Department of Speech, Language and Hearing Sciences, The University of Texas at Austin, Austin, Texas 78712, USA.
Department of Head and Neck Surgery, David Geffen School of Medicine, University of California at Los Angeles (UCLA), Los Angeles, California 90095, USA.
J Acoust Soc Am. 2023 May 1;153(5):2745. doi: 10.1121/10.0019337.
Hearing loss in the extended high-frequency (EHF) range (>8 kHz) is widespread among young normal-hearing adults and could have perceptual consequences such as difficulty understanding speech in noise. However, it is unclear how EHF hearing loss might affect basic psychoacoustic processes. The hypothesis that EHF hearing loss is associated with poorer auditory resolution in the standard frequencies was tested. Temporal resolution was characterized by amplitude modulation detection thresholds (AMDTs), and spectral resolution was characterized by frequency change detection thresholds (FCDTs). AMDTs and FCDTs were measured in adults with or without EHF loss but with normal clinical audiograms. AMDTs were measured with 0.5- and 4-kHz carrier frequencies; similarly, FCDTs were measured for 0.5- and 4-kHz base frequencies. AMDTs were significantly higher with the 4 kHz than the 0.5 kHz carrier, but there was no significant effect of EHF loss. There was no significant effect of EHF loss on FCDTs at 0.5 kHz; however, FCDTs were significantly higher at 4 kHz for listeners with than without EHF loss. This suggests that some aspects of auditory resolution in the standard audiometric frequency range may be compromised in listeners with EHF hearing loss despite having a normal audiogram.
高频扩展范围(>8 kHz)的听力损失在年轻听力正常的成年人中很常见,可能会对言语感知产生影响,例如在噪声中理解言语的能力下降。然而,高频听力损失如何影响基本的听力学过程尚不清楚。本研究旨在检验高频听力损失与标准频率下听觉分辨率较差相关的假设。通过幅度调制检测阈值(AMDT)来描述时间分辨率,通过频率变化检测阈值(FCDT)来描述频率分辨率。在具有或不具有高频损失但具有正常临床听力图的成年人中测量 AMDT 和 FCDT。使用 0.5 和 4 kHz 的载波频率测量 AMDT;同样,使用 0.5 和 4 kHz 的基频测量 FCDT。4 kHz 的 AMDT 明显高于 0.5 kHz 的载波,但高频损失没有显著影响。0.5 kHz 时高频损失对 FCDT 没有显著影响;然而,对于有高频损失的听众,4 kHz 的 FCDT 明显更高。这表明,尽管听力图正常,但高频听力损失的听众在标准听力学频率范围内的某些听觉分辨率方面可能受到影响。