Age-related High-frequency Hearing Loss Is Not Associated With Horizontal Semicircular Canal Function.

OBJECTIVE: Investigate the association between age-related hearing loss and reduced peripheral vestibular function using paired assessments of high-frequency hearing and horizontal semicircular canal (HSC) function. We hypothesized that age-related high-frequency hearing loss would be correlated with reduced HSC function and, therefore, useful to predict age-related vestibular hypofunction. DESIGN: We conducted a single center, retrospective cross-sectional study in a tertiary/academic referral hospital. This study included 185 patients who were diagnosed with a cerebellopontine angle (CPA) tumor and referred to the academic hospital to evaluate treatment options. Data collected included pure-tone audiometry, caloric reflex test, video head-impulse test (vHIT), and medical history. High-frequency hearing loss was quantified by the high Fletcher index (hFI), and horizontal semicircular canal (HSC) function were quantified by the caloric reflex test and vHIT. RESULTS: We observed a significant association between age and high-frequency hearing loss that was significantly worse in men compared with women. In contrast, we observed no significant association between age and HSC function assessed by either the caloric reflex test or vHIT. We observed associations between HSC function and sex, with male sex predicting reduced HSC function by caloric reflex testing but enhanced HSC function by vHIT. High-frequency hearing loss did not predict HSC hypofunction. CONCLUSIONS: We found no evidence indicating age-related decline in HSC function or an association between age-related high-frequency hearing loss and age-related decline in HSC function. We did observe sex-specific differences in HSC function. Our study highlights the need for sex-specific normative values for identifying age-related reduced peripheral vestibular function and for future work linking comprehensive assessments of inner ear function with tests of balance and stability to understand the complex interactions underlying hearing loss and imbalance, especially in the elderly.

Auditory temporal-order thresholds show no gender differences.

PURPOSE: Several studies on auditory temporal-order processing showed gender differences. Women needed longer inter-stimulus intervals than men when indicating the temporal order of two clicks presented to the left and right ear. In this study, we examined whether we could reproduce these results in order to further investigate the differences in auditory processing between men and women. METHODS: Neurologically healthy subjects (13 males and 13 females, age range: 19 to 37 years) had to identify the temporal order of two clicks, presented monaurally to the left and right ear. Thresholds for the inter-stimulus intervals between the clicks were determined using a three step transformed up-down procedure. RESULTS: The results show no influence of gender in the auditory temporal-order task. Inter-individual differences were, however, large, ranging from a threshold of around 15 ms to around 90 ms. CONCLUSION: Contrary to what was found in previous studies, no significant gender difference was measured in temporal-processing abilities using a task with monaurally presented clicks.

Dominance of missing fundamental versus spectrally cued pitch: individual differences for complex tones with unresolved harmonics.

In a two-alternative, forced-choice experiment, subjects had to compare the pitches of two sounds, A and B. Each sound was composed of four successive harmonics of a fundamental frequency between 100 to 250 Hz, added in cosine or Schröder phase. The harmonic frequencies of A were lower than those of B; the missing fundamental frequency of A was higher than that of B. The dominance of the missing fundamental versus the spectrally cued pitch--a pitch percept corresponding to spectral components--was measured as a function of nA, the lowest harmonic in A. The pitch percept is dominated by the missing fundamental if the harmonics are resolved (nA<7). If the harmonics become unresolved and are added in Schröder phase, the dominance shifts to a spectrally cued pitch (720). For others, the transition was in the realm of partly resolved harmonics. This shows that the temporal envelope modulation of stimuli with only four unresolved harmonics can give a relatively clear fundamental pitch percept. However, this percept varies considerably among subjects.