateral EAS users","volume":"41","author":"Imsiecke","year":"","journal-title":"Ear Hear."},{"key":"ref31","doi-asserted-by":"publisher","first-page":"090","DOI":"10.1055\/s-0031-1271950","article-title":"Consonant perception by adults with bimodal fitting","volume":"32","author":"Incerti","year":"2011","journal-title":"Semin. Hear."},{"key":"ref32","doi-asserted-by":"publisher","first-page":"792","DOI":"10.1044\/2024_jslhr-24-00273","article-title":"Effects of F1-F2 frequency spacing on spectral integration in combined electric and acoustic stimulation","volume":"68","author":"Jaisinghani","year":"2025","journal-title":"J. Speech Lang. Hear. Res."},{"key":"ref33","first-page":"1","article-title":"In vivo measures of cochlear length and insertion depth of nucleus cochlear implant electrode arrays","volume":"175","author":"Ketten","year":"1998","journal-title":"Ann. Otol. Rhinol. Laryngol."},{"key":"ref34","doi-asserted-by":"publisher","first-page":"134","DOI":"10.1159\/000084023","article-title":"Combined electric and acoustic stimulation of the auditory system: results of a clinical study","volume":"10","author":"Kiefer","year":"2005","journal-title":"Audiol. Neurootol."},{"key":"ref35","doi-asserted-by":"publisher","first-page":"959","DOI":"10.1044\/1092-4388(2010\/10-0197)","article-title":"Cross-frequency integration for consonant and vowel identification in bimodal hearing","volume":"54","author":"Kong","year":"2011","journal-title":"J. Speech Lang. Hear. Res."},{"key":"ref36","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1016\/j.heares.2017.06.014","article-title":"Simultaneous masking between electric and acoustic stimulation in cochlear implant users with residual low-frequency hearing","volume":"353","author":"Kr\u00fcger","year":"2017","journal-title":"Hear. Res."},{"key":"ref37","doi-asserted-by":"publisher","first-page":"958","DOI":"10.1097\/00129492-200411000-00016","article-title":"Benefits of bilateral electrical stimulation with the nucleus cochlear implant in adults: 6-month postoperative results","volume":"25","author":"Laszig","year":"2004","journal-title":"Otol. Neurotol."},{"key":"ref38","doi-asserted-by":"publisher","first-page":"248","DOI":"10.1097\/aud.0000000000000252","article-title":"Benefits to speech perception in noise from the binaural integration of electric and acoustic signals in simulated unilateral deafness","volume":"37","author":"Ma","year":"2016","journal-title":"Ear Hear."},{"key":"ref39","doi-asserted-by":"publisher","first-page":"146","DOI":"10.1016\/s0378-5955(97)00012-9","article-title":"Estimating mechanical responses to pulsatile electrical stimulation of the cochlea","volume":"106","author":"McAnally","year":"1997","journal-title":"Hear. Res."},{"key":"ref40","doi-asserted-by":"publisher","first-page":"171","DOI":"10.3766\/jaaa.23.3.4","article-title":"Are two ears not better than one?","volume":"23","author":"McArdle","year":"2012","journal-title":"J. Am. Acad. Audiol."},{"key":"ref41","year":"2023"},{"key":"ref42","doi-asserted-by":"publisher","first-page":"338","DOI":"10.1121\/1.1907526","article-title":"An analysis of perceptual confusions among some English consonants","volume":"27","author":"Miller","year":"1955","journal-title":"J. Acoust. Soc. Am."},{"key":"ref43","doi-asserted-by":"publisher","first-page":"295","DOI":"10.1159\/000103210","article-title":"Spatial unmasking and binaural advantage for children with normal hearing, a cochlear implant and a hearing aid, and bilateral implants","volume":"12","author":"Mok","year":"2007","journal-title":"Audiol. Neurootol."},{"key":"ref44","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1159\/000219487","article-title":"Speech perception benefit for children with a cochlear implant and a hearing aid in opposite ears and children with bilateral cochlear implants","volume":"15","author":"Mok","year":"2010","journal-title":"Audiol. Neurootol."},{"key":"ref45","doi-asserted-by":"publisher","first-page":"338","DOI":"10.1044\/1092-4388(2006\/027)","article-title":"Speech perception for adults who use hearing aids in conjunction with cochlear implants in opposite ears","volume":"49","author":"Mok","year":"2006","journal-title":"J. Speech Lang. Hear. Res."},{"key":"ref46","doi-asserted-by":"publisher","first-page":"5","DOI":"10.3766\/jaaa.15011","article-title":"Binaural interference and the effects of age and hearing loss","volume":"28","author":"Mussoi","year":"2017","journal-title":"J. Am. Acad. Audiol."},{"key":"ref47","doi-asserted-by":"publisher","first-page":"2331216517699530","DOI":"10.1177\/2331216517699530","article-title":"Self-reported usage, functional benefit, and Audiologic characteristics of Cochlear implant patients who use a contralateral hearing aid","volume":"21","author":"Neuman","year":"2017","journal-title":"Trends Hearing"},{"key":"ref48","doi-asserted-by":"publisher","first-page":"621","DOI":"10.1097\/aud.0000000000000638","article-title":"The effect of hearing aid bandwidth and configuration of hearing loss on bimodal speech recognition in Cochlear implant users","volume":"40","author":"Neuman","year":"2019","journal-title":"Ear Hear."},{"key":"ref49","doi-asserted-by":"publisher","first-page":"2004","DOI":"10.1121\/1.4916203","article-title":"Measuring the effects of spectral smearing and enhancement on speech recognition in noise for adults and children","volume":"137","author":"Nittrouer","year":"2015","journal-title":"J. Acoust. Soc. Am."},{"key":"ref50","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1016\/j.heares.2007.07.001","article-title":"Acoustic-electric interactions in the guinea pig auditory nerve: simultaneous and forward masking of the electrically evoked compound action potential","volume":"232","author":"Nourski","year":"2007","journal-title":"Hear. Res."},{"key":"ref51","doi-asserted-by":"publisher","first-page":"780","DOI":"10.1121\/1.4997190","article-title":"Binaural pitch fusion: pitch averaging and dominance in hearing-impaired listeners with broad fusion","volume":"142","author":"Oh","year":"2017","journal-title":"J. Acoust. Soc. Am."},{"key":"ref52","doi-asserted-by":"publisher","first-page":"1450","DOI":"10.1097\/aud.0000000000000866","article-title":"Binaural pitch fusion: binaural pitch averaging in Cochlear implant users with broad binaural fusion","volume":"41","author":"Oh","year":"2020","journal-title":"Ear Hear."},{"key":"ref53","doi-asserted-by":"publisher","first-page":"19","DOI":"10.3389\/fnint.2014.00019","article-title":"Adaptation in the auditory system: an overview","volume":"8","author":"P\u00e9rez-Gonz\u00e1lez","year":"2014","journal-title":"Front. Integr. Neurosci."},{"key":"ref54","doi-asserted-by":"publisher","first-page":"105","DOI":"10.3766\/jaaa.24.2.4","article-title":"The contribution of a frequency-compression hearing aid to contralateral cochlear implant performance","volume":"24","author":"Perreau","year":"2013","journal-title":"J. Am. Acad. Audiol."},{"key":"ref55","doi-asserted-by":"publisher","first-page":"2683","DOI":"10.1121\/1.3238257","article-title":"Consonant recognition loss in hearing impaired listeners","volume":"126","author":"Phatak","year":"2009","journal-title":"J. Acoust. Soc. Am."},{"key":"ref56","doi-asserted-by":"publisher","first-page":"23312165221108259","DOI":"10.1177\/23312165221108259","article-title":"Considerations for fitting cochlear implants bimodally and to the single-sided deaf","volume":"26","author":"Pieper","year":"2022","journal-title":"Trends Hear."},{"key":"ref57","doi-asserted-by":"publisher","first-page":"299","DOI":"10.1097\/mao.0000000000001691","article-title":"Multicenter US clinical trial with an electric-acoustic stimulation (EAS) system in adults: final outcomes","volume":"39","author":"Pillsbury","year":"2018","journal-title":"Otol. Neurotol."},{"key":"ref58","doi-asserted-by":"publisher","first-page":"415","DOI":"10.1016\/j.nicl.2017.10.036","article-title":"Delayed access to bilateral input alters cortical organization in children with asymmetric hearing","volume":"17","author":"Polonenko","year":"2018","journal-title":"NeuroImage Clinical"},{"key":"ref59","doi-asserted-by":"publisher","first-page":"341","DOI":"10.1007\/s10162-016-0570-z","article-title":"Two ears are not always better than one: mandatory vowel fusion across spectrally mismatched ears in hearing-impaired listeners","volume":"17","author":"Reiss","year":"2016","journal-title":"J. Assoc. Res. Otolaryngol. JARO"},{"key":"ref60","doi-asserted-by":"publisher","first-page":"390","DOI":"10.1097\/aud.0000000000000497","article-title":"Binaural pitch fusion in bilateral cochlear implant users","volume":"39","author":"Reiss","year":"2018","journal-title":"Ear Hear."},{"key":"ref61","doi-asserted-by":"publisher","first-page":"235","DOI":"10.1007\/s10162-013-0434-8","article-title":"Abnormal binaural spectral integration in cochlear implant users","volume":"15","author":"Reiss","year":"2014","journal-title":"J. Assoc. Res. Otolaryngol."},{"key":"ref62","doi-asserted-by":"publisher","first-page":"1813","DOI":"10.3389\/fpsyg.2019.01813","article-title":"Consonant and vowel confusions in well-performing children and adolescents with Cochlear implants, measured by a nonsense syllable repetition test","volume":"10","author":"R\u00f8dvik","year":"2019","journal-title":"Front. Psychol."},{"key":"ref63","doi-asserted-by":"publisher","first-page":"282","DOI":"10.1097\/aud.0000000000000281","article-title":"The effects of acoustic bandwidth on simulated bimodal benefit in children and adults with Normal hearing","volume":"37","author":"Sheffield","year":"2016","journal-title":"Ear Hear."},{"key":"ref64","doi-asserted-by":"publisher","first-page":"3","DOI":"10.3109\/00016489.2013.869059","article-title":"Towards a consensus on a hearing preservation classification system","volume":"133","author":"Skarzynski","year":"2013","journal-title":"Acta Otolaryngol."},{"key":"ref65","doi-asserted-by":"publisher","first-page":"2858","DOI":"10.1121\/1.2890748","article-title":"Intra- versus intermodal integration in young and older adults","volume":"123","author":"Spehar","year":"2008","journal-title":"J. Acoust. Soc. Am."},{"key":"ref66","doi-asserted-by":"publisher","first-page":"175","DOI":"10.1097\/01.Aud.0000058106.68049.9c","article-title":"Tolerable hearing aid delays. III. Effects on speech production and perception of across-frequency variation in delay","volume":"24","author":"Stone","year":"2003","journal-title":"Ear Hear."},{"key":"ref67","doi-asserted-by":"publisher","first-page":"64","DOI":"10.1016\/j.heares.2009.10.004","article-title":"Suppression of the acoustically evoked auditory-nerve response by electrical stimulation in the cochlea of the guinea pig","volume":"259","author":"Stronks","year":"2010","journal-title":"Hear. Res."},{"key":"ref68","doi-asserted-by":"publisher","first-page":"1758","DOI":"10.3390\/jcm9061758","article-title":"Speech perception changes in the acoustically aided, nonimplanted ear after cochlear implantation: a multicenter study","volume":"9","author":"Svirsky","year":"2020","journal-title":"J. Clin. Med."},{"key":"ref69","doi-asserted-by":"publisher","first-page":"269","DOI":"10.1159\/000072000","article-title":"Acoustic and electrical pattern analysis of consonant perceptual cues used by Cochlear implant users","volume":"8","author":"Teoh","year":"2003","journal-title":"Audiology Neurotology"},{"key":"ref70","doi-asserted-by":"publisher","first-page":"e100","DOI":"10.1097\/mao.0000000000001418","article-title":"Cochlear implantation in adults with asymmetric hearing loss: benefits of bimodal stimulation","volume":"38","author":"van Loon","year":"2017","journal-title":"Otol. Neurotol."},{"key":"ref71","doi-asserted-by":"publisher","first-page":"260","DOI":"10.1097\/aud.0000000000000260","article-title":"Matching automatic gain control across devices in bimodal cochlear implant users","volume":"37","author":"Veugen","year":"2016","journal-title":"Ear Hear."},{"key":"ref72","doi-asserted-by":"publisher","first-page":"775","DOI":"10.3109\/00016489.2016.1155233","article-title":"Frequency-dependent loudness balancing in bimodal cochlear implant users","volume":"136","author":"Veugen","year":"2016","journal-title":"Acta Otolaryngol."},{"key":"ref73","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1044\/2018_aja-18-0067","article-title":"Comparing the effect of different hearing aid fitting methods in bimodal cochlear implant users","volume":"28","author":"Vroegop","year":"2019","journal-title":"Am. J. Audiol."},{"key":"ref74","doi-asserted-by":"publisher","first-page":"374","DOI":"10.1097\/aud.0000000000000374","article-title":"The effect of Interaural mismatches on contralateral unmasking with single-sided vocoders","volume":"38","author":"Wess","year":"2017","journal-title":"Ear Hear."},{"key":"ref75","doi-asserted-by":"publisher","first-page":"2331216518781746","DOI":"10.1177\/2331216518781746","article-title":"Coherent coding of enhanced interaural cues improves sound localization in noise with bilateral cochlear implants","volume":"22","author":"Williges","year":"2018","journal-title":"Trends Hear."},{"key":"ref76","doi-asserted-by":"publisher","first-page":"e0310839","DOI":"10.1371\/journal.pone.0310839","article-title":"The impact of neglecting feature scaling in k-means clustering","volume":"19","author":"Wongoutong","year":"2024","journal-title":"PLoS One"},{"key":"ref77","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1044\/1092-4388(2011\/10-0325)","article-title":"Speech recognition and acoustic features in combined electric and acoustic stimulation","volume":"55","author":"Yoon","year":"","journal-title":"J Speech Language Hearing Research"},{"key":"ref78","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3389\/fpsyg.2022.1009463","article-title":"Dichotic spectral integration range for consonant recognition in listeners with normal hearing","volume":"13","author":"Yoon","year":"2022","journal-title":"Front. Psychol."},{"key":"ref79","doi-asserted-by":"publisher","first-page":"139s","DOI":"10.1177\/0003489419832625","article-title":"Enhancement of consonant recognition in bimodal and Normal hearing listeners","volume":"128","author":"Yoon","year":"","journal-title":"Ann. Otol. Rhinol. 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