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Hustedt-Mai, A. R.

Publications and source records attributed to Hustedt-Mai, A. R..

3 recordsLinked to original sources

The relationship between distortion product otoacoustic emissions and audiometric thresholds in the extended high-frequency range

Distortion product otoacoustic emissions (DPOAEs) and behavioral audiometry are routinely used for hearing screening and assessment. These measures provide related information about hearing status as both are sensitive to cochlear pathologies. However, DPOAE testing is quicker and does not require a behavioral response. Despite these practical advantages, DPOAE testing is often limited to screening only low and mid- frequencies. Variation in ear canal acoustics across ears and probe placements has resulted in less reliable measurements of DPOAEs near 4 kHz and above where standing waves commonly occur. Stimulus calibration in forward pressure level and responses in emitted pressure level can reduce measurement variability. Using these calibrations, this study assessed the correlation between audiometry and DPOAEs in the extended high frequencies where stimulus calibrations and responses are most susceptible to the effect of standing waves. Behavioral thresholds and DPOAE amplitudes were negatively correlated, and DPOAE amplitudes in emitted pressure level accounted for twice as much variance as amplitudes in sound pressure level. Both measures were correlated with age. These data show that with appropriate calibration methods, extended high-frequency DPOAEs are sensitive to differences in audiometric thresholds and highlight the need to consider calibration techniques in clinical and research applications of DPOAEs.

physiology↗

Individualized Assays of Temporal Coding in the Ascending Human Auditory System

Neural phase-locking to temporal fluctuations is a fundamental and unique mechanism by which acoustic information is encoded by the auditory system. The perceptual role of this metabolically expensive mechanism, the neural phase-locking to temporal fine structure (TFS) in particular, is debated. Although hypothesized, it is unclear if auditory perceptual deficits in certain clinical populations are attributable to deficits in TFS coding. Efforts to uncover the role of TFS have been impeded by the fact that there are no established assays for quantifying the fidelity of TFS coding at the individual level. While many candidates have been proposed, for an assay to be useful, it should not only intrinsically depend on TFS coding, but should also have the property that individual differences in the assay reflect TFS coding per se over and beyond other sources of variance. Here, we evaluate a range of behavioral and electroencephalogram (EEG)-based measures as candidate individualized measures of TFS sensitivity. Our comparisons of behavioral and EEG-based metrics suggest that extraneous variables dominate both behavioral scores and EEG amplitude metrics, rendering them ineffective. After adjusting behavioral scores using lapse rates, and extracting latency or percent-growth metrics from EEG, interaural timing sensitivity measures exhibit robust behavior-EEG correlations. Together with the fact that unambiguous theoretical links can be made relating binaural measures and phase-locking to TFS, our results suggest that these "adjusted" binaural assays may be well-suited for quantifying individual TFS processing.

neuroscience↗

Cross-Species Experiments Reveal Widespread Cochlear Neural Damage in Normal Hearing

Animal models suggest that cochlear afferent nerve endings may be more vulnerable than sensory hair cells to damage from acoustic overexposure and aging, but that such damage cannot be detected in standard clinical audiometry. Co-ordinated experiments in at-risk humans and a chinchilla model using two distinct physiological assays suggest that cochlear neural damage exists even in populations without clinically recognized hearing loss.

neuroscience↗