Assessment of Peripheral and Central Auditory Processing after Treatment for Idiopathic Sudden Sensorineural Hearing Loss.

Introduction When cases of idiopathic sudden sensorineural hearing loss (SSNHL) are treated successfully, most clinicians assume the normality and symmetry of the auditory processing. This assumption is based on the recovery of the detection ability on the part of the patients, but the auditory processing involves much more than detection alone. Since certain studies have suggested a possible involvement of the central auditory system during the acute phase of sudden hearing loss, the present study hypothesized that auditory processing would be asymmetric in people who have experienced sudden hearing loss. Objective To assess the physiologic and electrophysiological conditions of the cochlea and central auditory system, as well as behavioral discrimination, of three primary aspects of sound (intensity, frequency, and time) in subjects with normal ears and ears treated successfully for SSNHL. Methods The study included 19 SSNHL patients whose normal and treated ears were assessed for otoacoustic emissions, speech auditory brainstem response, intensity and pitch discrimination, and temporal resolution in a within-subject design. Results The otoacoustic emissions were poorer in the treated ears compared to the normal ears. Ear- and sex-dependent differences were observed regarding otoacoustic emissions and pitch discrimination. Conclusion The asymmetrical processing observed in the present study was not consistent with the hearing threshold values, which might suggest that the central auditory system would be affected regardless of the status of the peripheral hearing. Further experiments with larger samples, different recovery scenarios after treatment, and other assessments are required.

Congenital amusia and academic performance among Colombian university students.

BACKGROUND: Congenital amusia is a rare neurogenetic and neuropsychological condition which hinders the ability to recognize variations in all aspects of a musical piece. Although previous studies have determined the prevalence of congenital amusia in the general population, few have studied its presence among university students. Findings regarding the association between this condition and academic performance are equivocal, although evidence suggests that musical training improves scholastic achievement. METHODS: We conducted a cross-sectional study on a sample of 383 university students, all pursuing health-related degrees, comparing their class rank with their performance on the BRAMS Online Test for amusia. RESULTS: We found a prevalence of 0.52% for pitch-based amusia. When applying the Off-Scale test failure criterion for the definition of amusia in our sample, we found a prevalence of 4.4%. Logistic models showed an increase in risk of poor academic performance (lowest quartile) in subjects who failed the off-scale test (Odds Ratio: 7.14 95% CI 2.59-19.6) and who met any of the described definitions of amusia (Odds Ratio: 4.89 95% CI 2.24-10.7). CONCLUSIONS: Both musical training and self-report of musical ability significantly affected test results. Although musical education shows some effect over academic performance, further studies are required to determine if this is due to differential effects in subjects with and without amusia.

Fundamental Frequency in Excised Human Larynges after Anterior Glottic Web Formation of Various Extents.

OBJECTIVE: To determine the effect of vocal fold anterior web formation on fundamental frequency with a cadaveric excised larynx model. STUDY DESIGN: Experimental study with excised human larynges. SETTING: Academic tertiary care hospital. SUBJECTS AND METHODS: Sixteen freshly excised human larynges were evaluated with high-speed videoendoscopy and digital kymography during artificially produced vibration. Each larynx was assessed in 4 conditions: preoperative controls and after 25%, 33%, and 50% decreases in the vibratory portion of the vocal folds. The following parameters were evaluated: fundamental frequency, periodicity, vocal fold vibration amplitude, phase symmetry, and glottic closure. RESULTS: The mean fundamental frequencies were 208.87, 250.20, 292.37, and 342.67 Hz for preoperative controls and 25%, 33%, and 50% reductions in vibratory length of the vocal folds, respectively. Fundamental frequency increased with each increase in anterior glottic web extent, and the difference among the groups was statistically significant in absolute values in hertz and in semitone elevation. The mathematical models for estimating postoperative fundamental frequency had a statistically significant coefficient. The vibration of the vocal folds remained periodic in all larynges before and after the procedures. CONCLUSION: There was a significant and progressive increase in the fundamental frequency with each enlargement of anterior glottic web. Based on the control frequency, mathematical models could estimate the value of the fundamental frequency after the procedure.

Music Proficiency and Quantification of Absolute Pitch: A Large-Scale Study among Brazilian Musicians.

Absolute pitch (AP) is the ability to identify and name the pitch of a sound without external reference. Often, accuracy and speed at naming isolated musical pitches are correlated with demographic, biological, and acoustical parameters to gain insight into the genesis and evolution of this ability in specific cohorts. However, the majority of those studies were conducted in North America, Europe, or Asia. To fill this gap, here we investigated the pitch-naming performance in a large population of Brazilian conservatory musicians (N = 200). As previously shown, we found that the population performance was rather a continuum than an "all-or-none" ability. By comparing the observed distribution of correct responses to a theoretical binomial distribution, we estimated the prevalence of AP as being 18% amongst regular music students. High accuracy thresholds (e.g., 85% of correct responses) yielded a prevalence of 4%, suggesting that AP might have been underestimated in previous reports. Irrespective of the threshold used, AP prevalence was higher in musicians who started their musical practice and formal musical education early in life. Finally, we compared the performance of those music students (average proficiency group) with another group of students selected to take part in the conservatory orchestra (high proficiency group, N = 30). Interestingly, the prevalence of AP was higher in the latter in comparison to the former group. In addition, even when the response was incorrect, the mean absolute deviation from the correct response was smaller in the high proficiency group compared to the average proficiency group (Glass's Δ: 0.5). Taken together, our results show that the prevalence of AP in Brazilian students is similar to other non-tonal language populations, although this measure is highly dependent on the scoring threshold used. Despite corroborating that early involvement with musical practice and formal education can foster AP ability, the present data suggest that music proficiency may also play an important role in AP expression.

Consequências da ingestão moderada de etanol na discriminação de notas musicais / Consequences of moderate intake of ethanol in the perception of musical notes

O objetivo deste estudo foi avaliar se existe relação entre a ingestão moderada de etanol e a discriminação das notas musicais RÉ, FÁ, e LÁ, em adultos jovens. Essas notas apresentam frequências fundamentais respectivamente de 293,665 Hz, 349,228 Hz e 440 Hz, de temperamento igual, escolhidas devido estarem em localização central na escala musical ocidental padrão. Participaram do estudo 40 voluntários de 18 a 29 anos, não músicos, saudáveis, não usuários de fármacos ou outras substâncias tóxicas, exceto o etanol de forma moderada e aguda. Por meio do software "Psysounds", criado especificamente para esse estudo, esses voluntários tiveram de escolher, entre duas notas musicais, uma das notas teste apresentada inicialmente. Os dados foram tratados com um teste X2 de aderência para comparar as frequências de acertos das notas musicais de teste nas condições de ingestão e de não ingestão de álcool. As análises mostraram diferenças significantes nas frequências de acertos para todas as notas utilizadas, sugerindo que a ingestão de etanol prejudica a discriminação das notas musicais RÉ, FÁ e LÁ.(AU)

The aim of this study was to evaluate if there is relationship between moderate intake of ethanol and the perception of the musical notes D, F, and A in young adults. These notes have fundamental frequencies of 293.665 Hz, 349.228 Hz, and 440 Hz, respectively, equal temperament and were chosen because they are in the central location in the standard western musical scale. The study included 40 volunteers from 18 to 29 years old, non-musicians, healthy, non-users of drugs or other toxic substances, except moderate and acute intake of ethanol. By the "Psysounds" software, created specifically for this study, the volunteers had to choose between two musical notes one of the test notes initially presented. The data were treated with X2 test of adherence to compare the frequency of correct answers regarding the musical notes in the conditions of intake and non-intake of alcohol. The analysis showed significant differences in the frequencies of correct answers for all the notes used, suggesting that ethanol ingestion impairs the discrimination of musical notes D, F and A.(AU)

Consequências da ingestão moderada de etanol na discriminação de notas musicais / Consequences of moderate intake of ethanol in the perception of musical notes

O objetivo deste estudo foi avaliar se existe relação entre a ingestão moderada de etanol e a discriminação das notas musicais RÉ, FÁ, e LÁ, em adultos jovens. Essas notas apresentam frequências fundamentais respectivamente de 293,665 Hz, 349,228 Hz e 440 Hz, de temperamento igual, escolhidas devido estarem em localização central na escala musical ocidental padrão. Participaram do estudo 40 voluntários de 18 a 29 anos, não músicos, saudáveis, não usuários de fármacos ou outras substâncias tóxicas, exceto o etanol de forma moderada e aguda. Por meio do software "Psysounds", criado especificamente para esse estudo, esses voluntários tiveram de escolher, entre duas notas musicais, uma das notas teste apresentada inicialmente. Os dados foram tratados com um teste X2 de aderência para comparar as frequências de acertos das notas musicais de teste nas condições de ingestão e de não ingestão de álcool. As análises mostraram diferenças significantes nas frequências de acertos para todas as notas utilizadas, sugerindo que a ingestão de etanol prejudica a discriminação das notas musicais RÉ, FÁ e LÁ.

The aim of this study was to evaluate if there is relationship between moderate intake of ethanol and the perception of the musical notes D, F, and A in young adults. These notes have fundamental frequencies of 293.665 Hz, 349.228 Hz, and 440 Hz, respectively, equal temperament and were chosen because they are in the central location in the standard western musical scale. The study included 40 volunteers from 18 to 29 years old, non-musicians, healthy, non-users of drugs or other toxic substances, except moderate and acute intake of ethanol. By the "Psysounds" software, created specifically for this study, the volunteers had to choose between two musical notes one of the test notes initially presented. The data were treated with X2 test of adherence to compare the frequency of correct answers regarding the musical notes in the conditions of intake and non-intake of alcohol. The analysis showed significant differences in the frequencies of correct answers for all the notes used, suggesting that ethanol ingestion impairs the discrimination of musical notes D, F and A.