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Journal of Clinical Medicine May 2024: It is assumed that speech comprehension deficits in background noise are caused by age-related or acquired hearing loss. : We examined young, middle-aged, and older...
: It is assumed that speech comprehension deficits in background noise are caused by age-related or acquired hearing loss. : We examined young, middle-aged, and older individuals with and without hearing threshold loss using pure-tone (PT) audiometry, short-pulsed distortion-product otoacoustic emissions (pDPOAEs), auditory brainstem responses (ABRs), auditory steady-state responses (ASSRs), speech comprehension (OLSA), and syllable discrimination in quiet and noise. : A noticeable decline of hearing sensitivity in extended high-frequency regions and its influence on low-frequency-induced ABRs was striking. When testing for differences in OLSA thresholds normalized for PT thresholds (PTTs), marked differences in speech comprehension ability exist not only in noise, but also in quiet, and they exist throughout the whole age range investigated. Listeners with poor speech comprehension in quiet exhibited a relatively lower pDPOAE and, thus, cochlear amplifier performance independent of PTT, smaller and delayed ABRs, and lower performance in vowel-phoneme discrimination below phase-locking limits (/o/-/u/). When OLSA was tested in noise, listeners with poor speech comprehension independent of PTT had larger pDPOAEs and, thus, cochlear amplifier performance, larger ASSR amplitudes, and higher uncomfortable loudness levels, all linked with lower performance of vowel-phoneme discrimination above the phase-locking limit (/i/-/y/). : This study indicates that listening in noise in humans has a sizable disadvantage in envelope coding when basilar-membrane compression is compromised. Clearly, and in contrast to previous assumptions, both good and poor speech comprehension can exist independently of differences in PTTs and age, a phenomenon that urgently requires improved techniques to diagnose sound processing at stimulus onset in the clinical routine.
PubMed: 38731254
DOI: 10.3390/jcm13092725 -
Trends in Hearing 2024In recent years, tools for early detection of irreversible trauma to the basilar membrane during hearing preservation cochlear implant (CI) surgery were established in...
Does Intraoperative Extracochlear Electrocochleography Correlate With Postoperative Audiometric Hearing Thresholds in Cochlear Implant Surgery? A Retrospective Analysis of Cochlear Monitoring.
In recent years, tools for early detection of irreversible trauma to the basilar membrane during hearing preservation cochlear implant (CI) surgery were established in several clinics. A link with the degree of postoperative hearing preservation in patients was investigated, but patient populations were usually small. Therefore, this study's aim was to analyze data from intraoperative extracochlear electrocochleography (ECochG) recordings for a larger group.During hearing preservation CI surgery, extracochlear recordings were made before, during, and after CI electrode insertion using a cotton wick electrode placed at the promontory. Before and after insertion, amplitudes and stimulus response thresholds were recorded at 250, 500, and 1000 Hz. During insertion, response amplitudes were recorded at one frequency and one stimulus level. Data from 121 patient ears were analyzed.The key benefit of extracochlear recordings is that they can be performed before, during, and after CI electrode insertion. However, extracochlear ECochG threshold changes before and after CI insertion were relatively small and did not independently correlate well with hearing preservation, although at 250 Hz they added some significant information. Some tendencies-although no significant relationships-were detected between amplitude behavior and hearing preservation. Rising amplitudes seem favorable and falling amplitudes disadvantageous, but constant amplitudes do not appear to allow stringent predictions.Extracochlear ECochG measurements seem to only partially realize expected benefits. The questions now are: do gains justify the effort, and do other procedures or possible combinations lead to greater benefits for patients?
Topics: Humans; Audiometry, Evoked Response; Retrospective Studies; Cochlear Implantation; Female; Middle Aged; Auditory Threshold; Male; Aged; Cochlear Implants; Adult; Hearing; Cochlea; Treatment Outcome; Adolescent; Predictive Value of Tests; Young Adult; Child; Audiometry, Pure-Tone; Aged, 80 and over; Child, Preschool; Hearing Loss
PubMed: 38715410
DOI: 10.1177/23312165241252240 -
AIP Conference Proceedings Feb 2024The cochlear tonotopic map determines where along the basilar membrane traveling waves of different frequencies peak. Endolymphatic hydrops has been hypothesized to...
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.
PubMed: 38576895
DOI: 10.1063/5.0189381 -
AIP Conference Proceedings Feb 2024When elicited by two stimulus tones (at frequencies and , > ), the amplitudes of specific distortion-product otoacoustic emission (DPOAE) components exhibit a...
When elicited by two stimulus tones (at frequencies and , > ), the amplitudes of specific distortion-product otoacoustic emission (DPOAE) components exhibit a characteristic bandpass shape as the ratio between and is varied. This bandpass shape has been attributed to various mechanisms including intracochlear resonance, suppression, and wave interference, and has been proposed to be related to cochlear frequency tuning. While human studies suggest modest correlations between psychophysical tuning and the tuning of DPOAE amplitude vs. / ratio functions, a relationship between the latter and the tuning of cochlear mechanical responses has yet to be established. This was addressed here through direct comparisons of DPOAEs and cochlear vibrations in wild-type CBA/CaJ mice. DPOAEs were elicited using a fixed-, swept- paradigm, and optical coherence tomography was used to measure displacements from cochlear locations with characteristic frequencies near . The tuning sharpness of 2- DPOAE ratio functions was found to be remarkably similar to that of basilar membrane and/or tectorial membrane responses to single tones, with the tuning sharpness of all responses increasing similarly with decreasing stimulus level. This relationship was observed for frequencies ranging from ~8 to 22 kHz. Intracochlear distortion products did not exhibit a bandpass shape as the / ratio was varied, indicating that interference between distortion products traveling to the stapes may be responsible for the tuning of the DPOAE ratio function. While these findings suggest that DPOAE ratio functions could be used to noninvasively infer cochlear tuning, it remains to be determined whether this relationship holds in other species and for lower frequency regions.
PubMed: 38516507
DOI: 10.1063/5.0195534 -
AIP Conference Proceedings Feb 2024Two hydrodynamic effects are introduced in the standard transmission-line formalism, the focusing of the pressure and fluid velocity fields near the basilar membrane and...
Two hydrodynamic effects are introduced in the standard transmission-line formalism, the focusing of the pressure and fluid velocity fields near the basilar membrane and the viscous damping at the fluid-basilar membrane interface, which significantly affect the cochlear response in the short-wave region. In this region, in which the wavelength is shorter than the cochlear duct height, only a layer of fluid of order of the wavelength is effectively involved in the traveling wave. This has been interpreted [8] as a reduced fluid contribution to the system inertia in the peak region, which is a viewpoint common to the 3-D FEM solutions. In this paper we propose an alternative approach, from a slightly different physical viewpoint. Invoking the fluid flux conservation along the traveling wave propagation direction, we can derive a rigorous propagation equation for the pressure integrated along the vertical axis. Consequently, the relation between the average pressure and the local pressure [4] at the fluid-BM interface can be written. The local pressure is amplified by a factor dependent on the local wavenumber with respect to the average pressure, a phenomenon we refer to as "fluid focusing", which plays a relevant role in the BM total amplification gain. This interpretation of the hydrodynamic boost to the pressure provides a physical justification to the strategy [10] of fitting the BM admittance with a polynomial containing both a conjugated pole and a zero. In the short-wave region, the sharp gradients of the velocity field yield a second important effect, a damping force on the BM motion, proportional to the local wavenumber, which stabilizes active models and shifts the peak of the response towards the base, with respect to the resonant place. This way, the peaked BM response is not that of a proper resonance, corresponding to a sharp maximum of the admittance, but rather a focusing-driven growth toward the resonant place, which is "aborted" before reaching it by the sharply increasing viscous losses. The large values of the wavenumber that ensure strong focusing are ultimately fueled, against viscosity, by the nonlinear OHC mechanism, hence the otherwise puzzling observation of a wide nonlinear gain dynamics with almost level-independent admittance.
PubMed: 38516506
DOI: 10.1063/5.0189302 -
AIP Conference Proceedings Feb 2024According to the dominant view, the mammalian cochlea spatially amplifies signals by actively pumping energy into the traveling wave. That is, signals are amplified as...
According to the dominant view, the mammalian cochlea spatially amplifies signals by actively pumping energy into the traveling wave. That is, signals are amplified as they propagate through a region where the medium's resistance is effectively negative. While signal amplification has been extensively studied in active cochlear models, the same cannot be said for amplification of internal noise. According to transmission-line theory, signals are amplified more than internal noise in regions where the net resistance is negative. Here we generalize this finding by showing that a distributed system composed of cascaded "noisy" amplifiers boosts signals more rapidly than the internal noise; the larger the amplifier gain, the larger the signal-to-noise ratio (SNR) of the amplified signal. We further show that this mechanism operates in existing active cochlear models: the cochlear amplifier increases the SNR of cochlear responses, and thus enhances cochlear sensitivity. When considering also that the cochlear amplifier narrows the bandwidth of the "cochlear filters", activation of the cochlear amplifiers dramatically increases the SNR (by about one order of magnitude in our simulations) from the tail to the peak of the traveling wave. We further demonstrate that the tapered ear-horn-like cochlear geometry significantly improves the SNR of basilar-membrane responses.
PubMed: 38516505
DOI: 10.1063/5.0193604 -
Neurotoxicology Jan 2024Cobalt is widely used in the medical industry, mainly including cobalt alloy joint implants and cobalt-chromium porcelain crowns. However, unexplained ototoxicity and...
Cobalt is widely used in the medical industry, mainly including cobalt alloy joint implants and cobalt-chromium porcelain crowns. However, unexplained ototoxicity and neurotoxicity often occur in the clinical use of cobalt agents at present, which limits the development of the cobalt industry. In this study, based on the clinical problem of cobalt ototoxicity, we first conducted an extensive search and collation of related theories, and on this basis, prepared an HEI-OC1 cell model and basilar membrane organotypic cultures after cobalt treatment. We used immunofluorescence staining, western blot, CCK8, and si-RNA to investigate the mechanism of cobalt ototoxicity, to discover its potential therapeutic targets. After comparing the reactive oxygen species, mitochondrial transmembrane potential, apoptosis-related protein expression, and cell viability of different treatment groups, the following conclusions were drawn: cobalt causes oxidative stress in the inner ear, which leads to apoptosis of inner ear cells; inhibition of oxidative stress and apoptosis can alleviate the damage of cobalt on inner ear cells; and the Dicer protein plays a role in the mechanism of inner ear damage and is a potential target for the treatment of cobalt-induced inner ear damage. Taken together, these results suggest that cobalt-induced ototoxicity triggered by oxidative stress activates a cascade of apoptotic events where cCaspase-3 decreases Dicer levels and amplifies this apoptotic pathway. It may be possible to prevent and treat cobalt ototoxicity by targeting this mechanism.
Topics: Apoptosis; Cisplatin; Cobalt; Cochlea; Microphysiological Systems; Ototoxicity; Reactive Oxygen Species; Animals; Mice; Cell Line
PubMed: 38101458
DOI: 10.1016/j.neuro.2023.12.009 -
International Journal of Molecular... Dec 2023Mammalian auditory hair cells transduce sound-evoked traveling waves in the cochlea into nerve stimuli, which are essential for hearing function. Pillar cells located...
Mammalian auditory hair cells transduce sound-evoked traveling waves in the cochlea into nerve stimuli, which are essential for hearing function. Pillar cells located between the inner and outer hair cells are involved in the formation of the tunnel of Corti, which incorporates outer-hair-cell-driven fluid oscillation and basilar membrane movement, leading to the fine-tuned frequency-specific perception of sounds by the inner hair cells. However, the detailed molecular mechanism underlying the development and maintenance of pillar cells remains to be elucidated. In this study, we examined the expression and function of brain-specific angiogenesis inhibitor 3 (Bai3), an adhesion G-protein-coupled receptor, in the cochlea. We found that Bai3 was expressed in hair cells in neonatal mice and pillar cells in adult mice, and, interestingly, knockout mice revealed the abnormal formation of pillar cells, with the elevation of the hearing threshold in a frequency-dependent manner. Furthermore, old knockout mice showed the degeneration of hair cells and spiral ganglion neurons in the basal turn. The results suggest that Bai3 plays a crucial role in the development and/or maintenance of pillar cells, which, in turn, are necessary for normal hearing function. Our results may contribute to understanding the mechanisms of hearing loss in human patients.
Topics: Animals; Mice; Brain; Cochlea; Hair Cells, Auditory, Outer; Hearing; Mice, Knockout; Nerve Tissue Proteins; Membrane Proteins
PubMed: 38069416
DOI: 10.3390/ijms242317092