Publications using TDT

In goldfish and other otophysans, the Weberian ossicles mechanically link the saccule of the inner ear to the anterior swimbladder chamber (ASB). These structures are correlated with enhanced sound-pressure sensitivity and greater sensitivity at high frequencies (600–2000 Hz). However, surprisingly little is known about the potential impact of the ASB on other otolithic organs and about how auditory responses are modulated by discrete sources that change their location or orientation with respect to the ASB. In this study, saccular and lagenar nerve fiber responses and conditioned behaviors of goldfish were measured to a small, low-frequency (50 Hz) vibrating sphere (dipole) source as a function of its location along the body and its orientation with respect to the ASB. Conditioned behaviors and saccular nerve fiber activity exhibited response characteristics nearly identical to those measured from a hydrophone in the same relative position as the ASB. By contrast, response patterns from lagena fibers could not be predicted by pressure inputs to the ASB. Deflation of the ASB abolished the characteristic spatial response pattern of saccular but not lagena fibers. These results show that: (1) the lagena is not driven by ASB-mediated pressure inputs to the ear; (2) the ASB–saccule pathway dominates behavioral responsiveness, operating effectively at frequencies as low as 50 Hz; and (3) behavioral and neural (saccular) responses are strongly modulated by the position and orientation of the dipole with respect to the ASB.

Hair cell stereocilia structure depends on actin filaments composed of cytoplasmic β-actin and γ-actin isoforms. Mutations in either gene can lead to progressive hearing loss in humans. Since β-actin and γ-actin isoforms are 99% identical at the protein level, it is unclear whether each isoform has distinct cellular roles. Here, we compared the functions of β-actin and γ-actin in stereocilia formation and maintenance by generating mice conditionally knocked out for Actb or Actg1 in hair cells. We found that, although cytoplasmic actin is necessary, neither β-actin nor γ-actin is required for normal stereocilia development or auditory function in young animals. However, aging mice with β-actin- or γ-actin-deficient hair cells develop different patterns of progressive hearing loss and distinct pathogenic changes in stereocilia morphology, despite colocalization of the actin isoforms. These results demonstrate overlapping developmental roles but unique post-developmental functions for β-actin and γ-actin in maintaining hair cell stereocilia.

Purpose: High‐frequency oscillations (HFOs) are an emerging biomarker for epileptic tissue. Yet the mechanism by which HFOs are produced is unknown, and their rarity makes them difficult to study. Our objective was to examine the occurrence of HFOs in relation to action potentials (APs) and the effect of microstimulation in the tetanus toxin (TT) model of epilepsy, a nonlesional model with a short latency to spontaneous seizures. Methods: Rats were injected with TT into dorsal hippocampus and implanted with a 16‐channel (8 × 2) multielectrode array, one row each in CA3 and CA1. After onset of spontaneous seizures (3–9 days), recordings were begun of APs and local field potentials, analyzed for the occurrence of interictal spikes and HFOs. Recordings were made during microstimulation of each electrode using customized, open‐source software. Results: Population bursts of APs during interictal spikes were phase‐locked with HFOs, which were observable almost exclusively with high‐amplitude interictal spikes. Furthermore, HFOs could reliably be produced by microstimulation of the hippocampus, providing evidence that these oscillations can be controlled temporally by external means. Discussion: We show for the first time the occurrence of HFOs in the TT epilepsy model, an attractive preparation for their experimental investigation and, importantly, one with a different etiology than that of status models, providing further evidence of the generality of HFOs. The ability to provoke HFOs with microstimulation may prove useful for better understanding of HFOs by directly evoking them in the lab, and designing high‐throughput techniques for presurgical localization of the epileptic focus.

The local field potential (LFP) and multiunit activity (MUA) are extracellularly recorded signals that describe local neuronal network dynamics. In our experiments, the LFP and MUA, recorded from the same electrode in macaque primary visual cortex V1 in response to drifting grating visual stimuli, were evaluated on coarse timescales (∼1–5 s) and fine timescales (<0.1 s). On coarse timescales, MUA and the LFP both produced sustained visual responses to optimal and non-optimal oriented visual stimuli. The sustainedness of the two signals across the population of recording sites was correlated (correlation coefficient, ∼0.4). At most recording sites, the MUA was at least as sustained as the LFP and significantly more sustained for optimal orientations. In previous literature, the blood oxygen level-dependent (BOLD) signal of functional magnetic resonance imaging studies was found to be more strongly correlated with the LFP than with the MUA as a result of the lack of sustained response in the MUA signal. Because we found that MUA was as sustained as the LFP, MUA may also be correlated with BOLD. On fine timescales, we computed the coherence between the LFP and MUA over the frequency range 10–150 Hz. The LFP and MUA were weakly but significantly coherent (∼0.14) in the gamma band (20–90 Hz). The amount of gamma-band coherence was correlated with the power in the gamma band of the LFP. The data were consistent with the proposal that the LFP and MUA are generated in a noisy, resonant cortical network.

In anurans, the temporal patterning of sound pulses is the primary information used for differentiating between spectrally similar calls. One class of midbrain neurons, referred to as 'interval-counting' cells, appears to be particularly important for discriminating among calls that differ in pulse repetition rate (PRR). These cells only respond after several pulses are presented with appropriate interpulse intervals. Here we show that the range of selectivity and sharpness of interval tuning vary considerably across neurons. Whole-cell recordings revealed that neurons showing temporally summating excitatory postsynaptic potentials (EPSPs) with little or no inhibition or activity-dependent enhancement of excitation exhibited low-pass or band-pass tuning to slow PRRs. Neurons that showed inhibition and rate-dependent enhancement of excitation, however, were band-pass or high-pass to intermediate or fast PRRs. Surprisingly, across cells, interval tuning based on membrane depolarization and spike rate measures were not significantly correlated. Neurons that lacked inhibition showed the greatest disparities between these two measures of interval tuning. Cells that showed broad membrane potential-based tuning, for example, varied considerably in their spike rate-based tuning; narrow spike rate-based tuning resulted from 'thresholding' processes, whereby only the largest depolarizations triggered spikes. The potential constraints associated with generating interval tuning in this manner are discussed.

Consistent with human perceptual data, we found many more black-dominant than white-dominant responses in layer 2/3 neurons of the macaque primary visual cortex (V1). Seeking the mechanism of this black dominance of layer 2/3 neurons, we measured the laminar pattern of population responses (multiunit activity and local field potential) and found that a small preference for black is observable in early responses in layer 4Cβ, the parvocellular-input layer, but not in the magnocellular-input layer 4Cα. Surprisingly, further analysis of the dynamics of black-white responses in layers 4Cβ and 2/3 suggested that black-dominant responses in layer 2/3 were not generated simply because of the weak black-dominant inputs from 4Cβ. Instead, our results indicated the neural circuitry in V1 is wired with a preference to strengthen black responses. We hypothesize that this selective wiring could be due to (1) feedforward connectivity from black-dominant neurons in layer 4C to cells in layer 2/3 or (2) recurrent interactions between black-dominant neurons in layer 2/3, or a combination of both.

A popular model of binaural processing, proposed by Jeffress (1948), states that external interaural time delays (ITDs) are compensated by internal axonal delays allowing ITD to be spatially represented by a population of coincidence detectors in the medial superior olive (MSO). Isolating single-neuron responses in MSO is difficult because of the presence of a strong extracellular field potential known as the neurophonic, so that few studies have tested Jeffress's key prediction. Phase delays in the nucleus laminaris neurophonic in owls have been observed and are consistent with a Jeffress-like model. Here, we recorded neurophonic responses in cat MSO to monaural tones at locations along its dendritic axis. Fourier analysis of the neurophonic was used to extract amplitude and phase at the stimulus frequency. Amplitude, as a function of depth, showed two peaks separated by a dip. A half-cycle phase shift was observed at depths close to the dip, over a wide frequency range. Current source density analysis for contralateral (ipsilateral) stimulation shows a current source close to the neurophonic amplitude peak and a sink a few hundred micrometers ventromedially (dorsolaterally). These results are consistent with a dipole configuration: contralateral (ipsilateral) excitation causes a current sink at the ventromedial (dorsolateral) dendrites and a source at the soma and dorsolateral (ventromedial) dendrites. Incorporating these results in a dipole model explains the phase and amplitude patterns observed. We conclude that the half-cycle phase shift is consistent with a current dipole, making it difficult to derive measurements of axonal delays from the neurophonic.

Distinct pathways carry monaural and binaural information from the lower auditory brainstem to the central nucleus of the inferior colliculus (ICC). Previous anatomical and physiological studies suggest that differential ascending inputs to regions of the ICC create functionally distinct zones. Here, we provide direct evidence of this relationship by combining recordings of single unit responses to sound in the ICC with focal, iontophoretic injections of the retrograde tracer Fluoro-Gold at the physiologically characterized sites. Three main patterns of anatomical inputs were observed. One pattern was identified by inputs from the cochlear nucleus and ventral nucleus of the lateral lemniscus in isolation, and these injection sites were correlated with monaural responses. The second pattern had inputs only from the ipsilateral medial and lateral superior olive, and these sites were correlated with interaural time difference (ITD)-sensitive responses to low frequency (<500 Hz). A third pattern had inputs from a variety of olivary and lemniscal sources, notably the contralateral lateral superior olive and dorsal nucleus of the lateral lemniscus. These were correlated with high-frequency ITD sensitivity to complex acoustic stimuli. These data support the notion of anatomical regions formed by specific patterns of anatomical inputs to the ICC. Such synaptic domains may represent functional zones in ICC.

Speech perception requires the rapid and effortless extraction of meaningful phonetic information from a highly variable acoustic signal. A powerful example of this phenomenon is categorical speech perception, in which a continuum of acoustically varying sounds is transformed into perceptually distinct phoneme categories. We found that the neural representation of speech sounds is categorically organized in the human posterior superior temporal gyrus. Using intracranial high-density cortical surface arrays, we found that listening to synthesized speech stimuli varying in small and acoustically equal steps evoked distinct and invariant cortical population response patterns that were organized by their sensitivities to critical acoustic features. Phonetic category boundaries were similar between neurometric and psychometric functions. Although speech-sound responses were distributed, spatially discrete cortical loci were found to underlie specific phonetic discrimination. Our results provide direct evidence for acoustic-to-higher order phonetic level encoding of speech sounds in human language receptive cortex.

Objective: The purpose of this investigation was to compare the ability of young and older adults to integrate auditory and visual sentence materials under conditions of good and poor signal clarity. The principle of inverse effectiveness (PoIE), which characterizes many neuronal and behavioral phenomena related to multisensory integration, asserts that as unimodal performance declines, integration is enhanced. Thus, the PoIE predicts that both young and older adults will show enhanced integration of auditory and visual speech stimuli when these stimuli are degraded. More importantly, because older adults' unimodal speech recognition skills decline in both the auditory and visual domains, the PoIE predicts that older adults will show enhanced integration during audiovisual speech recognition relative to younger adults. This study provides a test of these predictions. Design: Fifty-three young and 53 older adults with normal hearing completed the closed-set Build-A-Sentence test and the CUNY Sentence test in a total of eight conditions; four unimodal and four audiovisual. In the unimodal conditions, stimuli were either auditory or visual and either easier or harder to perceive; the audiovisual conditions were formed from all the combinations of the unimodal signals. The hard visual signals were created by degrading video contrast, and the hard auditory signals were created by decreasing the signal to noise ratio. Scores from the unimodal and bimodal conditions were used to compute auditory enhancement and integration enhancement measures. Results: Contrary to the PoIE, neither the auditory enhancement nor integration enhancement measures increased when signal clarity in the auditory or visual channel of audiovisual speech stimuli was decreased, nor was either measure higher for older adults than for young adults. In audiovisual conditions with easy visual stimuli, the integration enhancement measure for older adults was equivalent to that for young adults. However, in conditions with hard visual stimuli, integration enhancement for older adults was significantly lower than that for young adults. Conclusions: The present findings do not support extension of the PoIE to audiovisual speech recognition. Our results are not consistent with either the prediction that integration would be enhanced under conditions of poor signal clarity or the prediction that older adults would show enhanced integration, relative to young adults. Although there is a considerable controversy with regard to the best way to measure audiovisual integration, the fact that two of the most prominent measures, auditory enhancement and integration enhancement, both yielded results inconsistent with the PoIE, strongly suggests that the integration of audiovisual speech stimuli differs in some fundamental way from the integration of other bimodal stimuli. The results also suggest that aging does not impair integration enhancement when the visual speech signal has good clarity, but may affect it when the visual speech signal has poor clarity.

The precedence effect refers to the fact that humans are able to localize sound in reverberant environments, because the auditory system assigns greater weight to the direct sound (lead) than the later-arriving sound (lag). In this study, absolute sound localization was studied for single source stimuli and for dual source lead-lag stimuli in 4–5 year old children and adults. Lead-lag delays ranged from 5–100 ms. Testing was conducted in free field, with pink noise bursts emitted from loudspeakers positioned on a horizontal arc in the frontal field. Listeners indicated how many sounds were heard and the perceived location of the first- and second-heard sounds. Results suggest that at short delays (up to 10 ms), the lead dominates sound localization strongly at both ages, and localization errors are similar to those with single-source stimuli. At longer delays errors can be large, stemming from over-integration of the lead and lag, interchanging of perceived locations of the first-heard and second-heard sounds due to temporal order confusion, and dominance of the lead over the lag. The errors are greater for children than adults. Results are discussed in the context of maturation of auditory and non-auditory factors.

In humans, horizontal sound localization of low-frequency sounds is mainly based on interaural time differences (ITDs). Traditionally, it was assumed that ITDs are converted into a topographic (or rate-place) code, supported by an array of neurons with parametric tuning to ITDs within the behaviorally relevant range. Although this topographic model has been confirmed in owls, its applicability to mammals has been challenged by recent physiological results suggesting that, at least in small-headed species, ITDs are represented by a nontopographic population rate code, which involves only two opponent (left and right) channels, broadly tuned to ITDs from the two auditory hemifields. The current study investigates which of these two models of ITD processing is more likely to apply to humans. For that, evoked responses to abrupt changes in the ITDs of otherwise continuous sounds were measured with electroencephalography. The ITD change was either away from (“outward” change) or toward the midline (“inward” change). According to the opponent-channel model, the response to an outward ITD change should be larger than the response to the corresponding inward change, whereas the topographic model would predict similar response sizes for both conditions. The measured response sizes were highly consistent with the predictions of the opponent-channel model and contravened the predictions of the topographic model, suggesting that, in humans, ITDs are coded nontopographically. The hemispheric distributions of the ITD change responses suggest that the majority of ITD-sensitive neurons in each hemisphere are tuned to ITDs from the contralateral hemifield.

Auditory-nerve fibers demonstrate dynamic response properties in that they adapt to rapid changes in sound level, both at the onset and offset of a sound. These dynamic response properties affect temporal coding of stimulus modulations that are perceptually relevant for many sounds such as speech and music. Temporal dynamics have been well characterized in auditory-nerve fibers from normal-hearing animals, but little is known about the effects of sensorineural hearing loss on these dynamics. This study examined the effects of noise-induced hearing loss on the temporal dynamics in auditory-nerve fiber responses from anesthetized chinchillas. Post-stimulus-time histograms were computed from responses to 50-ms tones presented at characteristic frequency and 30 dB above fiber threshold. Several response metrics related to temporal dynamics were computed from post-stimulus-time histograms and were compared between normal-hearing and noise-exposed animals. Results indicate that noise-exposed auditory-nerve fibers show significantly reduced response latency, increased onset response and percent adaptation, faster adaptation after onset, and slower recovery after offset. The decrease in response latency only occurred in noise-exposed fibers with significantly reduced frequency selectivity. These changes in temporal dynamics have important implications for temporal envelope coding in hearing-impaired ears, as well as for the design of dynamic compression algorithms for hearing aids.

The center-out task is a standard paradigm often used to study the neural control of reaching movements in human and non-human primates. However, there are several disadvantages to the use of monkeys, notably costs, infrastructural requirements, and ethical considerations. Here we describe a similar task designed to examine forelimb movements in rats. Rats were trained to grasp a joystick with their forepaw and use it to control the movements of a sipper tube in two dimensions. The rats learned to move the joystick in four directions with at least 70% accuracy after about 45 days of training. In addition, rats were able to learn a reversed mapping between joystick and sipper tube movement. This is a more complicated behavior than has been previously demonstrated for rats, and it could allow more motor behavior studies to be conducted in rodents instead of monkeys. We currently are using this behavior to decode the rats' forelimb movements from their brain signals.

Perceptual and neurophysiological enhancements in linguistic processing in musicians suggest that domain specific experience may enhance neural resources recruited for language specific behaviors. In everyday situations, listeners are faced with extracting speech signals in degraded listening conditions. Here, we examine whether musical training provides resilience to the degradative effects of reverberation on subcortical representations of pitch and formant-related harmonic information of speech. Brainstem frequency-following responses (FFRs) were recorded from musicians and non-musician controls in response to the vowel /i/ in four different levels of reverberation and analyzed based on their spectro-temporal composition. For both groups, reverberation had little effect on the neural encoding of pitch but significantly degraded neural encoding of formant-related harmonics (i.e., vowel quality) suggesting a differential impact on the source-filter components of speech. However, in quiet and across nearly all reverberation conditions, musicians showed more robust responses than non-musicians. Neurophysiologic results were confirmed behaviorally by comparing brainstem spectral magnitudes with perceptual measures of fundamental (F0) and first formant (F1) frequency difference limens (DLs). For both types of discrimination, musicians obtained DLs which were 2-4 times better than non-musicians. Results suggest that musicians' enhanced neural encoding of acoustic features, an experience-dependent effect, is more resistant to reverberation degradation which may explain their enhanced perceptual ability on behaviorally relevant speech and/or music tasks in adverse listening conditions.

The neurophonic is a sound-evoked, frequency-following potential that can be recorded extracellularly in nucleus laminaris of the barn owl. The origin of the neurophonic, and thus the mechanisms that give rise to its exceptional temporal precision, has not yet been identified. Putative generators of the neurophonic are the activity of afferent axons, synaptic activation of laminaris neurons, or action potentials in laminaris neurons. To identify the generators, we analyzed the neurophonic in the high-frequency (>2.5 kHz) region of nucleus laminaris in response to monaural pure-tone stimulation. The amplitude of the neurophonic is typically in the millivolt range. The signal-to-noise ratio reaches values beyond 30 dB. To assess which generators could give rise to these large, synchronous extracellular potentials, we developed a computational model. Spike trains were produced by an inhomogeneous Poisson process and convolved with a spike waveform. The model explained the dependence of the simulated neurophonic on parameters such as the mean rate, the vector strength of phase locking, the number of statistically independent sources, and why the signal-to-noise ratio is independent of the spike waveform and subsequent filtering of the signal. We found that several hundred sources are needed to reach the observed signal-to-noise ratio. The summed coherent signal from the densely packed afferent axons and activation of their synapses on laminaris neurons are alone sufficient to explain the measured properties of the neurophonic.

Belgian Waterslager (BW) canaries have an inherited hearing loss due to missing and abnormal hair cells, but it is unclear whether the loss is congenital or developmental. We used auditory brainstem responses and scanning electron microscopy to describe the development of auditory sensitivity and hair cell abnormalities in BW and non-BW canaries. In both strains, adult ABR thresholds were higher than behavioral thresholds, but BW canaries exhibited higher thresholds than non-BW canaries across all frequencies. Immediately post-hatch, ABR thresholds and hair cell numbers were similar in both strains. Two weeks later, thresholds were significantly higher in BW canaries, and hair cell number progressively decreased as the birds aged. These data show that in BW canaries: the peripheral auditory system is functionally similar to non-BW canary from hatch to 2 weeks, ABR thresholds improve during this developmental period, actually becoming better than those of adults, but then worsen as the bird continues to age. Hair cell number and appearance is similar to non-BW canaries at hatch but progressively declines after 30 days of age. These data show that the hearing loss characteristic of BW canaries is, at least in part, developmental and is established by the time song learning begins.

The hearing status of an experimental animal is typically assessed in the laboratory setting by the combined use of auditory brainstem response (ABR) and distortion product otoacoustic emissions (DPOAEs), carried out in succession, with the former assay preceding the latter. This study reports a cautionary finding that the use of this accepted regimen yields a reduced DPOAE response. When the DPOAEs were performed after ABR testing, transient reduction of the DPOAE amplitudes was observed at all frequencies in both the inbred, C57/B6 and FVB/N, and the outbred, SW mouse strains. DPOAEs were reduced post-ABR in multiple mouse strains which suggests that this finding is not strain-specific but a general consequence of the preceding ABR analysis. The reduction in DPOAE was temporary: when re-tested at one hour, DPOAE amplitudes recovered to pre-ABR levels. In contrast to the ABR's impact on DPOAE response, ABR thresholds were not altered or reduced when preceded immediately by DPOAE measurements. The molecular alterations underlying the ABR-induced transient reduction of DPOAE remain to be determined. To investigate the potential role of reactive oxygen species in post-ABR DPOAE reduction, transgenic mice over-expressing SOD1, the cytoplasmic enzyme critical for removal of superoxide radicals were subjected to the same auditory testing regimen. Similar to their wild type littermates, the SOD1 transgenic mice also demonstrated post-ABR DPOAE reduction, and thus do not support a role for superoxide radicals in transient reduction of DPOAE. While toxic noise exposure is known to negatively impact OAE, transient decrease in DPOAE levels following standard ABR assay has not been previously described. A practical outcome from this study is a recommendation for reversal of the traditional order for carrying out auditory tests, with the OAE measurements preceding ABR assessment, thus ensuring that the DPOAE response is unaffected.

Objectives: To measure sound source localization in children who have sequential bilateral cochlear implants (BICIs); to determine whether localization accuracy correlates with performance on a right-left discrimination task (i.e., spatial acuity); to determine whether there is a measurable bilateral benefit on a sound source identification task (i.e., localization accuracy) by comparing performance under bilateral and unilateral listening conditions; and to determine whether sound source localization continues to improve with longer durations of bilateral experience. Design: Two groups of children participated in this study: a group of 21 children who received BICIs in sequential procedures (5 to 14 years) and a group of 7 typically developing children with normal acoustic hearing (5 years). Testing was conducted in a large sound-treated booth with loudspeakers positioned on a horizontal arc with a radius of 1.2 m. Children participated in two experiments that assessed spatial hearing skills. Spatial hearing acuity was assessed with a discrimination task in which listeners determined whether a sound source was presented on the right or left side of center; the smallest angle at which performance on this task was reliably above chance is the minimum audible angle. Sound localization accuracy was assessed with a sound source identification task in which children identified the perceived position of the sound source from a multiloudspeaker array (7 or 15); errors are quantified using the root mean square (RMS) error. Results: Sound localization accuracy was highly variable among the children with BICIs, with RMS errors ranging from 19 to 56 degrees . Performance of the normal hearing group, with RMS errors ranging from 9 to 29 degrees was significantly better. Within the BICI group, in 11 of 21 children, RMS errors were smaller in the bilateral versus unilateral listening condition, indicating bilateral benefit. There was a significant correlation between spatial acuity and sound localization accuracy (R = 0.68, p < 0.01), suggesting that children who achieve small RMS errors tend to have the smallest minimum audible angles. Although there was large intersubject variability, testing of 11 children in the BICI group at two sequential visits revealed a subset of children who show improvement in spatial hearing skills over time. Conclusions: A subset of children who use sequential BICIs can acquire sound localization abilities, even after long intervals between activation of hearing in the first- and second-implanted ears. This suggests that children with activation of the second implant later in life may be capable of developing spatial hearing abilities. The large variability in performance among the children with BICIs suggests that maturation of sound localization abilities in children with BICIs may be dependent on various individual subject factors such as age of implantation and chronological age.

Hypothesis: Because of auditory plasticity, there can be experience-dependent acquisition and refinement of spatial hearing skills. Background: A growing number of children who are deaf are receiving bilateral cochlear implants (CIs), in an attempt to provide them with acoustic cues known to be important for spatial hearing. A feasible and reliable task for children is the right-left discrimination task, which enables measurement of the smallest angle from midline that can be reliably discriminated (minimum audible angle [MAA]). Methods: Ten children (5-10 yr of age) were followed longitudinally during their transition from 1 to 2 CIs, with testing before bilateral activation, as well as 3 and 12 months after bilateral activation. Testing at 3 and 12 months after bilateral activation was conducted under bilateral and first CI listening modes. During testing, stimuli were presented from an array of loudspeakers. On each trial, the child reported whether the sound was to the right or left, with feedback. Percent correct was measured in blocks of trials for numerous angle values. Results: At baseline, some children were unable to perform the right-versus-left task, but group mean MAA was 44.8 degrees. MAA in the bilateral listening mode improved to 20.4 degrees at 3 months and 16.8 degrees at 12 months after bilateral activation. No improvement was seen in the unilateral listening mode. Bilateral performance was better than unilateral. Conclusion: Spatial hearing skills in sequentially implanted children develop in an experience-dependent manner, perhaps because of the ability of the auditory system to use newly acquired electrical stimulation presented to the 2 ears.