Ramotowski D, Kimberley B
The University of Calgary, Alberta, Canada.
Ear Hear. 1998 Apr;19(2):111-9. doi: 10.1097/00003446-199804000-00003.
Cochlear physiologic changes that occur with aging also may affect the mechanics and filtering properties of the cochlea. In studying aging effects, it is also necessary to consider the effects of hearing threshold losses because thresholds generally increase with age, and threshold losses also affect the filtering properties of the cochlea. A distortion product emission (DPE)-based measurement of human cochlear traveling wave delays allows an indirect assessment of the mechanics of the traveling wave and how it might change with age.
The cochlear traveling wave delay has been derived from DPE phase measurements using an f1 sweep paradigm (Kimberley, Brown, & Eggermont, 1993). In the present study, traveling wave delay was estimated from DPE phase measurements taken from the left ears of 91 subjects (22 to 78 yr) with auditory thresholds ranging from normal hearing (< or = 25 dB SPL, ANSI 1969) to mild cochlear hearing damage. No one under the age of 65 had hearing losses exceeding 40 dB SPL to 8 kHz. Pure-tone thresholds were determined at eight frequencies through a 4-interval, forced-choice, adaptive-level psychophysical test. DPE phase and amplitude measurements were made at these eight frequencies using CUBeDIS-related software (AT&T Bell Labs). Round-trip traveling wave estimates were calculated from the DPE phase measurements for each of the eight f2 frequencies (places).
Traveling wave delays estimated using DPE phase were not significantly affected by mild hearing losses. Traveling wave delay, however, does increase slightly with age. Optimal f2/f1 ratio and associated DPE amplitude also were tested for age or threshold effects. The optimal f2/f1 ratio remained unaffected by age or hearing loss but decreased with increasing frequency. The maximum DPE amplitude decreased with both advancing age and increasing pure-tone threshold, so it was impossible to isolate the contribution of each individual factor.
Mild hearing losses do not affect the round-trip traveling wave delay. There is a slight age dependence, however. This may suggest that there are age-related but threshold-independent factors that may alter such properties as basilar membrane stiffness or cochlear fluid composition. The relationship between maximum DPE amplitude and threshold, at the frequencies tested, is a better predictor of hearing thresholds than the DPE amplitude as obtained from a fixed ratio DPE amplitude measurement.
随着年龄增长而发生的耳蜗生理变化也可能影响耳蜗的力学和滤波特性。在研究衰老效应时,还需要考虑听力阈值损失的影响,因为阈值通常会随着年龄的增长而升高,并且阈值损失也会影响耳蜗的滤波特性。基于畸变产物耳声发射(DPE)测量人类耳蜗行波延迟,可以间接评估行波的力学特性及其随年龄的变化情况。
耳蜗行波延迟是通过使用f1扫描范式从DPE相位测量中推导出来的(Kimberley、Brown和Eggermont,1993年)。在本研究中,行波延迟是根据对91名受试者(22至78岁)左耳进行的DPE相位测量估算得出的,这些受试者的听觉阈值范围从正常听力(≤25 dB SPL,ANSI 1969)到轻度耳蜗性听力损伤。65岁以下的受试者中,没有人在8 kHz频率处的听力损失超过40 dB SPL。通过4间隔、强制选择、自适应水平心理物理学测试确定八个频率的纯音阈值。使用与CUBeDIS相关的软件(AT&T贝尔实验室)在这八个频率处进行DPE相位和幅度测量。根据八个f2频率(部位)各自的DPE相位测量计算往返行波估计值。
使用DPE相位估算的行波延迟不受轻度听力损失的显著影响。然而,行波延迟确实会随着年龄的增长而略有增加。还测试了最佳f2/f1比率以及相关的DPE幅度对年龄或阈值的影响。最佳f2/f1比率不受年龄或听力损失的影响,但会随着频率的增加而降低。最大DPE幅度随着年龄的增长和纯音阈值的增加而降低,因此无法分离每个单独因素的贡献。
轻度听力损失不会影响往返行波延迟。然而,存在轻微的年龄依赖性。这可能表明存在与年龄相关但与阈值无关的因素,这些因素可能会改变诸如基底膜刚度或耳蜗内液体成分等特性。在测试的频率下,最大DPE幅度与阈值之间的关系比从固定比率DPE幅度测量中获得的DPE幅度更能预测听力阈值。