Sound Processing for Better Coding of Monaural and Binaural Cues in Auditory Prostheses

Despite many considerable technical advances in the field of hearing aids and cochlear implants, people using auditory prostheses still have major problems with speech understanding in the presence of interfering sounds and with directional hearing. Both abilities are dependent on sound stream segregation in real-world listening environments. In this paper, two timely and important issues related to sound stream segregation in auditory prostheses are addressed, namely, the coding of monaural and binaural cues. Several state-of-the-art signal processing algorithms used in cochlear implants (CIs) and in hearing aids (HAs) are introduced. A review is given of some recent proposals to improve temporal coding in monaural CIs, and of recent work to improve the transmission of binaural cues in both HAs, CIs, and combined acoustic and electric hearing (bimodal hearing). The ultimate aim is to improve speech and music perception, and, additionally, the preservation of binaural cues to preserve directional hearing.