Title: A Computational Model of the Electrically or Acoustically Evoked Compound Action Potential in Cochlear Implant Users with Residual Hearing

Abstract: Objective: In cochlear implant users with residual acoustic hearing, compound action potentials (CAPs) can be evoked by acoustic (aCAP) or electric (eCAP) stimulation and recorded through the electrodes of the implant. We propose a novel computational model to simulate aCAPs and eCAPs in humans, considering the interaction between combined electric-acoustic stimulation that occurs in the auditory nerve. Methods: The model consists of three components: a 3D finite element method model of an implanted cochlea, a phenomenological single-neuron spiking model for electric-acoustic stimulation, and a physiological multi-compartment neuron model to simulate the individual nerve fiber contributions to the CAP. Results: The CAP morphologies closely resembled those known from humans. The spread of excitation derived from eCAPs by varying the recording electrode along the cochlear implant electrode array was consistent with published human data. The predicted CAP amplitude growth functions largely resembled human data, with deviations in absolute CAP amplitudes for acoustic stimulation. The model reproduced the suppression of eCAPs by simultaneously presented acoustic tone bursts for different masker frequencies and probe stimulation electrodes. Conclusion: The proposed model can simulate CAP responses to electric, acoustic, or combined electric-acoustic stimulation. It considers the dependence on stimulation and recording sites in the cochlea, as well as the interaction between electric and acoustic stimulation in the auditory nerve. Significance: The model enhances comprehension of CAPs and peripheral electric-acoustic interaction. It can be used in the future to investigate objective methods, such as hearing threshold assessment or estimation of neural health through aCAPs or eCAPs.