听觉频率选择性与耳鸣。

R Dauman, Y Cazals
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引用次数: 11

摘要

在大多数情况下,耳鸣有一个很高的音调,可以相当精确地匹配到客观的高频声音。然而,众所周知,耳鸣可以被不同的音调掩盖,没有任何频率选择性。我们想知道,与任何相关的听力损失相比,与耳鸣匹配的客观音调是否会显示出更显著的频率选择性恶化。同时使用纯音掩蔽获得心理声学调谐曲线,显示频率选择性的扩大。在双侧听力损失合并单侧耳鸣的病例中,耳鸣引起的耳廓拓宽尤为明显。这种扩大强烈表明耳鸣起源于耳蜗,尽管中枢通路也可能参与其中。耳鸣引起的频率选择性拓宽可能是耳蜗起源的标志,值得在未来的研究中进一步考虑。
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Auditory frequency selectivity and tinnitus.

In the majority of cases tinnitus has a high pitch and can be matched rather precisely to an objective high frequency sound. However, it is well known that tinnitus can be masked by different tones without any frequency selectivity. We wondered whether objective tones matched to tinnitus would show a more significant deterioration of frequency selectivity than could be expected from any associated hearing loss. Psychoacoustic tuning curves were obtained using simultaneous pure-tone masking and revealed a broadening of frequency selectivity. In cases of comparable bilateral hearing losses with unilateral tinnitus, the broadening associated with the tinnitus was particularly conspicuous. This broadening strongly suggests that tinnitus originates in the cochlea, although some involvement of central pathways may also occur. Tinnitus-induced broadening of frequency selectivity as a possible sign of cochlear origin deserves further consideration in future studies.

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