Tone decay at threshold with auditory electrical stimulation in digisonic cochlear implantees.

The present study aims to evaluate tone decay (auditory adaptation) in Digisonic cochlear implant patients, and to compare tone decay results with speech recognition performance. The following criteria are evaluated: tone decay occurrence, place effect, pulse rate effect, and correlation with speech recognition. A great variability in tone decay was found among the subjects. The amount of tone decay, measured as a percentage of the electrical dynamic range, depends to some extent on electrode location, which may be linked with the frequency dependence of acoustical tone decay. However, it is likely that acoustically and electrically evoked adaptation does not involve the same process. Also, an effect of pulse rate was found. However, no relationship between the amount of tone decay and speech recognition abilities was observed. Evaluation of tone decay in cochlear implant patients might not only allow further evaluation of the condition of their auditory system, but also provide a means to determine preoperatively the specific characteristics of a subject's residual auditory capacities.

Representation of the temporal envelope of sounds in the human brain.

The cerebral representation of the temporal envelope of sounds was studied in five normal-hearing subjects using functional magnetic resonance imaging. The stimuli were white noise, sinusoidally amplitude-modulated at frequencies ranging from 4 to 256 Hz. This range includes low AM frequencies (up to 32 Hz) essential for the perception of the manner of articulation and syllabic rate, and high AM frequencies (above 64 Hz) essential for the perception of voicing and prosody. The right lower brainstem (superior olivary complex), the right inferior colliculus, the left medial geniculate body, Heschl's gyrus, the superior temporal gyrus, the superior temporal sulcus, and the inferior parietal lobule were specifically responsive to AM. Global tuning curves in these regions suggest that the human auditory system is organized as a hierarchical filter bank, each processing level responding preferentially to a given AM frequency, 256 Hz for the lower brainstem, 32-256 Hz for the inferior colliculus, 16 Hz for the medial geniculate body, 8 Hz for the primary auditory cortex, and 4-8 Hz for secondary regions. The time course of the hemodynamic responses showed sustained and transient components with reverse frequency dependent patterns: the lower the AM frequency the better the fit with a sustained response model, the higher the AM frequency the better the fit with a transient response model. Using cortical maps of best modulation frequency, we demonstrate that the spatial representation of AM frequencies varies according to the response type. Sustained responses yield maps of low frequencies organized in large clusters. Transient responses yield maps of high frequencies represented by a mosaic of small clusters. Very few voxels were tuned to intermediate frequencies (32-64 Hz). We did not find spatial gradients of AM frequencies associated with any response type. Our results suggest that two frequency ranges (up to 16 and 128 Hz and above) are represented in the cortex by different response types. However, the spatial segregation of these two ranges is not systematic. Most cortical regions were tuned to low frequencies and only a few to high frequencies. Yet, voxels that show a preference for low frequencies were also responsive to high frequencies. Overall, our study shows that the temporal envelope of sounds is processed by both distinct (hierarchically organized series of filters) and shared (high and low AM frequencies eliciting different responses at the same cortical locus) neural substrates. This layout suggests that the human auditory system is organized in a parallel fashion that allows a degree of separate routing for groups of AM frequencies conveying different information and preserves a possibility for integration of complementary features in cortical auditory regions.

Mismatch negativity: a tool for the assessment of stimuli discrimination in cochlear implant subjects.

OBJECTIVES: The performance of cochlear implants varies among users. This variability may be due to the ability to process auditory information. The mismatch negativity should provide an index of discrimination in cochlear implantees (Kraus N, McGee T, Carrell T, Sharma A. Neurophysiologic bases of speech discrimination. Ear Hear. 1995;16:19-37). Our aim was to analyze MMN in cochlear implant (Digisonic) subjects to assess electrode discrimination and to study the relationship between MMN and speech performance. METHODS: The mismatch was determined by stimulating three pairs of different electrodes. Two sessions were performed with both standard and deviant stimuli reversed. Speech recognition abilities were evaluated using 4 speech tests. The statistics included the results of 6 subjects. They indicated that MMN may be obtained when stimulating two different electrodes. A difference occurred between standard and deviant stimuli within a session but also when the response to the deviant stimulus was compared to the response of the same stimulus in a standard condition, validating the discrimination process. MMN latency was about 140 ms, and amplitude about -2.8 microV. No differences were shown with respect to electrode spacing. No relationship between MMN and speech performance was found. A clinical application of this method might be to assess the auditory processing of electrical stimuli in congenitally deaf subjects at the pre-implantation stage.

2f1-f2 distortion product otoacoustic emission latency: changes with frequency and level of primaries.

Distortion product otoacoustic emissions (DPOAEs) provide a non-invasive and relatively direct method for evaluating cochlear travel time in humans. In the present study, the 2f1-f2 DPOAE latency was deduced from DPOAE phase shift according to f2 frequency shift, with f1 being fixed, using the ILO92 system. Latencies of 2f1-f2 DPOAEs were recorded at various primary frequencies and levels. Results were not wholly consistent with previous latency estimates. This study showed that the functions describing both 2f1-f2 DPOAE latency decrease with primary frequency increase, at several primary-tone levels, and 2f1-f2 DPOAE latency decrease with primary-level increase, at various frequencies, are best fit by exponential equations. The results of the evaluation of the latency-frequency-level relationship indicated the possibility of linking these three variables by the following expression: Latency = 68.30 exp (-0.027I -0.000434 f)+1.13.

Influence of contralateral noise on distortion product latency in humans: is the medial olivocochlear efferent system involved?

To test the hypothesis of temporal modifications of cochlear responses when medial efferents are activated, otoacoustic emission latencies were estimated in 16 normal human subjects, in the presence and absence of a contralateral broadband noise, using measurements of the phase of the 2f1-f2 distortion product (group latency method). Significant decrease in the latency of lower frequency (0.8-2.7 kHz) emissions was found in the presence of increasing levels of contralateral sound, and this effect disappeared when the primary-tone levels increased to 60 dB SPL. To ensure that effects were not attributable to mechanisms involving middle ear structures, susceptible to activation by contralateral sound, latency measures were performed in seven subjects whose efferents were severed during a vestibular neurotomy and in two subjects with paralyzed stapedial muscle. Results in patients were compared to those obtained in three surgical control patients with intact efferent bundle, and in eight other normal subjects. All the subject groups exhibited a decrease in latency under contralateral sound except the patients with the severed efferent system who showed increased latencies.

Phase delay measurements of distortion product otoacoustic emissions at 2f1-f2 and 2f2-f1 in human ears.

The present study used distortion product otoacoustic emission (DPOAE) latency as a tool to provide information about the generation sites of 2f1-f2 and 2f2-f1 DPOAEs in humans. The DPOAE 2f1-f2 is supposed to be generated near the f2 site, but little is known about the 2f2-f1 DPOAE processing in humans. The present work sought to test several hypotheses as to the possible generation of 2f1-f2 at the f2 site and of 2f2-f1 at the 2f2-f1 site as well as their backward reflection site, by comparing latencies of the two DPOAEs, under appropriate frequency manipulation. The effect of stimulus level was also studied. The latency values were calculated as the phase-lag related to the frequency shift, using the ILO92 software. Amplitudes were lower and latencies shorter for 2f2-f1 than for 2f1-f2. As expected, 2f1-f2 and 2f2-f1 DPOAE latency decreased with increasing stimulus level and frequency. At 70 dB SPL, latencies of DPOAEs with primaries f1 and f2 or f*1 and f*2, chosen so as to obtain 2f*1-f*2 = 2f2 - f1, were identical, whereas at 55 dB SPL the similarities were less obvious, suggesting two different generation processes. The present study suggests that the comparison of several DPOAE components may produce useful information about their processing within the cochlea.

Is perilymphatic pressure altered in tinnitus?

Tinnitus is characterized by the continuous or intermittent auditory perception of various sounds (buzzing, whistling, etc.) in the absence of any external stimulus. Perilymphatic hyperpressure is one of the numerous mechanisms which could hypothetically be involved in tinnitus generation. In the present experiment, perilymphatic pressure was measured indirectly using the tympanic membrane displacement technique. Twenty-five tinnitus patients were investigated at 10, 15 and 20 dB above the acoustic reflex threshold with ipsilateral stimulation. The variables Vi (inward tympanic displacement), Vm (mean tympanic displacement) and their variations according to stimulus level were compared between tinnitus sufferers and age-matched or hearing-matched controls. Tympanic displacement was measured in sitting and supine positions so as to evaluate cochlear aqueduct patency. No systemic changes in response occurred in tinnitus patients, except at a high stimulation level, perhaps due to hearing impairment.

Can synchronized otoacoustic emissions really be attributed to SOAEs?

In this study, spontaneous and transiently evoked otoacoustic emissions (SOAEs and TOAEs, respectively) were recorded in 15 normal-hearing subjects. An analysis of the TOAE spectrum was performed with three time intervals: 20 ms-40 ms, 40 ms-60 ms, 60 ms-80 ms (the spectra found are labelled TOAE2-4, TOAE4-6, TOAE6-8). The frequencies of the peaks observed were compared to the SOAE frequencies. We found that 78.8% of the TOAE peaks also were observed as SOAEs and 91.2% of the SOAE peaks were recorded in the TOAE2-4 spectrum. Peaks that were not observed by either method had lower amplitude than the others, and SOAE peaks that were not in TOAE2-4 spectrum had higher frequencies than those that were observed in the TOAE2-4 spectrum. We conclude that the TOAE spectrum recorded after 20 ms does not include all of the SOAE frequencies and is not composed solely of SOAEs. Therefore, frequencies exist which are synchronized specifically to the stimulus and SOAEs exist which can't be synchronized more than 20 ms.