scholarly journals Influence of suppression on restoration of spectral loudness summation in listeners with hearing loss

2018 ◽  
Vol 143 (5) ◽  
pp. 2994-3008 ◽  
Author(s):  
Daniel M. Rasetshwane ◽  
Robin R. High ◽  
Judy G. Kopun ◽  
Stephen T. Neely ◽  
Michael P. Gorga ◽  
...  
2021 ◽  
Vol 11 (4) ◽  
pp. 537-546
Author(s):  
Enrico Muzzi ◽  
Valeria Gambacorta ◽  
Ruggero Lapenna ◽  
Giulia Pizzamiglio ◽  
Sara Ghiselli ◽  
...  

A new non-invasive adhesive bone conduction hearing device (ABCD) has been proposed as an alternative solution for reversible bilateral conductive hearing loss in recurrent or long-lasting forms of otitis media with effusion (OME) in children that cannot undergo surgical treatment. Our aim was to assess the effectiveness of ABCD in children with OME. Twelve normal-hearing Italian-speaking volunteers, in whom a conductive hearing loss was simulated, participated in the study. The free-field average hearing threshold was determined and, to evaluate binaural hearing skills, loudness summation and the squelch effect were assessed. Five conditions were tested: (1) unaided without earplugs, (2) unaided with bilateral earplugs, (3) aided right ear with bilateral earplugs, (4) aided left ear with bilateral earplugs, and (5) bilateral aid with bilateral earplugs. Post-hoc analysis showed a significant statistical difference between plugged, unplugged, and each aided condition. The main results were a better loudness summation and a substantial improvement of the squelch effect in the bilaterally aided. Our results suggest that ABCD is a valid treatment for patients with conductive hearing loss that cannot undergo bone conduction implant surgery. It is also important to consider bilateral aids in order to deal with situations in which binaural hearing is fundamental.


1987 ◽  
Vol 30 (1) ◽  
pp. 37-43 ◽  
Author(s):  
David B. Hawkins ◽  
Robert A. Prosek ◽  
Brian E. Walden ◽  
Allen A. Montgomery

Binaural loudness summation was measured using three different paradigms with 10 normally hearing and 20 bilaterally symmetrical high-frequency sensorineural hearing loss subjects. An adaptive paradigm and a loudness matching procedure measured summation at the lower and upper level of comfortable loudness and the loudness discomfort level (LDL). Monaural and binaural LDLs also were obtained with a clinical procedure designed to select maximum output of hearing aids. Stimuli for all three tasks consisted of 500- and 4000-Hz pure tones and a speech spectrum noise. Binaural summation increased with presentation level using the loudness matching procedure, with values in the 6–10 dB range. Summation decreased with level using the adaptive paradigm, and no summation was present with the clinical LDL task. The hearing-impaired subjects demonstrated binaural summation that was not significantly different from the normally hearing subjects. The results suggest that a bilaterally symmetrical sensorineural hearing loss does not affect binaural loudness summation. The monaural and binaural dynamic range widths were similar, and the LDL results suggest that binaural loudness summation may not be an important factor in selecting maximum output of hearing aids.


1980 ◽  
Vol 23 (3) ◽  
pp. 646-669 ◽  
Author(s):  
Mary Florentine ◽  
Søren Buus ◽  
Bertram Scharf ◽  
Eberhard Zwicker

This study compares frequency selectivity—as measured by four different methods—in observers with normal hearing and in observers with conductive (non-otosclerotic), otosclerotic, noise-induced, or degenerative hearing losses. Each category of loss was represented by a group of 7 to 10 observers, who were tested at center frequencies of 500 Hz and 4000 Hz. For each group, the following four measurements were made: psychoacoustical tuning curves, narrow-band masking, two-tone masking, and loudness summation. Results showed that (a) frequency selectivity was reduced at frequencies where a cochlear hearing loss was present, (b) frequency selectivity was reduced regardless of the test level at which normally-hearing observers and observers with cochlear impairment were compared, (c) all four measures of frequency selectivity were significantly correlated and (d) reduced frequency selectivity was positively correlated with the amount of cochlear hearing loss.


1979 ◽  
Vol 1 (2) ◽  
pp. 121-132 ◽  
Author(s):  
Mary Florentine ◽  
Eberhard Zwicker

Author(s):  
G.J. Spector ◽  
C.D. Carr ◽  
I. Kaufman Arenberg ◽  
R.H. Maisel

All studies on primary neural degeneration in the cochlea have evaluated the end stages of degeneration or the indiscriminate destruction of both sensory cells and cochlear neurons. We have developed a model which selectively simulates the dystrophic changes denoting cochlear neural degeneration while sparing the cochlear hair cells. Such a model can be used to define more precisely the mechanism of presbycusis or the hearing loss in aging man.Twenty-two pigmented guinea pigs (200-250 gm) were perfused by the perilymphatic route as live preparations using fluorocitrate in various concentrations (15-250 ug/cc) and at different incubation times (5-150 minutes). The barium salt of DL fluorocitrate, (C6H4O7F)2Ba3, was reacted with 1.0N sulfuric acid to precipitate the barium as a sulfate. The perfusion medium was prepared, just prior to use, as follows: sodium phosphate buffer 0.2M, pH 7.4 = 9cc; fluorocitrate = 15-200 mg/cc; and sucrose = 0.2M.


1978 ◽  
Vol 9 (1) ◽  
pp. 24-28 ◽  
Author(s):  
Richard H. Nodar

The teachers of 2231 elementary school children were asked to identify those with known or suspected hearing problems. Following screening, the data were compared. Teachers identified 5% of the children as hearing-impaired, while screening identified only 3%. There was agreement between the two procedures on 1%. Subsequent to the teacher interviews, rescreening and tympanometry were conducted. These procedures indicated that teacher screening and tympanometry were in agreement on 2% of the total sample or 50% of the hearing-loss group. It was concluded that teachers could supplement audiometry, particularly when otoscopy and typanometry are not available.


1981 ◽  
Vol 12 (1) ◽  
pp. 26-35 ◽  
Author(s):  
Donald L. McCanna ◽  
Giacinto DeLapa

This report reviews 27 cases of children exhibiting functional hearing loss. The study reveals that most students were in the upper elementary grades and were predominantly females. These subjects were functioning below their ability level in school and were usually in conflict with school, home, or peers. Tests used were selected on the basis of their helping to provide early identification. The subjects' oral and behavioral responses are presented, as well as ways of resolving the hearing problem. Some helpful counseling techniques are also presented.


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