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It has been suggested that the presence of a limited area of damaged outer hair cells (OHCs) with intact inner hair cells, which may not be detected on the conventional audiogram, results in unbalanced neural activity between Type I and Type II fibers leading to tinnitus. In normal-hearing tinnitus patients, DPOAEs provided ambiguous data of OHC function when compared to non-tinnitus controls. Hearing loss in the extended high-frequency (EHF) region may decrease DPOAEs evoked at lower frequencies. Results of EHF audiometry in tinnitus patients are limited. The aim of the study was to evaluate DPOAEs and EHF thresholds in normal-hearing patients reporting unilateral tinnitus in left ear. Thus, each subject acted as their own control. Data were obtained for 26 subjects with bilateral hearing thresholds10, 12.5, 14, and 16 kHz. The DP-grams were measured in the 0.5-8 kHz range using 65/55-dB SPL primaries and f2/f1=1.2. The data analyses included DPOAEs with S/N>3 dB. Median audiometric data showed that thresholds in the left ears were significantly higher than those in the right ears at all four EHFs. Mean DPOAE levels of the left ears were lower than those of the right ears in the frequency range above 1 kHz. Additionally, a paired-comparison test of DPOAE levels of each patient’s right and left ear revealed significant differences at 6 and 8 kHz. The results indicate that: 1. OHC impairment in the most basal region reduces contribution to more apically generated DPOAEs; 2. OHC impairment in a limited area, which may be revealed by DPOAEs but not by conventional audiometry, can contribute to tinnitus generation; and 3. patients with unilateral tinnitus and normal hearing on the conventional audiogram are likely to demonstrate hearing loss in the EHF region.

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No description available.

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No description available.

published_or_final_version / abstract / toc / Speech and Hearing Sciences / Master / Master of Science in Audiology

Past studies have shown that the effects of selective auditory attention are evident in medial olivocochlear (MOC) activity, manifested as the contralateral suppression (CS) of transient evoked otoacoustic emissions (TEOAEs). This finding suggests the use of TEOAEs in the design of an auditory-based access technology as a potential access solution for children with severe disabilities. Thirteen participants with normal hearing threshold and normal middle ear function completed this study. The participants were instrumented with a TEOAE ear probe and presented with a contralateral acoustic stimulus. They were instructed to alternate auditory attention conditions as visually cued by symbols on an LCD display. Attentive and non-attentive conditions were detected with an overall accuracy of 70.17 +/- 12.54% at 2.44 +/- 0.3 bits per minute in a participant-specific classifier, and 65.92 +/- 13.91% in a participant-independent classifier. Detection of auditory attention exceeded random chance levels for 11 of 13 participants.