The aim of the study was to evaluate the speech discrimination ability of p
ostlingually deaf adults implanted with the Combi 40 cochlear implant in no
ise and to compare the results with the speech discrimination ability of pa
tients provided with hearing aids. The 12-month postoperative hearing perfo
rmance of 12 consecutive patients was tested using a sentence discriminatio
n test in quiet and noise. The results of the present study demonstrate tha
t all patients obtained substantial benefit from their implants even in sit
uations coupled with noise. The speech understanding of cochlea-implanted p
atients appears to be better than that of patients provided with hearing ai
ds. Very high scores (mean, 40.2%) were achieved at a signal-noise ratio of
15 dB.