Cochlear synaptopathy causes loudness perception impairment without hearing loss

Autor: Bünyamin Cildir, Suna Tokgoz-Yilmaz, Meral Didem Türkyilmaz
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Noise and Health, Vol 24, Iss 113, Pp 49-60 (2022)
Druh dokumentu: article
ISSN: 1463-1741
1998-4030
DOI: 10.4103/nah.NAH_67_20
Popis: Purpose: In this study, the development of a quantitative measurement method to predict long-term auditory adaptation through the stimuli that have been modulated according to different short-term modulation types was aimed to form a psychoacoustic test battery. It might be used in the evaluation process of individuals with hidden hearing loss. Methods: The individuals participating in our study were separated into two groups: high-risk group (n = 39) and low-risk group (n = 30) according to the noise-exposure score. To all participants, auditory brainstem response (ABR), dichotically digit test, Turkish matrix sentence test, otoacoustic emissions test, amplitude modulation detection test, and loudness adaptation test were applied. Stimuli, used in loudness adaptation tests, were provided in three different experiment pairs (experiment 1–2, experiment 3–4, and experiment 5–6). Results: The amplitude of wave I of ABR increased as the intensity level increased in the low-risk group, whereas the amplitude reduced as the intensity level increased in the high-risk group (P < 0.05). When different carrier frequency stimuli were used in amplitude modulation detection test, we found that loudness adaptation was highest at 1 kHz carrier frequency with background noise (P < 0.05). Conclusion: We observed that individuals assumed having hidden hearing loss had high adaptation scores. It was thought that this result might be related to auditory nerve fibers with low spontaneous rate and thus distortion in temporal coding skills might lead to abnormal loudness adaptation, especially with contralateral noise.
Databáze: Directory of Open Access Journals
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