%0 Journal Article %T Transient noise reduction in cochlear implant users: a multi-band approach | Audiology Research %A Andreas Buechner %A Karl-Heinz Dyballa %A Phillipp Hehrmann %A Thomas Lenarz %A Volkmar Hamacher %J Audiology Research %D 2016 %R https://doi.org/10.4081/audiores.2016.154 %X A previously-tested transient noise reduction (TNR) algorithm for cochlear implant (CI) users was modified to detect and attenuate transients independently across multiple frequency-bands. Since speech and transient noise are often spectrally distinct, we hypothesized that benefits in speech intelligibility can be achieved over the earlier single- band design. Fifteen experienced CI users (49 to 72 years) were tested unilaterally using pre-processed stimuli delivered directly to a speech processor. Speech intelligibility in transient and soft stationary noise, subjective sound quality and the recognition of warning signals was investigated in three processing conditions: no TNR (TNR off), single- band TNR (TNR sgl) and multi-band TNR (TNR mult). Notably, TNR mult improved speech reception thresholds (SRTs) in cafeteria noise and office noise by up to 3 dB over both TNR off and TNR sgl, and yielded higher comfort and clarity ratings in cafeteria noise. Our results indicate that multi-band transient noise reduction may be advantageous compared to a single-band approach, and reveal a substantial overall potential for TNR to improve speech perception and listening comfort in CI users %K Cochlear implant %K noise reduction %K transient %K speech intelligibility %K comfort. %U https://www.audiologyresearch.org/index.php/audio/article/view/154