Chronic Bilateral Cochlear Implant Stimulation in Early-Deaf Rabbits Restores Neural Binaural Sensitivity

Cochlear implant (CI) users with a pre-lingual onset of hearing loss show poor sensitivity to interaural time differences (ITD), an important cue for sound localization and speech reception in noise. Similarly, neural ITD sensitivity in the inferior colliculus (IC) of neonatally-deafened animals is degraded compared to animals deafened as adults. Here, we show that chronic bilateral CI stimulation during development can partly reverse the effect of early-onset deafness on ITD sensitivity. The prevalence of ITD sensitive neurons was restored to the level of adult-deaf rabbits in the early-deaf rabbits that received chronic stimulation with wearable bilateral sound processors during development. In contrast, chronic CI stimulation did not improve temporal coding in early-deaf rabbits. The present study is the first report showing functional restoration of ITD sensitivity with CI stimulation in single neurons and highlights the importance of auditory experience during development.