A Review of Music Perception with Cochlear Implantation / 대한이비인후과학회지

With a high sound quality stimulated by the electrical device and a large inclusion in medical insurance, the number of cochlear implant recipients has been rapidly increased in Korea. Today, it is not surprising that early implanted young children with congenital deafness show a similar performance to their normal hearing peers in speech perception. However, the cochlear implant users still have a trouble to enjoy music. This review study aims to introduce briefly about acoustic components that required to perceive the music and understand a relationship between cochlear implantation and temporal fine structure. For the pediatric implant users who have less experience on acoustical sound features but are much familiar with the electrically stimulated sound, perceiving the music seems to be challengeable due to the lack of temporal fine resolution related to pitch and timbre among various components of music. Four representative test batteries for evaluating the recipients' ability of the music perception were mentioned and effective auditory music trainings were discussed with analysis of related investigations. Unlike hearing aids users who usually depend on fitting algorism for better music quality, the cochlear implant users need systematic training to improve their music perception ability. In conclusion, advancement of speech processing technology which can provide accurate information about the temporal fine structure of incoming music to the recipients needs to be developed. Also, a practical application of music training should be recommended as a part of auditory training for the cochlear implant users.

Consequências da ingestão moderada de etanol na discriminação de notas musicais / Consequences of moderate intake of ethanol in the perception of musical notes

O objetivo deste estudo foi avaliar se existe relação entre a ingestão moderada de etanol e a discriminação das notas musicais RÉ, FÁ, e LÁ, em adultos jovens. Essas notas apresentam frequências fundamentais respectivamente de 293,665 Hz, 349,228 Hz e 440 Hz, de temperamento igual, escolhidas devido estarem em localização central na escala musical ocidental padrão. Participaram do estudo 40 voluntários de 18 a 29 anos, não músicos, saudáveis, não usuários de fármacos ou outras substâncias tóxicas, exceto o etanol de forma moderada e aguda. Por meio do software "Psysounds", criado especificamente para esse estudo, esses voluntários tiveram de escolher, entre duas notas musicais, uma das notas teste apresentada inicialmente. Os dados foram tratados com um teste X2 de aderência para comparar as frequências de acertos das notas musicais de teste nas condições de ingestão e de não ingestão de álcool. As análises mostraram diferenças significantes nas frequências de acertos para todas as notas utilizadas, sugerindo que a ingestão de etanol prejudica a discriminação das notas musicais RÉ, FÁ e LÁ.

The aim of this study was to evaluate if there is relationship between moderate intake of ethanol and the perception of the musical notes D, F, and A in young adults. These notes have fundamental frequencies of 293.665 Hz, 349.228 Hz, and 440 Hz, respectively, equal temperament and were chosen because they are in the central location in the standard western musical scale. The study included 40 volunteers from 18 to 29 years old, non-musicians, healthy, non-users of drugs or other toxic substances, except moderate and acute intake of ethanol. By the "Psysounds" software, created specifically for this study, the volunteers had to choose between two musical notes one of the test notes initially presented. The data were treated with X2 test of adherence to compare the frequency of correct answers regarding the musical notes in the conditions of intake and non-intake of alcohol. The analysis showed significant differences in the frequencies of correct answers for all the notes used, suggesting that ethanol ingestion impairs the discrimination of musical notes D, F and A.

Relationship between Subjective Expression and Pitch in Tinnitus / 대한이비인후과학회지

BACKGROUND AND OBJECTIVES: The majority of tinnitus is classified not as objective, but as subjective tinnitus. The nature of tinnitus is different according to countries, cities, personal expression, but the objective assessment guideline for the diagnosis of subjective expression in tinnitus is not present in Korea. The aim of this study has been to compare subjective expressions with pitch in tinnitus and to find out whether we can predict tinnitus pitch by patient subjective expression. SUBJECTS AND METHOD: We reviewed the records of 633 patients (690 ears) with continuous tinnitus who performed questionnaires of tinnitus and audiologic study. In addition to standard audiometric tests, patients received tests for tinnitus pitch using pure tone stimuli and/ or narrow band noise. RESULTS: Among 50 onomatopoeia of tinnitus, [wi: ng] shows highest incidence (25.4%), followed by [s'oi: ](13.8%), [u: ng] (11.7%), [p'i: ](7.8%), and [tchi: ](5.4%). High pitches, especially 4 kHz (28.6%), 8 kHz (24.9%), were more frequently noted in tinnitus. With respect to the relationship between tinnitus pitch and onomatopoeia, [u: ng] shows highest incidence in low pitches, below 500 Hz, [wi: ng] in 1 kHz, and [s'oi: ] in 4 kHz, 8 kHz. In tinnitus pitch according to onomatopoeia, [wi: ng] had 4 kHz, 8 kHz, 1 kHz, [s'oi: ] had 4 kHz, 1 kHz, 8 kHz, [u: ng] had 125 Hz, 250 Hz, 500 Hz, [p'i: ] had 8 kHz, 4 kHz, 1 kHz, and [tchi: ] had 4 kHz, 8 kHz, more frequently in sequence. Dividing pitches into low, middle and high levels, [u: ng] had low pitches, [s'oi: ] had middle and high pitches, [p'i: ] and [tchi: ] had high pitches, but [wi: ng] was distributed evenly through low to high pitches. CONCLUSION: Our results suggest that there was apparent relationship between subjective expression and pitch in tinnitus.