Central auditory processing. II. Effects of anterior temporal lobectomy.

Ear dominance for the pitch of dichotically presented tonal stimuli was measured in nine patients before and after a unilateral anterior temporal lobectomy. Four subjects had a left and five had a right lobectomy. Every patient exhibited a change of ear dominance consistent with the hypothesis that a unilateral lobectomy decreases the perceptual salience of the tone presented to the ear contralateral to the lesion. Depending on the direction and magnitude of the subject's preoperative ear dominance and the side of the lobectomy, the postoperative results either increased or decreased the strength of ear dominance in a predictable fashion. The results support the idea that within each temporal lobe lie physiological mechanisms which can enhance the perceptual salience of the acoustic signal emitted by one sound source when other, concurrent, spatially separated sound sources are present. It is also argued that the same mechanism operates on speech, melodic, and tonal signals.