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Stiepan S, Shera CA, Abdala C. Does Endolymphatic Hydrops Shift the Cochlear Tonotopic Map? AIP CONFERENCE PROCEEDINGS 2024; 3062:060003. [PMID: 38576895 PMCID: PMC10994190 DOI: 10.1063/5.0189381] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/06/2024]
Abstract
The cochlear tonotopic map determines where along the basilar membrane traveling waves of different frequencies peak. Endolymphatic hydrops has been hypothesized to shift the tonotopic map by altering the stiffness of the cochlear partition, especially in the apex. In this exploratory study performed in a handful of normal and hydropic ears, we report preliminary measurements of interaural differences assayed using behavioral pitch-matching supplemented by measurements of reflection otoacoustic-emission phase-gradient delays.
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Affiliation(s)
- Samantha Stiepan
- Auditory Research Center, Caruso Department of Otolaryngology, University of Southern California, 1640 Marengo St, Los Angeles, CA, United States
| | - Christopher A. Shera
- Auditory Research Center, Caruso Department of Otolaryngology, University of Southern California, 1640 Marengo St, Los Angeles, CA, United States
| | - Carolina Abdala
- Auditory Research Center, Caruso Department of Otolaryngology, University of Southern California, 1640 Marengo St, Los Angeles, CA, United States
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Guinan JJ, Lefler SM, Buchman CA, Goodman SS, Lichtenhan JT. Altered mapping of sound frequency to cochlear place in ears with endolymphatic hydrops provide insight into the pitch anomaly of diplacusis. Sci Rep 2021; 11:10380. [PMID: 34001971 PMCID: PMC8128888 DOI: 10.1038/s41598-021-89902-0] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2021] [Accepted: 04/26/2021] [Indexed: 11/22/2022] Open
Abstract
A fundamental property of mammalian hearing is the conversion of sound pressure into a frequency-specific place of maximum vibration along the cochlear length, thereby creating a tonotopic map. The tonotopic map makes possible systematic frequency tuning across auditory-nerve fibers, which enables the brain to use pitch to separate sounds from different environmental sources and process the speech and music that connects us to people and the world. Sometimes a tone has a different pitch in the left and right ears, a perceptual anomaly known as diplacusis. Diplacusis has been attributed to a change in the cochlear frequency-place map, but the hypothesized abnormal cochlear map has never been demonstrated. Here we assess cochlear frequency-place maps in guinea-pig ears with experimentally-induced endolymphatic hydrops, a hallmark of Ménière’s disease. Our findings are consistent with the hypothesis that diplacusis is due to an altered cochlear map. Map changes can lead to altered pitch, but the size of the pitch change is also affected by neural synchrony. Our data show that the cochlear frequency-place map is not fixed but can be altered by endolymphatic hydrops. Map changes should be considered in assessing hearing pathologies and treatments.
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Affiliation(s)
- J J Guinan
- Eaton-Peabody Laboratories, Massachusetts Eye and Ear, Boston, MA, USA.,Department of Otolaryngology, Harvard Medical School, Boston, MA, USA
| | - S M Lefler
- Department of Otolaryngology, School of Medicine, Washington University St. Louis, Campus Box 8115, 660 South Euclid Avenue, Saint Louis, MO, 63110, USA
| | - C A Buchman
- Department of Otolaryngology, School of Medicine, Washington University St. Louis, Campus Box 8115, 660 South Euclid Avenue, Saint Louis, MO, 63110, USA
| | - S S Goodman
- Department of Communication Sciences and Disorders, University of Iowa, Iowa City, IA, USA
| | - J T Lichtenhan
- Department of Otolaryngology, School of Medicine, Washington University St. Louis, Campus Box 8115, 660 South Euclid Avenue, Saint Louis, MO, 63110, USA.
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McGinnity S, Beach EF, Cowan R, Mulder J, Power D, Barr C. Does person-centred care improve outcomes for musicians fitted with hearing protectors? Int J Audiol 2020; 59:809-817. [PMID: 32496835 DOI: 10.1080/14992027.2020.1771621] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Objective: To reduce the risk of hearing injury, musicians are often recommended custom-made musicians' hearing protectors (MHP). Studies report benefits of use however, many still report challenges leading to relatively low uptake and inconsistent usage. Person-centred approaches to health have been shown to improve patient outcomes, and these principles may be translatable to musicians' hearing care. The aim was to investigate if use of, and satisfaction with, MHP is influenced by the treatment delivered to musicians by audiologists.Design: Participants were randomly allocated to one of four conditions that varied in extent of person-centred care.Study sample: Forty-two musicians with an interest in purchasing MHP were recruited.Results: Satisfaction with MHP was high overall and users reported a reduction in incidence of tinnitus. Participants reported few issues related to sound quality, however insertion difficulty was the main problem reported. Only one musician self-identified the need for alterations to their MHP.Conclusions: Adoption of person-centred approaches to MHP was not found to increase likelihood of use, however, satisfaction was high across all conditions. Most often, the need for MHP alterations were clinician-identified during fitting appointments or follow-up contact, underscoring the importance of including these components when providing audiological services to musicians.
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Affiliation(s)
- Siobhan McGinnity
- Department of Audiology & Speech Pathology, The University of Melbourne, Melbourne, Australia.,The HEARing Cooperative Research Centre, Melbourne, Australia
| | - Elizabeth Francis Beach
- The HEARing Cooperative Research Centre, Melbourne, Australia.,National Acoustic Laboratories, Sydney, Australia
| | - Robert Cowan
- Department of Audiology & Speech Pathology, The University of Melbourne, Melbourne, Australia.,The HEARing Cooperative Research Centre, Melbourne, Australia
| | - Johannes Mulder
- The HEARing Cooperative Research Centre, Melbourne, Australia.,Murdoch University, Perth, Australia
| | - Dominic Power
- Department of Audiology & Speech Pathology, The University of Melbourne, Melbourne, Australia
| | - Caitlin Barr
- Department of Audiology & Speech Pathology, The University of Melbourne, Melbourne, Australia.,The HEARing Cooperative Research Centre, Melbourne, Australia
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Ichimiya I, Ichimiya H. Complex tone stimulation may induce binaural diplacusis with low-tone hearing loss. PLoS One 2019; 14:e0210939. [PMID: 30682080 PMCID: PMC6347458 DOI: 10.1371/journal.pone.0210939] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/15/2017] [Accepted: 01/04/2019] [Indexed: 11/29/2022] Open
Abstract
To clarify the possible mechanism causing binaural diplacusis with low-tone hearing loss, two psychoacoustic experiments were performed with 20 healthy subjects, using harmonic complex tones. In the first experiment, two tones were presented unilaterally, either from the right or left side. One of the tones presented was higher in frequency in terms of the fundamental component, but lower or equal in frequency in terms of the highest component, than the other tone. The subjects were asked which tone was higher in pitch after listening to both tones. They were also asked to compare tones in which low-tone components were eliminated. In the second experiment, the subjects heard these complex tones binaurally, with low-tone components eliminated in one ear. In the first experiment, most subjects perceived pitch direction, that is, higher or lower, in a reverse way when low-tone components were eliminated from the complex tones. In the second experiment, approximately half of all subjects heard the tones at different pitches in both ears. Under certain conditions, complex tone stimulation may induce binaural diplacusis when low-tone hearing is lost in one ear.
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Di Stadio A, Dipietro L, Ricci G, Della Volpe A, Minni A, Greco A, de Vincentiis M, Ralli M. Hearing Loss, Tinnitus, Hyperacusis, and Diplacusis in Professional Musicians: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15102120. [PMID: 30261653 PMCID: PMC6209930 DOI: 10.3390/ijerph15102120] [Citation(s) in RCA: 32] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/09/2018] [Accepted: 09/24/2018] [Indexed: 12/20/2022]
Abstract
Professional musicians (PMs) are at high risk of developing hearing loss (HL) and other audiological symptoms such as tinnitus, hyperacusis, and diplacusis. The aim of this systematic review is to (A) assess the risk of developing HL and audiological symptoms in PMs and (B) evaluate if different music genres (Pop/Rock Music—PR; Classical Music—CL) expose PMs to different levels of risk of developing such conditions. Forty-one articles including 4618 PMs were included in the study. HL was found in 38.6% PMs; prevalence was significantly higher among PR (63.5%) than CL (32.8%) PMs; HL mainly affected the high frequencies in the 3000-6000 Hz range and was symmetric in 68% PR PMs and in 44.5% CL PMs. Tinnitus was the most common audiological symptom, followed by hyperacusis and diplacusis. Tinnitus was almost equally distributed between PR and CL PMs; diplacusis was more common in CL than in PR PMs, while prevalence of hyperacusis was higher among PR PMs. Our review showed that PR musicians have a higher risk of developing HL compared to CL PMs; exposure to sounds of high frequency and intensity and absence of ear protection may justify these results. Difference in HL symmetry could be explained by the type of instruments used and consequent single-sided exposure.
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Affiliation(s)
- Arianna Di Stadio
- Otolaryngology Department, University of Perugia, 06123 Perugia, Italy.
| | | | - Giampietro Ricci
- Otolaryngology Department, University of Perugia, 06123 Perugia, Italy.
| | - Antonio Della Volpe
- Santobono-Pousillipon Hospital, Cochlear Implant Center, 80129 Naples, Italy.
| | - Antonio Minni
- Department of Sense Organs, Sapienza University of Rome, 00185 Rome, Italy.
| | - Antonio Greco
- Department of Sense Organs, Sapienza University of Rome, 00185 Rome, Italy.
| | - Marco de Vincentiis
- Department of Oral and Maxillo-Facial Science, Sapienza University of Rome, 00185 Rome, Italy.
| | - Massimo Ralli
- Department of Oral and Maxillo-Facial Science, Sapienza University of Rome, 00185 Rome, Italy.
- Center for Hearing and Deafness, University at Buffalo, Buffalo, NY 14260, USA.
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Norrix LW, Rubiano V, Muller T. Estimating Nonorganic Hearing Thresholds Using Binaural Auditory Stimuli. Am J Audiol 2017; 26:486-495. [PMID: 28915294 DOI: 10.1044/2017_aja-16-0096] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2016] [Accepted: 04/24/2017] [Indexed: 11/09/2022] Open
Abstract
PURPOSE Minimum contralateral interference levels (MCILs) are used to estimate true hearing thresholds in individuals with unilateral nonorganic hearing loss. In this study, we determined MCILs and examined the correspondence of MCILs to true hearing thresholds to quantify the accuracy of this procedure. METHOD Sixteen adults with normal hearing participated. Subjects were asked to feign a unilateral hearing loss at 1.0, 2.0, and 4.0 kHz. MCILs were determined. Subjects also made lateralization judgments for simultaneously presented tones with varying interaural intensity differences. RESULTS The 90% confidence intervals, calculated for the distributions, indicate that the MCIL in 90% of cases would be expected to be very close to threshold to approximately 17-19 dB poorer than the true hearing threshold. How close the MCIL is to true threshold appears to be based on the individual's response criterion. CONCLUSIONS Response bias influences the MCIL and how close an MCIL is to true hearing threshold. The clinician can never know a client's response bias and therefore should use a 90% confidence interval to predict the range for the expected true threshold. On the basis of this approach, a clinician may assume that true threshold is at or as much as 19 dB better than MCIL.
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Affiliation(s)
- Linda W. Norrix
- Department of Speech, Language, & Hearing Sciences, The University of Arizona, Tucson
| | - Vivian Rubiano
- Department of Speech, Language, & Hearing Sciences, The University of Arizona, Tucson
| | - Thomas Muller
- Department of Speech, Language, & Hearing Sciences, The University of Arizona, Tucson
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Reiss LAJ, Shayman CS, Walker EP, Bennett KO, Fowler JR, Hartling CL, Glickman B, Lasarev MR, Oh Y. Binaural pitch fusion: Comparison of normal-hearing and hearing-impaired listeners. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2017; 141:1909. [PMID: 28372056 PMCID: PMC5848869 DOI: 10.1121/1.4978009] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/03/2023]
Abstract
Binaural pitch fusion is the fusion of dichotically presented tones that evoke different pitches between the ears. In normal-hearing (NH) listeners, the frequency range over which binaural pitch fusion occurs is usually <0.2 octaves. Recently, broad fusion ranges of 1-4 octaves were demonstrated in bimodal cochlear implant users. In the current study, it was hypothesized that hearing aid (HA) users would also exhibit broad fusion. Fusion ranges were measured in both NH and hearing-impaired (HI) listeners with hearing losses ranging from mild-moderate to severe-profound, and relationships of fusion range with demographic factors and with diplacusis were examined. Fusion ranges of NH and HI listeners averaged 0.17 ± 0.13 octaves and 1.7 ± 1.5 octaves, respectively. In HI listeners, fusion ranges were positively correlated with a principal component measure of the covarying factors of young age, early age of hearing loss onset, and long durations of hearing loss and HA use, but not with hearing threshold, amplification level, or diplacusis. In NH listeners, no correlations were observed with age, hearing threshold, or diplacusis. The association of broad fusion with early onset, long duration of hearing loss suggests a possible role of long-term experience with hearing loss and amplification in the development of broad fusion.
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Affiliation(s)
- Lina A J Reiss
- Department of Otolaryngology, Oregon Health and Science University, 3181 Southwest Sam Jackson Park Road, Portland, Oregon 97239, USA
| | - Corey S Shayman
- Department of Otolaryngology, Oregon Health and Science University, 3181 Southwest Sam Jackson Park Road, Portland, Oregon 97239, USA
| | - Emily P Walker
- Department of Otolaryngology, Oregon Health and Science University, 3181 Southwest Sam Jackson Park Road, Portland, Oregon 97239, USA
| | - Keri O Bennett
- Department of Otolaryngology, Oregon Health and Science University, 3181 Southwest Sam Jackson Park Road, Portland, Oregon 97239, USA
| | - Jennifer R Fowler
- Department of Otolaryngology, Oregon Health and Science University, 3181 Southwest Sam Jackson Park Road, Portland, Oregon 97239, USA
| | - Curtis L Hartling
- Department of Otolaryngology, Oregon Health and Science University, 3181 Southwest Sam Jackson Park Road, Portland, Oregon 97239, USA
| | - Bess Glickman
- Department of Otolaryngology, Oregon Health and Science University, 3181 Southwest Sam Jackson Park Road, Portland, Oregon 97239, USA
| | - Michael R Lasarev
- Biostatistics and Design Program, Oregon Health and Science University, 3181 Southwest Sam Jackson Park Road, Portland, Oregon 97239, USA
| | - Yonghee Oh
- Department of Otolaryngology, Oregon Health and Science University, 3181 Southwest Sam Jackson Park Road, Portland, Oregon 97239, USA
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