Lateralization of virtual sound sources with a binaural cochlear-implant sound coding strategy inspired by the medial olivocochlear reflex.

Many users of bilateral cochlear implants (BiCIs) localize sound sources less accurately than do people with normal hearing. This may be partly due to using two independently functioning CIs with fixed compression, which distorts and/or reduces interaural level differences (ILDs). Here, we investigate the potential benefits of using binaurally coupled, dynamic compression inspired by the medial olivocochlear reflex; an approach termed "the MOC strategy" (Lopez-Poveda et al., 2016, Ear Hear 37:e138-e148). Twelve BiCI users were asked to localize wideband (125-6000 Hz) noise tokens in a virtual horizontal plane. Stimuli were processed through a standard (STD) sound processing strategy (i.e., involving two independently functioning sound processors with fixed compression) and three different implementations of the MOC strategy: one with fast (MOC1) and two with slower contralateral control of compression (MOC2 and MOC3). The MOC1 and MOC2 strategies had effectively greater inhibition in the higher than in the lower frequency channels, while the MOC3 strategy had slightly greater inhibition in the lower than in the higher frequency channels. Localization was most accurate with the MOC1 strategy, presumably because it provided the largest and less ambiguous ILDs. The angle error improved slightly from 25.3° with the STD strategy to 22.7° with the MOC1 strategy. The improvement in localization ability over the STD strategy disappeared when the contralateral control of compression was made slower, presumably because stimuli were too short (200 ms) for the slower contralateral inhibition to enhance ILDs. Results suggest that some MOC implementations hold promise for improving not only speech-in-noise intelligibility, as shown elsewhere, but also sound source lateralization.

Adaptation to noise in amplitude modulation detection without the medial olivocochlear reflex.

The detection of amplitude modulation (AM) in quiet or in noise improves when the AM carrier is preceded by noise, an effect that has been attributed to the medial olivocochlear reflex (MOCR). We investigate whether this improvement can occur without the MOCR by measuring AM sensitivity for cochlear implant (CI) users, whose MOCR effects are circumvented as a result of the electrical stimulation provided by the CI. AM detection thresholds were measured monaurally for short (50 ms) AM probes presented at the onset (early condition) or delayed by 300 ms (late condition) from the onset of a broadband noise. The noise was presented ipsilaterally, contralaterally and bilaterally to the test ear. Stimuli were processed through an experimental, time-invariant sound processing strategy. On average, thresholds were 4 dB better in the late than in the early condition and the size of the improvement was similar for the three noise lateralities. The pattern and magnitude of the improvement was broadly consistent with that for normal hearing listeners [Marrufo-Pérez et al., 2018, J Assoc Res Otolaryngol 19:147-161]. Because the electrical stimulation provided by CIs is independent from the middle-ear muscle reflex (MEMR) or the MOCR, this shows that mechanisms other than the MEMR or the MOCR can facilitate AM detection in noisy backgrounds.

Contralateral suppression of human hearing sensitivity in single-sided deaf cochlear implant users.

Cochlear implants (CIs) are being implanted in people with unilateral hearing loss because they can improve speech intelligibility and sound source localization. Though designed to restore the afferent auditory stimulation, the CI possibly restores some efferent effects. The present study aimed at investigating this possibility. Five single-sided deaf CI users with less than 30 dB hearing loss up to 4 kHz in their acoustic ear participated in the study. Absolute thresholds for their acoustic ears were measured for pure tones of 500 and 4000 Hz with durations of 10 and 200 ms in the presence and in the absence of contralateral broadband electrical stimulation (CBES) delivered with the CI. The electrical stimulus consisted of pulse trains (symmetric biphasic pulses with phase duration 36 µs) on all 16 electrodes sequentially stimulated at a rate of 843 Hz. Its intensity was set to sound as loud as broadband noise at 50 or 60 dB SPL in the acoustic ear. Thresholds were measured using a three-interval, three-alternative, forced-choice procedure with a two-down, one-up adaptive rule to estimate the level for 71% correct in the psychometric function. Thresholds measured without the CBES were lower for the longer than for the shorter tones, and the difference was larger at 500 than at 4000 Hz. CBES equivalent to 50 or 60 dB SPL caused significant threshold elevation only for short (10 ms) and low frequency (500 Hz) acoustic tones of 1.2 and 2.2 dB. These increases appear smaller than previously reported for normal hearing listeners in related experiments. These results support the notion that for single-sided deaf CI users, the CI modulates hearing in the acoustic ear. The possible mechanisms that may be contributing this effect are discussed.

Forward-masking recovery and the assumptions of the temporal masking curve method of inferring cochlear compression.

The temporal masking curve (TMC) method is a behavioral technique for inferring human cochlear compression. The method relies on the assumptions that in the absence of compression, forward-masking recovery is independent of masker level and probe frequency. The present study aimed at testing the validity of these assumptions. Masking recovery was investigated for eight listeners with sensorineural hearing loss carefully selected to have absent or nearly absent distortion product otoacoustic emissions. It is assumed that for these listeners basilar membrane responses are linear, hence that masking recovery is independent of basilar membrane compression. TMCs for probe frequencies of 0.5, 1, 2, 4, and 6 kHz were available for these listeners from a previous study. The dataset included TMCs for masker frequencies equal to the probe frequencies plus reference TMCs measured using a high-frequency probe and a low, off-frequency masker. All of the TMCs were fitted using linear regression, and the resulting slope and intercept values were taken as indicative of masking recovery and masker level, respectively. Results for on-frequency TMCs suggest that forward-masking recovery is generally independent of probe frequency and of masker level and hence that it would be reasonable to use a reference TMC for a high-frequency probe to infer cochlear compression at lower frequencies. Results further show, however, that reference TMCs were sometimes shallower than corresponding on-frequency TMCs for identical probe frequencies, hence that compression could be overestimated in these cases. We discuss possible reasons for this result and the conditions when it might occur.

Contralateral efferent regulation of human cochlear tuning: behavioural observations and computer model simulations.

In binaural listening, the two cochleae do not act as independent sound receptors; their functioning is linked via the contralateral medial olivo-cochlear reflex (MOCR), which can be activated by contralateral sounds. The present study aimed at characterizing the effect of a contralateral white noise (CWN) on psychophysical tuning curves (PTCs). PTCs were measured in forward masking for probe frequencies of 500 Hz and 4 kHz, with and without CWN. The sound pressure level of the probe was fixed across conditions. PTCs for different response criteria were measured by using various masker-probe time gaps. The CWN had no significant effects on PTCs at 4 kHz. At 500 Hz, by contrast, PTCs measured with CWN appeared broader, particularly for short gaps, and they showed a decrease in the masker level. This decrease was greater the longer the masker-probe time gap. A computer model of forward masking with efferent control of cochlear gain was used to explain the data. The model accounted for the data based on the assumption that the sole effect of the CWN was to reduce the cochlear gain by ∼6.5 dB at 500 Hz for low and moderate levels. It also suggested that the pattern of data at 500 Hz is the result of combined broad bandwidth of compression and off-frequency listening. Results are discussed in relation with other physiological and psychoacoustical studies on the effect of activation of MOCR on cochlear function.

Behavioral estimates of the contribution of inner and outer hair cell dysfunction to individualized audiometric loss.

Differentiating the relative importance of the various contributors to the audiometric loss (HL(TOTAL)) of a given hearing impaired listener and frequency region is becoming critical as more specific treatments are being developed. The aim of the present study was to assess the relative contribution of inner (IHC) and outer hair cell (OHC) dysfunction (HL(IHC) and HL(OHC), respectively) to the audiometric loss of patients with mild to moderate cochlear hearing loss. It was assumed that HL(TOTAL) = HL(OHC) + HL(IHC) (all in decibels) and that HL(OHC) may be estimated as the reduction in maximum cochlear gain. It is argued that the latter may be safely estimated from compression threshold shifts of cochlear input/output (I/O) curves relative to normal hearing references. I/O curves were inferred behaviorally using forward masking for 26 test frequencies in 18 hearing impaired listeners. Data suggested that the audiometric loss for six of these 26 test frequencies was consistent with pure OHC dysfunction, one was probably consistent with pure IHC dysfunction, 13 were indicative of mixed IHC and OHC dysfunction, and five were uncertain (one more was excluded from the analysis). HL(OHC) and HL(IHC) contributed on average 60 and 40 %, respectively, to the audiometric loss, but variability was large across cases. Indeed, in some cases, HL(IHC) was up to 63 % of HL(TOTAL), even for moderate losses. The repeatability of the results is assessed using Monte Carlo simulations and potential sources of bias are discussed.

Otoacoustic emission theories and behavioral estimates of human basilar membrane motion are mutually consistent.

When two pure tones (or primaries) of slightly different frequencies (f (1) and f (2)) are presented to the ear, new frequency components are generated by nonlinear interaction of the primaries within the cochlea. These new components can be recorded in the ear canal as otoacoustic emissions (OAE). The level of the 2f (1)-f (2) OAE component is known as the distortion product otoacoustic emission (DPOAE) and is regarded as an indicator of the physiological state of the cochlea. The current view is that maximal level DPOAEs occur for primaries that produce equal excitation at the f (2) cochlear region, but this notion cannot be directly tested in living humans because it is impossible to record their cochlear responses while monitoring their ear canal DPOAE levels. On the other hand, it has been claimed that the temporal masking curve (TMC) method of inferring human basilar membrane responses allows measurement of the levels of equally effective pure tones at any given cochlear site. The assumptions of this behavioral method, however, lack firm physiological support in humans. Here, the TMC method was applied to test the current notion on the conditions that maximize DPOAE levels in humans. DPOAE and TMC results were mutually consistent for frequencies of 1 and 4 kHz and for levels below around 65 dB sound pressure level. This match supports the current view on the generation of maximal level DPOAEs as well as the assumptions of the behavioral TMC method.

Cochlear nonlinearity in normal-hearing subjects as inferred psychophysically and from distortion-product otoacoustic emissions.

The aim was to investigate the correlation between compression exponent, compression threshold, and cochlear gain for normal-hearing subjects as inferred from temporal masking curves (TMCs) and distortion-product otoacoustic emission (DPOAEs) input-output (I/O) curves. Care was given to reduce the influence of DPOAE fine structure on the DPOAE I/O curves. A high correlation between compression exponent estimates obtained with the two methods was found at 4 kHz but not at 0.5 and 1 kHz. One reason is that the DPOAE I/O curves show plateaus or notches that result in unexpectedly high compression estimates. Moderately high correlation was found between compression threshold estimates obtained with the two methods, although DPOAE-based values were around 7 dB lower than those based on TMCs. Both methods show that compression exponent and threshold are approximately constant across the frequency range from 0.5 to 4 kHz. Cochlear gain as estimated from TMCs was found to be approximately 16 dB greater at 4 than at 0.5 kHz. In conclusion, DPOAEs and TMCs may be used interchangeably to infer precise individual nonlinear cochlear characteristics at 4 kHz, but it remains unclear that the same applies to lower frequencies.

Further studies on the dual-resonance nonlinear filter model of cochlear frequency selectivity: responses to tones.

A number of phenomenological models that simulate the response of the basilar membrane motion can reproduce a range of complex features observed in animal measurements over different sites along its cochlea. The present report shows a detailed analysis of the responses to tones of an improved model based on a dual-resonance nonlinear filter. The improvement consists in adding a third path formed by a linear gain and an all-pass filter. This improvement allows the model to reproduce the gain and phase plateaus observed empirically at frequencies above the best frequency. The middle ear was simulated by using a digital filter based on the empirical impulse response of the chinchilla stapes. The improved algorithm is evaluated against observations of basilar membrane responses to tones at seven different sites along the chinchilla cochlear partition. This is the first time that a whole set of animal observations using the same technique has been available in one species for modeling. The resulting model was able to simulate amplitude and phase responses to tones from basal to apical sites. Linear regression across the optimized parameters for seven different sites was used to generate a complete filterbank.

Immunocytochemical distribution of Met-enkephalin-Arg6-Gly7-Leu8 (Met-8) in the auditory system of the rat.

Methionine-enkephalin-Arg(6)-Gly(7)-Leu(8) (Met(8)) is known to act as a neurotransmitter or neuromodulator and it has been implicated in pain, cardiovascular and motor mechanisms, but its role in audition is currently unknown. In the present study we have applied an immunocytochemical technique and describe the distribution of cell bodies and fibers containing Met(8) in the auditory pathway of the rat. The main finding is that we found either Met(8)-immunoreactive fibers or cell bodies or both in virtually all nuclei of the rat auditory system except for the medial superior olive and the ventral division of the medial geniculate body in which we did not find any immunoreactivity for Met(8). This suggests that the neuropeptide Met(8) is widely distributed throughout the auditory system of the rat. Our results suggest that Met(8) could play at least two roles in hearing. It seems to be involved in the processing of the descending auditory pathway, and it may be implicated in the multisensory integration of auditory information that takes place in the non-lemniscal auditory pathway.