Nasalance in Cochlear Implantees

Production and Perception Evidence of a Merger: [l] and [n] in Fuzhou Min

The current study investigated the merger-in-progress between word-initial nasal and lateral consonants in Fuzhou Min, examining the linguistic and social factors that modulate the merger. First, the acoustic cues to the l-n distinction were examined in Fuzhou Min. Acoustic analyses suggested a collapse of phonemic contrast between prescriptive L and N (phonemes in the unmerged system), with none of the six acoustic cues showing any difference across L and N. Linear discriminant analysis did identify acoustically distinct [l] and [n] tokens, although the mapping onto the phonetic space of prescriptive L and N substantially overlapped. Speakers of all ages and both genders tended to produce [l], and low vowels correlated with more [n]-like classification. In perception, AX discrimination data showed Fuzhou Min listeners confused both prescriptive L and N and acoustic [l] and [n]. Greater sensitivity to the acoustic differences occurred in the context of low vowels and a nasal coda, supported by the acoustics of the stimuli, and younger listeners were more sensitive to the difference between [l] and [n] than older listeners. In two-alternative forced choice (2AFC) identification, Fuzhou Min listeners also identified the merged form as L more frequently than N, with more L responses elicited in the context of low vowels and in the absence of nasal codas. Overall, although Fuzhou Min speakers produced some acoustically distinct [l] and [n] tokens in the context of a sound merger, these productions did not map onto prescriptive L and N. In addition, younger listeners were more sensitive to the acoustic distinction than older listeners, suggesting an emerging acoustic contrast possibly arising due to contact with Mandarin.

American Cochlear Implant Alliance Task Force Guidelines for Determining Cochlear Implant Candidacy in Children

This article summarizes the available evidence on pediatric cochlear implantation to provide current guidelines for clinical protocols and candidacy recommendations in the United States. Candidacy determination involves specification of audiologic and medical criteria per guidelines of the Food and Drug Administration. However, recommendations for a cochlear implant evaluation also should maintain flexibility and consider a child’s skill progression (i.e., month-for-month progress in speech, language, and auditory development) and quality of life with appropriately fit hearing aids. Moreover, evidence supports medical and clinical decisions based on other factors, including (a) ear-specific performance, which affords inclusion of children with asymmetric hearing loss and single-sided deafness as implant candidates; (b) ear-specific residual hearing, which influences surgical technique and device selection to optimize hearing; and (c) early intervention to minimize negative long-term effects on communication and quality of life related to delayed identification of implant candidacy, later age at implantation, and/or limited commitment to an audiologic rehabilitation program. These evidence-based guidelines for current clinical protocols in determining pediatric cochlear implant candidacy encourage a team-based approach focused on the whole child and the family system.

Effect of the Finnish Tube on the Voice of a Deaf Musician: A Case Report

PURPOSE

To verify the auditory-perceptual and acoustic effects of the semioccluded vocal tract exercise with Finnish tube on the vocal quality of a deaf musician.

METHODS

A seven-day protocol with Finnish tube was performed with guidance for its home replication twice a day. A 46-years-old man with profound bilateral sensorineural hearing loss, musician and composer participated. Before and after the application of the protocol had undergone tonal audiometry, nasofibrolaryngoscopy, acoustic analysis with Praat and auditory-perceptual evaluation of the voice with Voice Profile Analysis Scheme for Brazilian Portuguese.

RESULTS

The postintervention auditory-perceptual analysis identified reduction of the deviation in lip spreading, extensive labial range, raised tongue body, pharyngeal expansion, nasal resonance, larynx height, larynx and vocal tract tension and irregularity, pitch, speech rate, and a better respiratory support. The maximum phonation time reduced, probably because of elimination of the abrupt vocal attack and tension, articulatory deviations, improvement in voicing and the absence of the use of expiratory reserve air. The fundamental frequency became lower, and the first, second, third, and fourth formants became higher. The jitter increased, and the shimmer reduced.

CONCLUSION

The use of the Finnish tube might have facilitated the voicing sensations in the deaf musician, by enhancing the tactile-kinesthetic perception of the vocal tract and brought a greater source-filter interaction.