Figures for Chapter 8 Candidacy Dillon (2001) Hearing Aids Speech audibility in quiet and in noise 100 80 Threshold 60 40 20 0 125 (b) (a) Level (dB SPL) Level (dB SPL) 100 80 60 40 Threshold 20 Noise 0 250 500 1000 2000 4000 8000 125 250 Frequency (Hz) 500 1000 2000 4000 8000 Frequency (Hz) Figure 8.1 The long-term 1/3 octave speech spectrum for a) speech at 55 dB SPL in a quiet place, and b) speech at 85 dB SPL in a noisy place. Each speech spectrum includes the 30 dB dynamic range from the weakest useful elements of speech to the most intense elements (shown as the vertical lines). The portion of the speech range that is audible above noise and hearing thresholds is thickly shaded. The normal threshold of hearing is shown as the lower dotted line. Source: Dillon (2001): Hearing Aids Frequency (Hz) 125 250 500 1k 2k 4k 0 Speech sounds and the speech spectrum Hearing threshold (dB HL) 20 f 40 p m 60 8k ee or ar k sh th t s 80 100 120 Figure 8.2 The speech spectrum, including a 30 dB dynamic range at each frequency, for speech at a long- term level of 65 dB SPL. The approximate locations of the spectral centre of a few speech sounds are indicated. Source: Dillon (2001): Hearing Aids Cochlear implant speech-score probability Probability (%) 100% CUNY sentences in 10 dB SNR 80% CUNY sentences in quiet 60% 40% 20% CNC words 0% 0 20 40 60 80 100 Speech test score (%) Fig 8.3 Probability of implanted adults exceeding the indicated speech score for CNC (consonant-nucleus-consonant) words, CUNY/SIT sentences (City University of New York speech intelligibility test) in quiet, and CUNY/SIT sentences in noise with a 10 dB SNR. Source: Dillon (2001): Hearing Aids Implant versus hearing aid probability 100 CUNY in noise Probability (%) 80 IMSPAC 60 CUNY in quiet 40 20 CNC words 0 60 80 100 120 PTA Threshold (dB HL) Figure 8.4 Probability of a speech identification score for an implanted adult or child being greater than the anticipated score obtained with hearing aids, as a function of pure tone hearing levels. Source: Dillon (2001): Hearing Aids Implant improvement re hearing aids Likely score increase (% points) 60 40 CUNY in noise 20 IMSPAC 0 CUNY in quiet -20 -40 CNC words -60 60 80 100 120 PTA Threshold (dB HL) Figure 8.5 Average increase in scores (implant minus hearing aids) as a function of pre-implant hearing threshold. Source: Dillon (2001): Hearing Aids