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Perception of voice cues and speech-in-speech by children with prelingual single-sided deafness and a cochlear implant 舌前单侧耳聋和植入人工耳蜗的儿童对声音线索和语音的感知。
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-10-17 DOI: 10.1016/j.heares.2024.109133
Tine Arras , Laura Rachman , Astrid van Wieringen , Deniz Başkent
Voice cues, such as fundamental frequency (F0) and vocal tract length (VTL), help listeners identify the speaker's gender, perceive the linguistic and emotional prosody, and segregate competing talkers. Postlingually implanted adult cochlear implant (CI) users seem to have difficulty in perceiving and making use of voice cues, especially of VTL. Early implanted child CI users, in contrast, perceive and make use of both voice cues better than CI adults, and in patterns similar to their peers with normal hearing (NH).
In our study, we investigated the perception and use of voice cues in children with single-sided deafness (SSD) who received their CI at an early age (SSD+CI), in an attempt to bridge the gap between these two groups. The SSD+CI children have access to bilateral auditory information and often receive their CI at an early age, similar to CI children. They may also have dominant acoustic representations, similar to CI adults who acquired hearing loss at a later age. As such, the current study aimed to investigate the perception and use of voice cues by a group of nine early-implanted children with prelingual SSD. The study consisted of three experiments: F0 and VTL discrimination, voice gender categorization, and speech-in-speech perception. In each experiment, the results of the SSD group are compared to children and adults with CIs (for their CI ear) and with typical hearing (for their NH ear).
Overall, the SSD+CI children had poorer VTL detection thresholds with their CI compared to their NH ear, while their F0 perception was similar across ears. Detection thresholds for both F0 and VTL with their CI ear was comparable to those of bilaterally implanted CI children, suggesting that SSD+CI children do not only rely on their NH ear, but actually make use of their CI. SSD+CI children relied more heavily on F0 cues than on VTL cues for voice gender categorization, with cue weighting patterns comparable to those of CI adults. In contrast to CI children, the SSD+CI children showed limited speech perception benefit based on F0 and VTL differences between the target and masker speaker, which again corresponded to the results of CI adults. Altogether, the SSD+CI children make good use of their CI, despite a good-hearing ear, however, the perceptual patterns seem to fall in-between those of CI children and CI adults. Perhaps a combination of childhood neuroplasticity, limited experience with relying only on the CI, and a dominant acoustic representation of voice gender explain these results.
基频(F0)和声带长度(VTL)等语音线索有助于听者识别说话者的性别、感知语言和情感的前奏,以及区分相互竞争的说话者。舌后植入人工耳蜗(CI)的成人用户似乎很难感知和利用语音线索,尤其是声带长度(VTL)。相比之下,早期植入人工耳蜗的儿童用户在感知和利用这两种声音线索方面都优于植入人工耳蜗的成人用户,其模式也与听力正常(NH)的同龄人相似。在我们的研究中,我们调查了单侧耳聋(SSD)儿童对语音提示的感知和使用情况,这些儿童很早就接受了 CI(SSD+CI),我们试图缩小这两个群体之间的差距。SSD+CI 儿童可以获得双侧听觉信息,通常在幼年时就接受了 CI,这一点与 CI 儿童类似。他们还可能具有优势听觉表征,这与较晚才获得听力损失的成人 CI 相似。因此,本研究旨在调查九名早期植入 CI 的舌前 SSD 儿童对声音线索的感知和使用。研究包括三项实验:F0和VTL辨别、语音性别分类和语音中的语音感知。在每个实验中,SSD 组的结果都与带有 CI(CI 耳)和具有典型听力(NH 耳)的儿童和成人进行了比较。总体而言,SSD+CI 儿童的 CI 耳 VTL 检测阈值比 NH 耳低,而两耳的 F0 感知能力相似。使用 CI 耳朵的 F0 和 VTL 检测阈值与双侧植入 CI 的儿童不相上下,这表明 SSD+CI 儿童不仅依赖 NH 耳朵,而且还实际使用了 CI。在声音性别分类方面,SSD+CI 儿童更依赖于 F0 提示,而不是 VTL 提示,其提示权重模式与 CI 成人相当。与 CI 儿童不同的是,SSD+CI 儿童根据目标说话者和掩蔽说话者之间的 F0 和 VTL 差异表现出有限的语音感知优势,这也与 CI 成人的结果一致。总之,尽管 SSD+CI 儿童的耳朵听力良好,但他们能很好地利用 CI,不过,他们的感知模式似乎介于 CI 儿童和 CI 成人之间。也许童年时期的神经可塑性、仅依靠 CI 的有限经验以及声音性别的主导声学表征等因素可以解释这些结果。
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引用次数: 0
The association of intraoperative electric field and neural excitation patterns of the cochlear implant with patient-related factors of age, gender, cochlear diameter, and postoperative speech measures 人工耳蜗术中电场和神经激发模式与患者年龄、性别、耳蜗直径和术后言语测量等相关因素的联系。
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-10-16 DOI: 10.1016/j.heares.2024.109131
Priyanka Mohan, Saku T. Sinkkonen, Ville Sivonen

Purpose

To assess the relationships between the electric field (EF) and neural excitation patterns in cochlear implants (CIs) and explore their associations with the cochlear diameter, patient age and gender, and postoperative speech recognition.

Method

The intraoperative transimpedance matrix (TIM) and spread of excitation (SOE) measures were computed to obtain their 50 % widths corresponding to six electrode contacts of a lateral-wall electrode array. The measures were then analyzed for intercorrelations, associations with the cochlear diameter, as well as age and gender-related differences. The relationships between the computed intraoperative measures and postimplant speech recognition were also studied.

Results

The TIM and SOE 50 % widths present moderate correlations and exhibit differences between adults and children. The TIM 50 % widths show additional associations with the cochlear diameter and partly vary with the implantee's gender. Speech recognition was found to have a significant relationship with the exponential spread coefficients (ESCs) obtained for individual electrode contacts.

Conclusion

Although interrelated, the EF and neural excitation measures of the CI are associated with different variables. The ESC, derived from computations of the TIM, is the only measure linked to postoperative speech recognition.
目的:评估人工耳蜗(CI)中电场(EF)和神经激励模式之间的关系,并探讨它们与人工耳蜗直径、患者年龄和性别以及术后语音识别的关系:方法:计算术中跨阻抗矩阵(TIM)和激励扩散(SOE)测量值,以获得与侧壁电极阵列的六个电极触点相对应的 50 % 宽度。然后分析这些测量值之间的相互关系、与耳蜗直径的关联以及与年龄和性别有关的差异。此外,还研究了计算得出的术中测量值与植入后语音识别之间的关系:结果:TIM 和 SOE 50 % 宽度呈中等相关性,并显示出成人和儿童之间的差异。TIM 50 % 宽度与耳蜗直径有额外的关联,并且与植入者的性别有部分差异。研究发现,语音识别与单个电极接触的指数扩散系数(ESC)有显著关系:尽管相互关联,但 CI 的 EF 和神经兴奋测量与不同的变量相关。由 TIM 计算得出的 ESC 是唯一与术后语音识别有关的测量值。
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引用次数: 0
Influence of the cochlear partition’s flexibility on the macro mechanisms in the inner ear 耳蜗隔板的灵活性对内耳宏观机制的影响
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-10-05 DOI: 10.1016/j.heares.2024.109127
Simon Kersten , Henning Taschke , Michael Vorländer
Recent studies have highlighted the anatomy of the cochlear partition (CP), revealing insights into the flexible nature of the osseous spiral lamina (OSL) and the existence of a flexible cochlear partition bridge (CPB) between the OSL and the basilar membrane (BM). However, most existing inner ear models treat the OSL as a rigid structure and ignore the CPB, neglecting their potential impact on intracochlear sound pressure and motion of the BM. In this paper, we investigate the effect of the CP’s flexibility by including the OSL and CPB as either rigid or flexible structures in a numerical anatomical model of the human inner ear. Our findings demonstrate that the flexibility of the OSL and the presence of the CPB significantly affect cochlear macro mechanisms, including differential intracochlear sound pressure, resistive behavior in cochlear impedances, CP stiffness, and BM velocity. These results emphasize the importance of considering the flexibility of the entire CP to enhance our understanding of cochlear function and to accurately interpret experimental data on inner ear mechanics.
最近的研究强调了耳蜗隔板(CP)的解剖结构,揭示了骨螺旋薄片(OSL)的柔性以及骨螺旋薄片和基底膜(BM)之间存在柔性耳蜗隔板桥(CPB)。然而,现有的大多数内耳模型都将耳骨螺旋薄层视为刚性结构,忽略了耳骨螺旋薄层对耳蜗内声压和基底膜运动的潜在影响。在本文中,我们通过将 OSL 和 CPB 作为刚性或柔性结构纳入人类内耳的数值解剖模型,研究了 CP 的柔性影响。我们的研究结果表明,OSL 的灵活性和 CPB 的存在会显著影响耳蜗的宏观机制,包括蜗内声压差、耳蜗阻抗中的电阻行为、CP 硬度和 BM 速度。这些结果强调了考虑整个 CP 的灵活性对于提高我们对耳蜗功能的理解和准确解释内耳力学实验数据的重要性。
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引用次数: 0
A simple electrical circuit model for impedance spectroscopy with cochlear implant electrodes 使用人工耳蜗电极进行阻抗光谱分析的简单电路模型
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-10-04 DOI: 10.1016/j.heares.2024.109125
Merle Sehlmeyer , Mit B. Bhavsar , Stefan Zimmermann , Hannes Maier
Although cochlear implants are an established method of restoring hearing, they can have limitations such as increasing current spread and decreasing frequency resolution due to tissue growth around the electrode array. Impedance measurements in cochlear implants have become a versatile tool for intra- and post-operative diagnosis of cochlear implant state. However, most clinical devices use current pulse stimulation already available in the implants and analyze the voltage response in the time-domain and spread along the cochlea. To use the full potential of impedance spectroscopy in differentiating cell types, measurement over an extended frequency range is required. This study presents a simple electrical equivalent circuit for impedance spectroscopy with cochlear implants in a 2-pole configuration. The electrical equivalent circuit describes the electrical properties of the cochlear implant electrode and its electrochemical behavior at the electrode-electrolyte interface by comparing two non-linear bilayer models, Cole-Cole and Schwan-Faraday. The model is validated for four cochlear implant electrodes from four different manufacturers (MED-EL FlexSoft, AB HiFocus SlimJ, Oticon EVO, Cochlear Nucleus CI622) characterized by impedance spectroscopy between 5 Hz and 13 MHz. In the future, this electrical equivalent circuit may help to extract parameters for differentiating cell types around the cochlear implant electrode from an impedance spectroscopic measurement.
虽然人工耳蜗是一种成熟的听力恢复方法,但它也有其局限性,例如由于电极阵列周围组织的生长,会导致电流扩散增大和频率分辨率降低。人工耳蜗的阻抗测量已成为术中和术后诊断人工耳蜗状态的通用工具。然而,大多数临床设备使用植入体中已有的电流脉冲刺激,分析时域电压响应并沿耳蜗扩散。要充分发挥阻抗光谱在区分细胞类型方面的潜力,需要在更大的频率范围内进行测量。本研究提出了一种简单的电气等效电路,用于使用双极配置的人工耳蜗进行阻抗光谱分析。该电学等效电路通过比较两种非线性双电层模型(科尔-科尔模型和施万-法拉第模型),描述了耳蜗植入电极的电学特性及其在电极-电解质界面的电化学行为。该模型针对四个不同制造商生产的四个人工耳蜗电极(MED-EL FlexSoft、AB HiFocus SlimJ、Oticon EVO 和 Cochlear Nucleus CI622)进行了验证,并通过 5 Hz 和 13 MHz 之间的阻抗谱进行了表征。将来,这种电气等效电路可能有助于从阻抗频谱测量中提取参数,用于区分人工耳蜗电极周围的细胞类型。
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引用次数: 0
Resting-state networks in chronic tinnitus: Increased connectivity between thalamus and visual areas 慢性耳鸣的静息态网络:丘脑与视觉区域之间的连接性增强
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-10-04 DOI: 10.1016/j.heares.2024.109122
Tori Kok , Rosemary Varley , Chris Clark , Madeleine Verriotis , Kiran Seunarine , Giriraj Singh Shekhawat
Tinnitus is thought to be associated with aberrant spontaneous activity in the central nervous system. Previous resting-state fMRI findings support this hypothesis and have shown a variety of alterations in neural activity in people with tinnitus compared to people without tinnitus. However, there is little replication of findings. Therefore, the current study aimed to extend on previous findings by investigating eight common resting-state networks (i.e. auditory, default mode, sensorimotor, visual, salience, dorsal attention, frontoparietal and language networks) using a control group (n = 36) and a group of tinnitus patients (n = 46) matched for age, sex and years of education. Hearing profiles matched up to 2 kHz and had a small but significant difference between groups in the high frequency range. Functional connectivity (FC) with dorsolateral prefrontal cortex (DLPFC) was also investigated separately for the first time, as this region is proposed to be core to tinnitus distress symptoms and most often used as a stimulation target in transcranial direct current stimulation (tDCS) research. The results showed that tinnitus patients had increased FC between bilateral thalamus and right visual association cortex compared to control participants. No differences were found with DLPFC, or with any of the resting-state networks (RSN), contrary to previous studies which have reported alterations in several RSNs.
耳鸣被认为与中枢神经系统的异常自发活动有关。之前的静息态 fMRI 研究结果支持这一假设,并显示与无耳鸣的人相比,耳鸣患者的神经活动发生了各种改变。然而,这些研究结果很少被重复。因此,本研究旨在扩展之前的研究结果,利用一组对照组(n = 36)和一组耳鸣患者(n = 46)(年龄、性别和受教育年限相匹配)调查八个常见的静息态网络(即听觉、默认模式、感觉运动、视觉、显著性、背侧注意、额顶叶和语言网络)。听力曲线的匹配频率高达 2 kHz,在高频范围内各组之间存在微小但显著的差异。该研究还首次单独调查了与背外侧前额叶皮层(DLPFC)的功能连接(FC),因为该区域被认为是耳鸣困扰症状的核心区域,也是经颅直流电刺激(tDCS)研究中最常用的刺激目标。结果显示,与对照组参与者相比,耳鸣患者双侧丘脑和右侧视觉联想皮层之间的FC增加了。与以往研究报告的几种静息状态网络(RSN)的改变相反,在DLPFC或任何静息状态网络(RSN)之间没有发现差异。
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引用次数: 0
Perceptual tri-stability, measured and fitted as emergent from a model for bistable alternations 从双稳态交替模型中测量和拟合出的感知三稳态。
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-10-03 DOI: 10.1016/j.heares.2024.109123
Jiaqiu Vince Sun , Zeyu Jing , James Rankin , John Rinzel
The human auditory system in attempting to decipher ambiguous sounds appears to resort to perceptual exploration as evidenced by multi-stable perceptual alternations. This phenomenon has been widely investigated via the auditory streaming paradigm, employing ABA_ triplet sequences with much research focused on perceptual bi-stability with the alternate percepts as either a single integrated stream or as two simultaneous distinct streams. We extend this inquiry with experiments and modeling to include tri-stable perception. Here, the segregated percepts may involve a foreground/background distinction. We collected empirical data from participants engaged in a tri-stable auditory task, utilizing this dataset to refine a neural mechanistic model that had successfully reproduced multiple features of auditory bi-stability. Remarkably, the model successfully emulated basic statistical characteristics of tri-stability without substantial modification. This model also allows us to demonstrate a parsimonious approach to account for individual variability by adjusting the parameter of either the noise level or the neural adaptation strength.
人类听觉系统在试图破译模棱两可的声音时,似乎需要进行知觉探索,这一点可以从多种稳定的知觉交替中得到证明。这种现象已通过听觉流范式进行了广泛研究,采用的是 ABA_三连音序列,许多研究集中于知觉的双稳态性,交替知觉要么是单一的综合流,要么是两个同时出现的不同流。我们通过实验和建模将这一研究扩展到三稳态知觉。在这里,分离的知觉可能涉及前景/背景的区别。我们收集了参与三稳态听觉任务的参与者的经验数据,并利用这些数据集完善了一个神经机制模型,该模型成功地再现了听觉双稳态的多个特征。值得注意的是,该模型成功地模拟了三稳态的基本统计特征,而无需进行大量修改。这个模型还让我们展示了一种简便的方法,即通过调整噪声水平或神经适应强度的参数来考虑个体差异。
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引用次数: 0
No causal relationship serum lipids on age-related hearing loss based on Mendelian randomized evidence 根据孟德尔随机证据,血清脂质与老年性听力损失没有因果关系。
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-10-02 DOI: 10.1016/j.heares.2024.109128
Tianyi Ni , Ziyu Shen , Xiuling Lu , Hekai Shi , Hongbo Xie , Siyi Yang , Wenjie Zhuang , Yuehong Liu , Zhao Han

Objectives

Presbycusis, or age-related hearing loss (ARHL) has been a common disability disease among the elderly population. It is particularly essential to identify the underlying role of related risk factors for ARHL diagnosis and treatment. Observational studies have shown that cardiovascular disease may be a factor in ARHL. Serum lipids are a key risk factor for cardiovascular disease. Therefore, it may be a potentially influencing factor for elderly deafness. We conduct the study to analyze the causal relationship between serum lipids and European elderly deafness.

Design

Using genetic variation data related to serum lipids (total cholesterol levels [TCL], total triglycerides levels [TGL], and lipoprotein fractions, including apolipoprotein A1 levels [APOA1L], apolipoprotein B levels [APOBL], high-density lipoprotein cholesterol levels [HDL], and low-density lipoprotein cholesterol levels [LDL]) as instrumental variables, the outcome events were summarized from the genome-wide association study data of elderly deafness, and Mendelian randomization (MR) analysis was used in our analysis. The relationship between serum lipids levels and ARHL was analyzed using five methods, including inverse variance weighted, weighted mode, MR-Egger, weighted median, and simple mode. The study aims to use bidirectional MR analysis.

Results

Among all 5 methods, no significant causal effects were found between serum lipids (TCL OR = 0.936, p = .488; TGL OR = 0.955, p = 0.657; APOA1L OR = 0.864, p = .061; APOBL OR = 0.979, p = .786; HDL OR = 0.998, p = .979; LDL OR = 1.089, p = .281) and presbycusis.

Conclusion

The findings of MR causal inference analysis did not support the causal relationship between presbycusis and serum lipids, including cholesterol, triglycerides, and lipoprotein fractions (APOA1L, APOBL, HDL and LDL).
目的:老花眼或老年性听力损失(ARHL)是老年人口中常见的残疾疾病。确定相关风险因素对 ARHL 诊断和治疗的潜在作用尤为重要。观察性研究表明,心血管疾病可能是导致 ARHL 的一个因素。血清脂质是心血管疾病的关键风险因素。因此,它可能是老年性耳聋的潜在影响因素。我们的研究旨在分析血清脂质与欧洲老年性耳聋之间的因果关系:利用与血清脂质(总胆固醇水平 [TCL]、总甘油三酯水平 [TGL]、脂蛋白组分,包括载脂蛋白 A1 水平 [APOA1L]、载脂蛋白 B 水平 [APOBL]、高密度脂蛋白胆固醇水平 [HDL]、我们的分析采用了孟德尔随机化(MR)分析法,并从老年性耳聋的全基因组关联研究数据中总结了结果事件。我们采用了五种方法分析血清脂质水平与 ARHL 之间的关系,包括逆方差加权法、加权模式法、MR-Egger 法、加权中位数法和简单模式法。研究旨在使用双向MR分析:在所有五种方法中,血清脂质(TCL OR = 0.936,p = .488;TGL OR = 0.955,p = 0.657;APOA1L OR = 0.864,p = .061;APOBL OR = 0.979,p = .786;HDL OR = 0.998,p = .979;LDL OR = 1.089,p = .281)与老花眼之间没有发现明显的因果效应:磁共振因果推理分析结果不支持老花眼与血清脂质(包括胆固醇、甘油三酯和脂蛋白组分(APOA1L、APOBL、高密度脂蛋白和低密度脂蛋白))之间的因果关系。
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引用次数: 0
Conductance properties of the α9α10 nicotinic acetylcholine receptor of neonatal mouse inner and outer hair cells 新生小鼠内外毛细胞α9α10烟碱乙酰胆碱受体的传导特性
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-10-01 DOI: 10.1016/j.heares.2024.109126
Helen J Kennedy , Michael G Evans
In the developing cochlea, just before the onset of hearing on postnatal day 12, the medial olivocochlear efferent axons in synaptic contact with the inner hair cells (IHCs) start withdrawing and new efferent synaptic connections are formed on the outer hair cells (OHCs), thereby progressing towards the adult pattern of medial olivocochlear efferent innervation. The synapses are inhibitory, calcium influx through the α9α10 nicotinic acetylcholine receptors (nAChRs) driving opening of calcium-dependent potassium channels. The nAChRs appear to function similarly in IHCs and OHCs, although with probable kinetic differences. Our aim was to assess their functional similarity in the neonatal mouse cochlea by making whole-cell recordings from both hair cell types between postnatal day 7 and 10 when nAChRs are expressed. ACh was applied to voltage-clamped hair cells by pressure-ejection from a pipette. The cells were dialysed with a Cs+-based solution designed to eliminate calcium-dependent potassium currents. There were differences in amplitude, voltage-sensitivity and reversal potential of the nAChR currents between IHCs and OHCs. There was also some indication that IHC nAChRs have slower activation and desensitization kinetics, although the relatively slow ACh application limited interpretation of this result. These differences, particularly concerning the reversal potential, might indicate the presence of different auxiliary protein subunits of the α9α10 receptor in neonatal IHCs and OHCs.
在发育中的耳蜗中,就在出生后第 12 天开始出现听力之前,与内毛细胞(IHC)有突触接触的内侧橄榄耳传出轴突开始撤出,并在外毛细胞(OHC)上形成新的传出突触连接,从而向内侧橄榄耳传出神经支配的成人模式发展。突触是抑制性的,钙通过α9α10烟碱乙酰胆碱受体(nAChRs)流入,驱动钙依赖性钾通道开放。nAChRs在IHC和OHC中的功能似乎相似,但可能存在动力学差异。我们的目的是在新生小鼠耳蜗中对两种毛细胞类型进行全细胞记录,以评估它们在新生小鼠耳蜗中的功能相似性。通过移液管的压力喷射,向电压钳夹的毛细胞施加 ACh。用 Cs+ 基溶液透析细胞,以消除钙依赖性钾电流。IHC 和 OHC 之间的 nAChR 电流在振幅、电压敏感性和反向电位方面存在差异。还有一些迹象表明,IHC nAChRs 的激活和脱敏动力学较慢,尽管 ACh 的应用相对较慢限制了对这一结果的解释。这些差异,尤其是反转电位方面的差异,可能表明新生 IHC 和 OHC 中存在不同的 α9α10 受体辅助蛋白亚基。
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引用次数: 0
Cross-sectional screening for inflammation in tinnitus with near-normal hearing 对听力接近正常的耳鸣患者进行炎症横断面筛查
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-09-23 DOI: 10.1016/j.heares.2024.109124
Lilian M. Mennink , Lina B.M. Albakri , Marlien W. Aalbers , Pim van Dijk , J.Marc C. van Dijk
Tinnitus is the perception of sound without an external stimulus. Recently, inflammation has been implicated in the pathophysiology of tinnitus. In tinnitus animal models, cytokine levels are increased throughout the whole auditory pathway, and microglia and astrocytes are activated. However, only a few human studies on inflammation in tinnitus were conducted, which generally did not account for confounders such as hearing loss, anxiety and depression. The current study therefore aimed to evaluate the association between inflammation and tinnitus specifically in participants with (near-)normal hearing and without signs of anxiety or depression.
In this cross-sectional study, fifty tinnitus participants and fifty healthy controls completed a tinnitus questionnaire and underwent audiometric testing. Complete blood count measures were determined in blood plasma, as well as cytokine concentrations by using the enzyme-linked immunosorbent assay (ELISA) technique.
Platelet count and cytokine concentrations of IL-10 and IFN-γ were lower in participants with tinnitus compared to controls, and male sex, lower MCV, lower platelet count, and lower IL-10 and IFN-γ concentrations were significant predictors of tinnitus presence.
The current study shows that inflammatory parameters are altered in tinnitus patients after exclusion of important confounders such as hearing loss, anxiety, depression, and inflammatory diseases.
耳鸣是在没有外部刺激的情况下对声音的感知。最近,炎症被认为与耳鸣的病理生理学有关。在耳鸣动物模型中,整个听觉通路的细胞因子水平升高,小胶质细胞和星形胶质细胞被激活。然而,关于耳鸣中炎症的人类研究为数不多,而且通常没有考虑听力损失、焦虑和抑郁等混杂因素。在这项横断面研究中,50 名耳鸣患者和 50 名健康对照者填写了耳鸣问卷,并接受了听力测试。与对照组相比,耳鸣患者的血小板计数、IL-10 和 IFN-γ 的细胞因子浓度较低,而男性性别、较低的 MCV、较低的血小板计数、较低的 IL-10 和 IFN-γ 浓度是耳鸣发生的重要预测因素。本研究表明,在排除听力损失、焦虑、抑郁和炎症性疾病等重要混杂因素后,耳鸣患者的炎症参数会发生改变。
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引用次数: 0
Frequency dependence and harmonic distortion of stapes displacement and intracochlear pressure in response to very high level sounds 镫骨位移和耳蜗内压对极高音量声音反应的频率依赖性和谐波失真
IF 2.5 2区 医学 Q1 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY Pub Date : 2024-09-20 DOI: 10.1016/j.heares.2024.109121
Nathaniel T. Greene , Theodore F. Argo , James Easter , Tim Walilko , Daniel J. Tollin
Previous reports have suggested that intracochlear pressures (PIC) measured at the base of the cochlea increase directly proportionally with stapes displacement (DStap) in response to moderately high (<130 dB SPL) level sounds. Consistent with this assumption, we have reported that for low frequency sounds (<1 kHz), stapes displacement and intracochlear pressures increase linearly with sound pressure level (SPL) for moderately high levels (<130 dB SPL), but saturate at higher exposure levels (>130 dB SPL). However, the magnitudes of each response were found to be frequency dependent, thus the relationship between DStap and PIC may vary at higher frequencies or higher levels.
In order to further examine this frequency and level dependence, measurements of DStap and PIC were made in cadaveric human temporal bones prepared with a mastoidectomy and extended facial recess to expose the ossicular chain. PIC was measured in scala vestibuli (PSV) and scala tympani (PST) simultaneously with SPL in the external auditory canal (PEAC) and laser Doppler vibrometry (LDV) measurements of stapes velocity (VStap). Consistent with prior reports, DStap and PSV increased proportionally with sound pressure level in the ear canal up to a frequency-dependent saturation point, above which both DStap and PSV showed a distinct deviation from proportionality with PEAC, suggesting that their relationship may remain constant at these high frequencies. Likewise, while the asymptotic value, and SPL at which saturation occurred were frequency dependent in both DStap and PSV, the reduction in gain with increasing SPL above this level was constant above this level at all frequencies, and the magnitude of responses at harmonics of the driving frequency increased with increasing level, consistent with harmonic distortion via peak clipping. Importantly, this nonlinear distortion shifts the energy arriving at the inner ear to higher frequencies than are present in incident stimulus, thus exposing the high frequency sensitive components of the auditory system to more noise than would be expected from measurement of that stimulus on its own. Overall, responses suggest that the cochlear representation of very high-level air conducted stimuli is limited by nonlinearities in the middle ear, and that this peak limiting leads to increased high frequency cochlear exposures than are present in the driving stimulus.
以前的报告表明,在中高声压级(130 dB SPL)的声音下,耳蜗底部测得的蜗内压(PIC)与镫骨位移(DStap)成正比增加。与这一假设相一致的是,我们的报告显示,对于低频声音(1 kHz),镫骨位移和耳蜗内压在中等高声压级(130 dB SPL)时随声压级(SPL)呈线性增加,但在较高暴露声压级(130 dB SPL)时达到饱和。为了进一步研究这种频率和电平依赖性,我们在进行乳突切除术和扩大面部凹陷以暴露听骨链的尸体颞骨中测量了 DStap 和 PIC。在前庭(PSV)和鼓室(PST)测量 PIC 的同时,还测量了外耳道(PEAC)的声压级和镫骨速度(VStap)的激光多普勒测振仪(LDV)。与之前的报告一致,DStap 和 PSV 随耳道内声压级成比例增加,直到与频率相关的饱和点。同样,虽然 DStap 和 PSV 的渐近值和发生饱和的声压级都与频率有关,但在所有频率上,随着声压级的增加,增益随声压级的增加而降低,在驱动频率的谐波处的响应幅度随声压级的增加而增加,这与通过峰值削波产生的谐波失真一致。重要的是,这种非线性失真将到达内耳的能量转移到比入射刺激更高的频率上,从而使听觉系统的高频敏感元件受到比单独测量该刺激所预期的更多噪声的影响。总之,这些反应表明,耳蜗对极高频率空气传导刺激的表征受到中耳非线性的限制,这种峰值限制导致耳蜗暴露的高频率高于驱动刺激。
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Hearing Research
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