Auditory perception in vestibular neurectomy subjects

Role of the medial olivocochlear efferent auditory system in speech perception in noise: a systematic review and meta-analyses

OBJECTIVE

The study investigated the relationship between the strength of the medial olivocochlear reflex (measured via contralateral inhibition of otoacoustic emissions) and speech perception in noise (obtained from behavioural identification task) through meta-analyses.

DESIGN

A systematic review and random-effects meta-analysis of studies investigating the relationship in neurotypical adults was performed.

STUDY SAMPLE

The systematic search (in PubMed, Scopus, Science Direct and Google Scholar databases) revealed 21 eligible studies, which were critically appraised using the NIH tool for Observational Cohort and Cross-Sectional Studies. Meta-analysis was performed on 17 studies (374 participants) with fair to good quality.

RESULTS

The results revealed that the medial olivocochlear reflex accounts for less than 1% of the variations in speech perception in noise in neurotypical individuals. Sub-group analyses conducted to address a few methodological differences also revealed no discernible association between the two variables.

CONCLUSIONS

The results reveal no modulatory effect of the medial olivocochlear reflex assessed using contralateral inhibition of otoacoustic emission on the ability to perceive speech in noise. However, more data utilising alternative measures of medial olivocochlear reflex strength is necessary before drawing any conclusions about the role of the medial olivocochlear bundle in speech perception in noise.

The Relationship between Contralateral Suppression of Transient Evoked Otoacoustic Emission and Unmasking of Speech Evoked Auditory Brainstem Response

Introduction Several studies have shown that efferent pathways of the auditory system improve perception of speech-in-noise. But, the majority of investigations assessing the role of efferent pathways on speech perception have used contralateral suppression of otoacoustic emissions as a measure of efferent activity. By studying the effect of efferent activity on the speech-evoked auditory brainstem response (ABR), some more light could be shed on the effect of efferent pathways on the encoding of speech in the auditory pathway.

Objectives To investigate the relationship between contralateral suppression of transient evoked otoacoustic emission (CSTEOAE) and unmasking of speech ABR.

Methods A total of 23 young adults participated in the study. The CSTEOAE was measured using linear clicks at 60 dB peSPL and white noise at 60 dB sound pressure level (SPL). The speech ABR was recorded using the syllable /da/ at 80 dB SPL in quiet, ipsilateral noise, and binaural noise conditions. In the ipsilateral noise condition, white noise was presented to the test ear at 60 dB SPL, and, in the binaural noise condition, two separate white noises were presented to both ears.

Results The F0 amplitude of speech ABR was higher in quiet condition; however, the mean amplitude of F0 was not significantly different across conditions. Correlation analysis showed a significant positive correlation between the CSTEOAE and the magnitude of unmasking of F0 amplitude of speech ABR.

Conclusions The findings of the present study suggests that the efferent pathways are involved in speech-in-noise processing.

The role of the medial olivocochlear reflex in psychophysical masking and intensity resolution in humans: a review

This review addresses the putative role of the medial olivocochlear (MOC) reflex in psychophysical masking and intensity resolution in humans. A framework for interpreting psychophysical results in terms of the expected influence of the MOC reflex is introduced. This framework is used to review the effects of a precursor or contralateral acoustic stimulation on 1) simultaneous masking of brief tones, 2) behavioral estimates of cochlear gain and frequency resolution in forward masking, 3) the buildup and decay of forward masking, and 4) measures of intensity resolution. Support, or lack thereof, for a role of the MOC reflex in psychophysical perception is discussed in terms of studies on estimates of MOC strength from otoacoustic emissions and the effects of resection of the olivocochlear bundle in patients with vestibular neurectomy. Novel, innovative approaches are needed to resolve the dissatisfying conclusion that current results are unable to definitively confirm or refute the role of the MOC reflex in masking and intensity resolution.

The relationship between ipsilateral cochlear gain reduction and speech-in-noise recognition at positive and negative signal-to-noise ratios

Active mechanisms that regulate cochlear gain are hypothesized to influence speech-in-noise perception. However, evidence of a relationship between the amount of cochlear gain reduction and speech-in-noise recognition is mixed. Findings may conflict across studies because different signal-to-noise ratios (SNRs) were used to evaluate speech-in-noise recognition. Also, there is evidence that ipsilateral elicitation of cochlear gain reduction may be stronger than contralateral elicitation, yet, most studies have investigated the contralateral descending pathway. The hypothesis that the relationship between ipsilateral cochlear gain reduction and speech-in-noise recognition depends on the SNR was tested. A forward masking technique was used to quantify the ipsilateral cochlear gain reduction in 24 young adult listeners with normal hearing. Speech-in-noise recognition was measured with the PRESTO-R sentence test using speech-shaped noise presented at -3, 0, and +3 dB SNR. Interestingly, greater cochlear gain reduction was associated with lower speech-in-noise recognition, and the strength of this correlation increased as the SNR became more adverse. These findings support the hypothesis that the SNR influences the relationship between ipsilateral cochlear gain reduction and speech-in-noise recognition. Future studies investigating the relationship between cochlear gain reduction and speech-in-noise recognition should consider the SNR and both descending pathways.

Olivocochlear efferent effects on perception and behavior

The role of the mammalian auditory olivocochlear efferent system in hearing has long been the subject of debate. Its ability to protect against damaging noise exposure is clear, but whether or not this is the primary function of a system that evolved in the absence of industrial noise remains controversial. Here we review the behavioral consequences of olivocochlear activation and diminished olivocochlear function. Attempts to demonstrate a role for hearing in noise have yielded conflicting results in both animal and human studies. A role in selective attention to sounds in the presence of distractors, or attention to visual stimuli in the presence of competing auditory stimuli, has been established in animal models, but again behavioral studies in humans remain equivocal. Auditory processing deficits occur in models of congenital olivocochlear dysfunction, but these deficits likely reflect abnormal central auditory development rather than direct effects of olivocochlear feedback. Additional proposed roles in age-related hearing loss, tinnitus, hyperacusis, and binaural or spatial hearing, are intriguing, but require additional study. These behavioral studies almost exclusively focus on medial olivocochlear effects, and many relied on lesioning techniques that can have unspecific effects. The consequences of lateral olivocochlear and of corticofugal pathway activation for perception remain unknown. As new tools for targeted manipulation of olivocochlear neurons emerge, there is potential for a transformation of our understanding of the role of the olivocochlear system in behavior across species.

Investigating Influences of Medial Olivocochlear Efferent System on Central Auditory Processing and Listening in Noise: A Behavioral and Event-Related Potential Study

This electrophysiological study investigated the role of the medial olivocochlear (MOC) efferents in listening in noise. Both ears of eleven normal-hearing adult participants were tested. The physiological tests consisted of transient-evoked otoacoustic emission (TEOAE) inhibition and the measurement of cortical event-related potentials (ERPs). The mismatch negativity (MMN) and P300 responses were obtained in passive and active listening tasks, respectively. Behavioral responses for the word recognition in noise test were also analyzed. Consistent with previous findings, the TEOAE data showed significant inhibition in the presence of contralateral acoustic stimulation. However, performance in the word recognition in noise test was comparable for the two conditions (i.e., without contralateral stimulation and with contralateral stimulation). Peak latencies and peak amplitudes of MMN and P300 did not show changes with contralateral stimulation. Behavioral performance was also maintained in the P300 task. Together, the results show that the peripheral auditory efferent effects captured via otoacoustic emission (OAE) inhibition might not necessarily be reflected in measures of central cortical processing and behavioral performance. As the MOC effects may not play a role in all listening situations in adults, the functional significance of the cochlear effects of the medial olivocochlear efferents and the optimal conditions conducive to corresponding effects in behavioral and cortical responses remain to be elucidated.

Evaluating the Function of the Medial Olivocochlear Bundle in Patients With Bilateral Tinnitus

Purpose No study has investigated the effects of contralateral noise (CN) on speech-in-noise perception (SINP) in listeners with tinnitus. The mechanisms underlying the involvement of medial olivocochlear (MOC) reflex with SINP remain to be elucidated. This study aimed to investigate the MOC function in patients with bilateral tinnitus by measuring distortion product otoacoustic emission and SINP. Method Eighteen patients with bilateral tinnitus (one male and 17 females; age: M ± SD = 45.61 ± 10.18 years) and 19 listeners without tinnitus (six males and 13 females; age: M ± SD = 34.11 ± 8.35 years) were recruited for the study. Each subject underwent distortion product otoacoustic emission measurement and the SINP test for both ears. The effects of CN on these two measurements were compared between tinnitus ears (TEs) and no-tinnitus ears (NTEs). Results The presence of CN significantly reduced distortion product (DP) amplitudes and improved SINP for TEs, and the amounts of DP suppression and SINP improvement were similar to those in NTEs. Improvement of SINP was positively correlated with DP suppression at 6185 Hz for NTEs and at 1640 Hz for TEs. Conclusions The results of this study suggest that the amounts of DP suppression and SINP improvement were similar between listeners with and without tinnitus. For both ear groups, the MOC reflex was involved with SINP at specific frequencies. Any clinical test outcomes with regard to the MOC bundle in patients with tinnitus should be interpreted with caution until further studies are conducted.

The role of efferents in human auditory development: efferent inhibition predicts frequency discrimination in noise for children

The descending corticofugal fibers originate from the auditory cortex and exert control on the periphery via the olivocochlear efferents. Medial efferents are thought to enhance the discriminability of transient sounds in background noise. In addition, the observation of deleterious long-term effects of efferent sectioning on the response properties of auditory nerve fibers in neonatal cats supports an efferent-mediated control of normal development. However, the role of the efferent system in human hearing remains unclear. The objective of the present study was to test the hypothesis that the medial efferents are involved in the development of frequency discrimination in noise. The hypothesis was examined with a combined behavioral and physiological approach. Frequency discrimination in noise and efferent inhibition were measured in 5- to 12-yr-old children (n = 127) and young adults (n = 37). Medial efferent strength was noninvasively assayed with a rigorous otoacoustic emission protocol. Results revealed an age-mediated relationship between efferent inhibition and frequency discrimination in noise. Efferent inhibition strongly predicted frequency discrimination in noise for younger children (5-9 yr). However, for older children (>9 yr) and adults, efferent inhibition was not related to frequency discrimination in noise. These findings support the role of efferents in the development of hearing-in-noise in humans; specifically, younger children compared with older children and adults are relatively more dependent on efferent inhibition for extracting relevant cues in noise. Additionally, the present findings caution against postulating an oversimplified relationship between efferent inhibition and measures of auditory perception in humans.NEW & NOTEWORTHY Despite several decades of research, the functional role of medial olivocochlear efferents in humans remains controversial and is thought to be insignificant. Here it is shown that medial efferent inhibition strongly predicts frequency discrimination in noise for younger children but not for older children and adults. Young children are relatively more dependent on the efferent system for listening-in-noise. This study highlights the role of the efferent system in hearing-in-noise during childhood development.

Effects of Non-traumatic Noise and Conductive Hearing Loss on Auditory System Function

The effects of traumatic noise-exposure and deafening on auditory system function have received a great deal of attention. However, lower levels of noise as well as temporary conductive hearing loss also have consequences on auditory physiology and hearing. Here we review how abnormal acoustic experience at early ages affects the ascending and descending auditory pathways, as well as hearing behavior.

Olivocochlear Efferents in Animals and Humans: From Anatomy to Clinical Relevance

Olivocochlear efferents allow the central auditory system to adjust the functioning of the inner ear during active and passive listening. While many aspects of efferent anatomy, physiology and function are well established, others remain controversial. This article reviews the current knowledge on olivocochlear efferents, with emphasis on human medial efferents. The review covers (1) the anatomy and physiology of olivocochlear efferents in animals; (2) the methods used for investigating this auditory feedback system in humans, their limitations and best practices; (3) the characteristics of medial-olivocochlear efferents in humans, with a critical analysis of some discrepancies across human studies and between animal and human studies; (4) the possible roles of olivocochlear efferents in hearing, discussing the evidence in favor and against their role in facilitating the detection of signals in noise and in protecting the auditory system from excessive acoustic stimulation; and (5) the emerging association between abnormal olivocochlear efferent function and several health conditions. Finally, we summarize some open issues and introduce promising approaches for investigating the roles of efferents in human hearing using cochlear implants.

Minimal Effects of Age and Exposure to a Noisy Environment on Hearing in Alpha9 Nicotinic Receptor Knockout Mice

Studies have suggested a role of weakened medial olivocochlear (OC) efferent feedback in accelerated hearing loss and increased susceptibility to noise. The present study investigated the progression of hearing loss with age and exposure to a noisy environment in medial OC-deficient mice. Alpha9 nicotinic acetylcholine receptor knockout (α9KO) and wild types were screened for hearing loss using auditory brainstem responses. α9KO mice housed in a quiet environment did not show increased hearing loss compared to wild types in young adulthood and middle age. Challenging the medial OC system by housing in a noisy environment did not increase hearing loss in α9KO mice compared to wild types. ABR wave 1 amplitudes also did not show differences between α9KO mice and wild types. These data suggest that deficient medial OC feedback does not result in early onset of hearing loss.

Spontaneous otoacoustic emission recordings during contralateral pure-tone activation of medial olivocochlear reflex

We hypothesized that cochlear frequency discrimination occurs through medial olivocochlear efferent (MOCE)-induced alterations in outer hair cell (OHC) electromotility, which is independent from basilar membrane traveling waves. After obtaining informed consent, volunteers with normal hearing (n = 10; mean age: 20.6 ± 1.2 years) and patients with unilateral deafness (n = 10; mean age: 30.2 ± 17.9 years) or bilateral deafness (n = 8; mean age: 30.7 ± 13.8 years) underwent a complete physical and audiological examination, and audiological tests including transient evoked otoacoustic emission and spontaneous otoacoustic emission (TEOAE and SOAE, respectively). SOAE recordings were performed during contralateral pure-tone stimuli at 1 and 3 kHz. SOAE recordings in the presence of contralateral pure-tone stimuli showed frequency-specific activation out of the initial frequency range of SOAE responses. Basilar membrane motion during pure-tone stimulation results from OHC activation by means of MOCE neurons rather than from a traveling wave. Eventually, frequency-specific responses obtained from SOAEs suggested that OHC electromotility may be responsible for frequency discrimination of the cochlea independently from basilar membrane motion.

Effects of age and hearing loss on overshoot

The detection of a brief, sinusoidal probe in a long broadband, simultaneous masker improves as the probe is delayed from the masker's onset. This improvement ("overshoot") may be mediated by a reduction in cochlear amplifier gain over the timecourse of the masker via the medial olivocochlear (MOC) reflex. Overshoot was measured in younger adults with normal hearing and in older adults with normal and impaired hearing to test the hypothesis that aging and cochlear hearing loss result in abnormal overshoot, consistent with changes in certain structures along the MOC pathway. Overshoot decreased with increasing quiet probe thresholds and was only minimally influenced by increasing age. Marked individual differences in overshoot were observed due to differences in masking thresholds for probes presented near the masker's onset. Model simulations support the interpretation that reduced overshoot in hearing-impaired listeners is due to limited cochlear amplifier gain and therefore less gain to adjust over the timecourse of the masker. Similar overshoot among younger and older adults with normal hearing suggests that age-related changes to mechanisms underlying overshoot do not result in significant differences in overshoot among younger and older adults with normal hearing.

Top-down influences of the medial olivocochlear efferent system in speech perception in noise

One of the putative functions of the medial olivocochlear (MOC) system is to enhance signal detection in noise. The objective of this study was to elucidate the role of the MOC system in speech perception in noise. In normal-hearing human listeners, we examined (1) the association between magnitude of MOC inhibition and speech-in-noise performance, and (2) the association between MOC inhibition and the amount of contralateral acoustic stimulation (CAS)-induced shift in speech-in-noise acuity. MOC reflex measurements in this study considered critical measurement issues overlooked in past work by: recording relatively low-level, linear click-evoked otoacoustic emissions (CEOAEs), adopting 6 dB signal-to-noise ratio (SNR) criteria, and computing normalized CEOAE differences. We found normalized index to be a stable measure of MOC inhibition (mean = 17.21%). MOC inhibition was not related to speech-in-noise performance measured without CAS. However, CAS in a speech-in-noise task caused an SNRSP enhancement (mean = 2.45 dB), and this improvement in speech-in-noise acuity was directly related to their MOC reflex assayed by CEOAEs. Individuals do not necessarily use the available MOC-unmasking characteristic while listening to speech in noise, or do not utilize unmasking to the extent that can be shown by artificial MOC activation. It may be the case that the MOC is not actually used under natural listening conditions and the higher auditory centers recruit MOC-mediated mechanisms only in specific listening conditions-those conditions remain to be investigated.

The relationship between MOC reflex and masked threshold

Otoacoustic emission (OAE) amplitude can be reduced by acoustic stimulation. This effect is produced by the medial olivocochlear (MOC) reflex. Past studies have shown that the MOC reflex is related to listening in noise and attention. In the present study, the relationship between strength of the contralateral MOC reflex and masked threshold was investigated in 19 adults. Detection thresholds were determined for 1000-Hz, 300-ms tone presented simultaneously with one repetition of a 300-ms masker in an ongoing train of masker bursts. Three masking conditions were tested: 1) broadband noise 2) a fixed-frequency 4-tone complex masker and 3) a random-frequency 4-tone complex masker. Broadband noise was expected to produce energetic masking and the tonal maskers were expected to produce informational masking in some listeners. DPOAEs were recorded at fine frequency intervals from 500 to 4000 Hz, with and without contralateral acoustic stimulation. MOC reflex strength was estimated as a reduction in baseline level and a shift in frequency of DPOAE fine-structure maxima near 1000-Hz. MOC reflex and psychophysical testing were completed in separate sessions. Individuals with poorer thresholds in broadband noise and in random-frequency maskers were found to have stronger MOC reflexes.

Use of stimulus-frequency otoacoustic emissions to investigate efferent and cochlear contributions to temporal overshoot

Behavioral threshold for a tone burst presented in a long-duration noise masker decreases as the onset of the tone burst is delayed relative to masker onset. The threshold difference between detection of early- and late-onset tone bursts is called overshoot. Although the underlying mechanisms are unclear, one hypothesis is that overshoot occurs due to efferent suppression of cochlear nonlinearity [von Klitzing, R., and Kohlrausch, A. (1994). J. Acoust. Soc. Am. 95, 2192-2201]. This hypothesis was tested by using overshoot conditions to elicit stimulus-frequency otoacoustic emissions (SFOAEs), which provide a physiological measure of cochlear nonlinearity. SFOAE and behavioral thresholds were estimated using a modified maximum-likelihood yes-no procedure. The masker was a 400-ms "frozen" notched noise. The signal was a 20-ms, 4-kHz tone burst presented at 1 or 200 ms after the noise onset. Behavioral overshoot results replicated previous studies, but no overshoot was observed in SFOAE thresholds. This suggests that either efferent suppression of cochlear nonlinearity is not involved in overshoot, or a SFOAE threshold estimation procedure based on stimuli similar to those used to study behavioral overshoot is not sensitive enough to measure the effect.

Cortical mechanisms of speech perception in noise

PURPOSE

The present study examines the brain basis of listening to spoken words in noise, which is a ubiquitous characteristic of communication, with the focus on the dorsal auditory pathway.

METHOD

English-speaking young adults identified single words in 3 listening conditions while their hemodynamic response was measured using fMRI: speech in quiet, speech in moderately loud noise (signal-to-noise ratio [SNR] 20 dB), and in loud noise (SNR -5 dB).

RESULTS

Behaviorally, participants' performance (both accuracy and reaction time) did not differ between the quiet and SNR 20 dB condition, whereas they were less accurate and responded slower in the SNR -5 dB condition compared with the other 2 conditions. In the superior temporal gyrus (STG), both left and right auditory cortex showed increased activation in the noise conditions relative to quiet, including the middle portion of STG (mSTG). Although the right posterior STG (pSTG) showed similar activation for the 2 noise conditions, the left pSTG showed increased activation in the SNR -5 dB condition relative to the SNR 20 dB condition.

CONCLUSION

We found cortical task-independent and noise-dependent effects concerning speech perception in noise involving bilateral mSTG and left pSTG. These results likely reflect demands in acoustic analysis, auditory-motor integration, and phonological memory, as well as auditory attention.

Role of attention in overshoot: frequency certainty versus uncertainty

Overshoot, the elevation in the threshold for a brief signal that comes on close to masker onset, was measured with signal frequency certain (same frequency on every trial) or uncertain (randomized over trials). In broadband noise, thresholds were higher 2 ms after masker onset than 200 ms later, by 9 dB with frequency certainty, by 6-7 dB with uncertainty. In narrowband noise centered on the signal frequency, thresholds at 2 ms were not elevated with certainty, but were elevated 4-5 dB with uncertainty. Thus, frequency uncertainty leads to less overshoot in broadband noise, to more overshoot in narrowband noise. Reduced overshoot in broadband noise may come about because the masker, given its many frequencies, disrupts focusing at onset as much under certainty as uncertainty. Once the initial disruption dissipates, threshold is lower with certainty so overshoot is greater. In contrast, a narrowband noise with frequencies only near the signal does not disrupt focusing when the signal frequency is known beforehand, so overshoot is absent. When frequency is uncertain, the narrowband noise serves to focus attention on the signal frequency; as this requires time, detection near noise onset is poorer than later on, so overshoot is present.

Spectral integration and wideband analysis in gap detection and overshoot paradigms

Several listening conditions show that energy remote from a target frequency can deleteriously affect sensitivity. One interpretation of such results entails a wideband analysis involving a wide predetection filter. The present study tested the hypothesis that both temporal gap detection and overshoot results are consistent with a wideband analysis, as contrasted with statistical combination of information across independent channels. For gap detection, stimuli were random or comodulated 50-Hz-wide noise bands centered on 1000, 1932, 3569, and 6437 Hz. For overshoot, the masker was an 8-kHz low-pass filtered noise, with 5-ms tone bursts presented at the same center frequencies used for gap detection. Signals were presented with either 0- or 250-ms delay after masker onset. In each paradigm, the target was introduced at only one frequency or at all four frequencies. Results from gap detection conditions did not favor a wideband analysis interpretation: Results in the random condition were consistent with an optimal combination of cues across frequency. An across-channel interference effect was also evident when only one of the four bands contained the gap. Although results from the overshoot conditions were consistent with a wideband analysis interpretation, they were more parsimoniously accounted for in terms of statistical combination of information.

Olivocochlear efferents: anatomy, physiology, function, and the measurement of efferent effects in humans

This review covers the basic anatomy and physiology of the olivocochlear reflexes and the use of otoacoustic emissions (OAEs) in humans to monitor the effects of one group, the medial olivocochlear (MOC) efferents. MOC fibers synapse on outer hair cells (OHCs), and activation of these fibers inhibits basilar membrane responses to low-level sounds. This MOC-induced decrease in the gain of the cochlear amplifier is reflected in changes in OAEs. Any OAE can be used to monitor MOC effects on the cochlear amplifier. Each OAE type has its own advantages and disadvantages. The most straightforward technique for monitoring MOC effects is to elicit MOC activity with an elicitor sound contralateral to the OAE test ear. MOC effects can also be monitored using an ipsilateral elicitor of MOC activity, but the ipsilateral elicitor brings additional problems caused by suppression and cochlear slow intrinsic effects. To measure MOC effects accurately, one must ensure that there are no middle-ear-muscle contractions. Although standard clinical middle-ear-muscle tests are not adequate for this, adequate tests can usually be done with OAE-measuring instruments. An additional complication is that most probe sounds also elicit MOC activity, although this does not prevent the probe from showing MOC effects elicited by contralateral sound. A variety of data indicate that MOC efferents help to reduce acoustic trauma and lessen the masking of transients by background noise; for instance, they aid in speech comprehension in noise. However, much remains to be learned about the role of efferents in auditory function. Monitoring MOC effects in humans using OAEs should continue to provide valuable insights into the role of MOC efferents and may also provide clinical benefits.

Temporal masking in electric hearing

Temporal masking can be defined as the detection threshold of a brief signal as a function of the signal delay in a relatively long masker. The temporal masking pattern in normal acoustic hearing reveals temporal edge enhancement in which the signal detection threshold is greater near the masker onset than in the steady-state portion. Both peripheral and central mechanisms appear to underlie temporal edge enhancement, but their relative contributions remain elusive. Cochlear implants bypass cochlear mechanical processing and stimulate the auditory nerve directly, thereby providing a unique opportunity to separate the peripheral mechanisms from the central mechanisms. Here, we systematically measured temporal masking in electric hearing by examining whether a brief signal was harder to detect at the onset than in the steady-state portion of a long masker (the "overshoot" effect). The signal and the masker were presented (1) either to the same electrode or to different electrodes, (2) at the same stimulation or different rates, and (3) in a simultaneous or an interleaved fashion. A consistent pattern of results was observed, depending on the stimulus configuration between the signal and the masker. Simultaneous stimulation at the same rate and with the same electrode produced no difference in sensitivity between the onset and the steady-state conditions, but interleaved stimulation at different rates or with different electrodes produced a significant difference. Unlike acoustic hearing, high masker levels produced an overshoot effect, and low masker levels produced an undershoot effect. Although the present results are consistent with the "on-frequency vs. off-frequency" hypothesis for the overshoot effect, results also suggest a central "same vs. different" mechanism underlying temporal masking. These results have practical implications for improving cochlear implant design.

Medial-olivocochlear-efferent inhibition of the first peak of auditory-nerve responses: evidence for a new motion within the cochlea

Despite the insights obtained from click responses, the effects of medial-olivocochlear (MOC) efferents on click responses from single-auditory-nerve (AN) fibers have not been reported. We recorded responses of cat single AN fibers to randomized click level series with and without electrical stimulation of MOC efferents. MOC stimulation inhibited (1) the whole response at low sound levels, (2) the decaying part of the response at all sound levels, and (3) the first peak of the response at moderate to high sound levels. The first two effects were expected from previous reports using tones and are consistent with a MOC-induced reduction of cochlear amplification. The inhibition of the AN first peak, which was strongest in the apex and middle of the cochlea, was unexpected because the first peak of the classic basilar-membrane (BM) traveling wave receives little or no amplification. In the cochlear base, the click data were ambiguous, but tone data showed particularly short group delays in the tail-frequency region that is strongly inhibited by MOC efferents. Overall, the data support the hypothesis that there is a motion that bends inner-hair-cell stereocilia and can be inhibited by MOC efferents, a motion that is present through most, or all, of the cochlea and for which there is no counterpart in the classic BM traveling wave.

Perceptual Consequences of Disrupted Auditory Nerve Activity

Perceptual consequences of disrupted auditory nerve activity were systematically studied in 21 subjects who had been clinically diagnosed with auditory neuropathy (AN), a recently defined disorder characterized by normal outer hair cell function but disrupted auditory nerve function. Neurological and electrophysical evidence suggests that disrupted auditory nerve activity is due to desynchronized or reduced neural activity or both. Psychophysical measures showed that the disrupted neural activity has minimal effects on intensity-related perception, such as loudness discrimination, pitch discrimination at high frequencies, and sound localization using interaural level differences. In contrast, the disrupted neural activity significantly impairs timing related perception, such as pitch discrimination at low frequencies, temporal integration, gap detection, temporal modulation detection, backward and forward masking, signal detection in noise, binaural beats, and sound localization using interaural time differences. These perceptual consequences are the opposite of what is typically observed in cochlear-impaired subjects who have impaired intensity perception but relatively normal temporal processing after taking their impaired intensity perception into account. These differences in perceptual consequences between auditory neuropathy and cochlear damage suggest the use of different neural codes in auditory perception: a suboptimal spike count code for intensity processing, a synchronized spike code for temporal processing, and a duplex code for frequency processing. We also proposed two underlying physiological models based on desynchronized and reduced discharge in the auditory nerve to successfully account for the observed neurological and behavioral data. These methods and measures cannot differentiate between these two AN models, but future studies using electric stimulation of the auditory nerve via a cochlear implant might. These results not only show the unique contribution of neural synchrony to sensory perception but also provide guidance for translational research in terms of better diagnosis and management of human communication disorders.

Concurrent measurement of the detectability of tone bursts and their effect on the excitability of the human blink reflex using a probe-signal method

The probe-signal method has shown that auditory signals that are either presented more often in a series of trials or that are immediately preceded by cues of the same frequency on a single trial are detected more readily than signals of other frequencies. The frequency range in which detection is favored defines an attentional band, which is thought to result from an effective attenuation of deviant frequencies in the cochlea, possibly by activation of the olivocochlear bundle. In a 2IFC procedure in which the first observation interval was preceded by a 1300-Hz cue, subjects detected cued probe tones (at 1300 Hz) but not uncued probe tones (at 1000 Hz or 1600 Hz) at better than chance levels. Concurrent elicitation of a blink reflex by presentation of an air puff in the first observation interval on a random half of the trials showed that cued probes, but not uncued probes, inhibited the size of the blink reflex. These data show that uncued probes do not enter into the low-level sensory processing in the brainstem which is responsible for reflex modification. This finding is consistent with the view that stimuli whose frequency falls outside an attentional band are excluded at the auditory periphery.

Functioning of Olivocochlear Bundle and Speech Perception in Noise

OBJECTIVES

To evaluate the effect of contralateral acoustic stimuli on speech identification scores and to correlate this effect to contralateral suppression of evoked otoacoustic emission.

DESIGN

Ten normal-hearing children with good academic performance participated in the study. Speech identification scores were measured in quiet and with different ipsilateral signal to noise ratios in two conditions, with and without contralateral acoustic stimuli. Transient evoked otoacoustic emissions were recorded for 70 dB SPL clicks with and without contralateral acoustic stimuli.

RESULTS

Findings revealed that contralateral acoustic stimuli enhanced speech perception when ipsilateral signal to noise ratios was +10 dB and +15 dB. This enhancement had significant positive correlation with contralateral suppression of OAE.

CONCLUSIONS

The results of the present study support the hypothesis that medial olivocochlear bundle might aid in speech perception in noise, thereby suggesting a possible role of cochlear efferent fibers in hearing. The psychoacoustic measures can be used to evaluate the efferent auditory pathways, where it is not possible to record otoacoustic emissions.

Reduced Medial Olivocochlear Bundle System Function in Children with Auditory Processing Disorders

A common complaint of children with auditory processing disorders (APD) is difficulty in understanding speech in the presence of background noise. Evidence from animal and human studies has suggested that the medial olivocochlear bundle (MOCB) may play a role in hearing in noise. The MOCB function can be evaluated by the suppression effect of the transient evoked otoacoustic emissions (TEOAE) in response to contralateral acoustic stimulation (CAS). The present study was conducted to investigate the suppression effect of TEOAE in APD children. The study groups comprised 15 APD children aged 8-13 years associated with learning disabilities and 15 controls matched for gender and age. The suppression effect of TEOAE was evaluated by comparing the TEOAE levels with and without CAS. A significantly reduced suppression effect of TEOAE was demonstrated in the APD group, when compared to the controls. In addition, higher TEOAE levels were found in the APD group, suggesting inherent reduced MOCB activity on the outer hair cells in APD children. These results imply that some APD children present low activity of the MOCB system, which may indicate a reduced auditory inhibitory function and affect their ability to hear in the presence of background noise.

Behavioral investigation of some possible effects of the central olivocochlear pathways in transgenic mice

This study investigated the auditory behaviors of transgenic mice with deletions of alpha9 nicotinic acetylcholine receptor subunits. In the normal mammalian cochlea, the mechanical properties of outer hair cells are modified by the release of acetylcholine from olivocochlear efferent terminals. Electrophysiological correlates of this efferent feedback have not been demonstrated in alpha9 knockout mice, presumably because they are mediated by alpha9 receptors. Previous studies have associated lesions of olivocochlear pathways with hearing impairments in background noise. The prediction that alpha9 knockout mice would show similar deficits was tested by collecting psychophysical thresholds for tone detection and intensity discrimination from knockout mice, within-strain control subjects, and CBA/CaJ mice. Comparable performance was observed for the subject groups in quiet and in continuous background noise. The preservation of auditory function in alpha9 knockout mice suggests that central efferent pathways work in combination with the peripheral olivocochlear system to enhance hearing in noise, and may compensate for profound manipulations of peripheral feedback in highly routine testing procedures. An intriguing possibility is that these central mechanisms include the brainstem collaterals of olivocochlear neurons since their post-synaptic targets do not express alpha9 receptors and therefore are likely to maintain their effects in alpha9 knockout mice.

Effects of signal delay on auditory filter shapes derived from psychophysical tuning curves and notched-noise data obtained in simultaneous masking

Psychophysical tuning curves (PTCs) measured in simultaneous masking usually sharpen as a short duration signal is moved from the onset to the temporal center of a longer duration masker. Filter shapes derived from notched-noise maskers have not consistently shown this effect. One possible explanation for this difference is that the signal level is fixed in the PTC paradigm, whereas the masker level is usually fixed in the notched-noise paradigm. In the present study, the signal level was fixed at 10 dB SL in both paradigms. The signal was 20 ms in duration, and presented at the onset or temporal center of the 400-ms masker. The masker was a pure tone presented in quiet (PTC) or in the presence of a pure-tone "restrictor" intended to limit off-frequency listening (PTCr), or it was a noise with a spectral notch placed symmetrically or asymmetrically about the 2-kHz signal frequency. Filter shapes were derived from the PTC, PTCr, and notched-noise data using the roex (p, w, t) model. The effects of signal delay and masking paradigm on filter bandwidth were analyzed with a two-factor repeated-measures ANOVA. There was a significant effect of signal delay (the filters sharpened with time) and masking paradigm (the filters derived from the notched-noise data were significantly wider than those derived from either of the PTC measurements, which did not differ from one another). Although the interaction between delay and paradigm was not significant, the filter derived from the notched-noise data sharpened more with time than did the other filters, and thus the bandwidth of the filters from the three paradigms were more similar at the longer delay than at the shorter delay. It is likely that the tuning-curve and notched-noise paradigms measure the same underlying filtering, but that various other factors contribute differentially to the derived filter shapes.

Overshoot effects using Schroeder-phase harmonic maskers in listeners with normal hearing and with hearing impairment

Overshoot was examined in normal-hearing listeners and in listeners with sensorineural hearing loss using positive (m(+)) and negative (m(-)) Schroeder-phase harmonic maskers and brief (5-ms) 1000-Hz and 4000-Hz signals. Maskers were 460 ms in duration and contained equal-amplitude harmonics of a 100-Hz fundamental frequency. For each masker, probes were presented at temporal locations near the start of the masker (probe onsets 3, 5.5, 8, 10.5, and 13 ms following masker onset) and at the same positions (relative to masker fine structure) 150 ms later, near the temporal center of each masker. Probes were held constant at either 60 or 80 dB sound-pressure level (SPL) and masker levels were varied adaptively to determine masked thresholds at each position within the 10-ms masker period. Overshoot effects were greatest for conditions where cochlear processing was likely to be highly nonlinear, i.e., for normal-hearing listeners tested at moderate presentation levels (60 dB SPL probes). In addition, greater overshoot was observed for m(+) than for m(-) maskers. These findings are consistent with earlier suggestions that masking effectiveness of m(+) complexes is particularly influenced by cochlear nonlinearity (Summers, V. and Leek, M.R., 1998. Hear. Res. 188, 139-150) and with evidence linking overshoot to nonlinearity in peripheral auditory processing.

Onset overmasking of a brief amplitude increment in a pure tone and sensorineural hearing impairment

HYPOTHESIS

The goal of this investigation was to determine, in patients with sensorineural hearing loss who may show an audiologic alteration in onset overmasking, whether different pathologic conditions differ in this respect, and whether patients with a vestibular neurotomy damaging the cochlear efferents will be affected.

BACKGROUND

Auditory detection of brief signals, when presented at the beginning of a simultaneous long masking sound, may require a higher acoustic level than when presented after several hundred milliseconds. The proposed explanation, in terms of auditory nerve fibers adaptation has been based on the observation of a proportionally smaller increase of firing in response to an amplitude increment at the onset of a stimulus. However, this may not explain all the data, and other underlying processes are certainly involved. The degree or type of sensorineural pathologic condition may be a contributing factor. In addition, the cochlear efferent system, which exhibits a time course and a high-frequency predominance compatible with that of onset overmasking, could be involved.

METHODS

Onset overmasking of a brief amplitude increment in one pure tone was examined in 6 normal subjects, 12 patients who had undergone vestibular neurotomy, 8 subjects with Meniere's-like symptoms, 5 subjects with presbyacusis, and 3 patients with a small neuroma. Both ears of all subjects were tested. Detection thresholds, amount of onset overmasking, and differences between the two ears were examined.

RESULTS

All results from subjects with presbyacusis and neuroma were within the range observed in the group of normal subjects. In the group of eight Ménière's syndrome patients, four had results outside the normal range, three had deteriorated detection, and one had better detection. Among the 12 subjects who had undergone neurotomy, 2 had better detection in the unoperated ear.

CONCLUSIONS

The results from Ménière's patients indicate that, in addition to the previously reported improved detection threshold for short onset delay, a deterioration of detection thresholds may occur in some subjects. Overall, the results from neurotomized ears do not provide evidence for an involvement of cochlear efferents in this tested psychoacoustic task.

The relationship between frequency selectivity and overshoot

Under some conditions, threshold for a brief tone is higher at the onset of a broadband masker than it is if it is delayed from the onset of the masker. Evidence suggests that this "overshoot" is related to active processing in the auditory system. The present experiments examined this question, by measuring frequency selectivity under the same conditions in which overshoot was measured. The first experiment demonstrated that the growth of masking with masker level was approximately linear for a 1-kHz signal with or without a precursor (which was identical to the masker), and a 4-kHz signal with a precursor. For the 4-kHz signal with no precursor, an elevation in signal-to-masker ratio was seen at mid masker levels, relative to the other conditions. Frequency selectivity was then measured for a fixed-level signal, with and without a precursor. Relative frequency selectivity was highest for the 4-kHz signal with no precursor, lower for the 1-kHz signal with no precursor, and lowest for the 1- or 4-kHz signal with a precursor. The overshoot results and the frequency selectivity results would be consistent with stronger active processing at 4 kHz than at 1 kHz, and a decrease in active processing following a broadband noise precursor.

Effects of ipsilateral and contralateral precursors on overshoot

Overshoot is defined as the decrease in threshold as a brief signal is moved from the beginning to near the temporal center of a longer duration, broadband noise masker. Overshoot can be reduced when another noise (a precursor) is presented just prior to the masker. The purpose of the present investigation was to follow up on a recent psychophysical study which showed that overshoot could be reduced by a precursor presented to the ear contralateral to that receiving the masker and signal. The signal was a 20-ms, 4000-Hz tone that was presented at the beginning or in the temporal center of a 400-ms broadband noise masker. In the first experiment, a 200-ms broadband precursor was presented either to the ipsilateral or to the contralateral ear. The ipsilateral precursor reduced overshoot for all ten subjects, but the contralateral precursor reduced overshoot for only four of the ten subjects. In a supplementary experiment, the contralateral precursor failed to reduce overshoot in a new group of five subjects, both when tested with supra-aural headphones and with insert earphones. In the second experiment, the four subjects who showed an effect of the contralateral precursor in experiment 1 were tested under conditions where the bandwidth of the precursor was manipulated, resulting in either a narrow-band precursor centered at 4000 Hz, a low-band precursor with energy primarily below 4000 Hz, or a high-band precursor with energy primarily above 4000 Hz. There was a tendency for the effectiveness of the ipsilateral and contralateral precursors to be affected similarly (though to different degrees) by changes in the spectral content of the precursor. These results suggest that the effect of the contralateral precursor is not due to a timing cue, and that the processing underlying the effectiveness of ipsilateral and contralateral precursors may be largely the same.