Hearing impairment may sometimes be associated with complete loss of inner hair cells (IHCs) over a certain region of the basilar membrane. We call this a 'dead region'. Amplification (using a hearing aid) over a frequency range corresponding to a dead region may not be beneficial and may even impair speech intelligibility. However, diagnosis of dead regions is not easily done from the audiogram. This paper reports the design and evaluation of a method for detecting and delimiting dead regions. A noise, called 'threshold equalizing noise' (TEN), was spectrally shaped so that, for normally hearing subjects, it would give equal masked thresholds for pure tone signals at all frequencies within the range 250-10,000 Hz. Its level is specified as the level in a one-ERB (132 Hz) wide band centred at 1000 Hz. Measurements obtained from 22 normal-hearing subjects and TEN levels of 30, 50 and 70 dB/ERB confirmed that the signal level at masked threshold was approximately equal to the noise level/ERB and was almost independent of signal frequency. Masked thresholds were measured for 20 ears of 14 subjects with sensorineural hearing loss, using TEN levels of 30, 50 and 70 dB/ERB. Psychophysical tuning curves (PTCs) were measured for the same subjects. When there are surviving IHCs corresponding to a frequency region with elevated absolute thresholds, a signal in that frequency region is detected via IHCs with characteristic frequencies (CFs) close to that region. In such a case, threshold in the TEN is close to that for normal-hearing listeners, provided that the noise intensity is sufficient to produce significant masking. Also, the tip of the PTC lies close to the signal frequency. When a dead region is present, the signal is detected via IHCs with CFs different from that of the signal frequency. In such a case, threshold in the TEN is markedly higher than normal, and the tip of the PTC is shifted away from the signal frequency. Generally, there was a very good correspondence between the results obtained using the TEN and the PTCs. We conclude that the measurement of masked thresholds in TEN provides a quick and simple method for the diagnosis of dead regions.

A dead region is a region of the cochlea where there are no functioning inner hair cells (IHCs) and/or neurons; it can be characterized in terms of the characteristic frequencies of the IHCs bordering that region. We examined the effect of high-frequency amplification on speech perception for subjects with high-frequency hearing loss with and without dead regions. The limits of any dead regions were defined by measuring psychophysical tuning curves and were confirmed using the TEN test described in Moore et al. [Br. J. Audiol. 34, 205-224 (2000)]. The speech stimuli were vowel-consonant-vowel (VCV) nonsense syllables, using one of three vowels (/i/, /a/, and /u/) and 21 different consonants. In a baseline condition, subjects were tested using broadband stimuli with a nominal input level of 65 dB SPL. Prior to presentation via Sennheiser HD580 earphones, the stimuli were subjected to the frequency-gain characteristic prescribed by the "Cambridge" formula, which is intended to give speech at 65 dB SPL the same overall loudness as for a normal listener, and to make the average loudness of the speech the same for each critical band over the frequency range important for speech intelligibility (in a listener without a dead region). The stimuli for all other conditions were initially subjected to this same frequency-gain characteristic. Then, the speech was low-pass filtered with various cutoff frequencies. For subjects without dead regions, performance generally improved progressively with increasing cutoff frequency. This indicates that they benefited from high-frequency information. For subjects with dead regions, two patterns of performance were observed. For most subjects, performance improved with increasing cutoff frequency until the cutoff frequency was somewhat above the estimated edge frequency of the dead region, but hardly changed with further increases. For a few subjects, performance initially improved with increasing cutoff frequency and then worsened with further increases, although the worsening was significant only for one subject. The results have important implications for the fitting of hearing aids.

The active mechanism in the cochlea is thought to depend on the integrity of the outer hair cells (OHCs). Cochlear hearing loss is usually associated with damage to both inner hair cells (IHCs) and OHCs, with the latter resulting in a reduction in or complete loss of the function of the active mechanism. It is believed that the active mechanism contributes to the sharpness of tuning on the basilar membrane (BM) and is also responsible for compressive input-output functions on the BM. Hence, one would expect a close relationship between measures of sharpness of tuning and measures of compression. This idea was tested by comparing three different measures of the status of the active mechanism, at center frequencies of 2, 4, and 6 kHz, using subjects with normal hearing, with unilateral or highly asymmetric cochlear hearing loss, and with bilateral loss. The first measure, HLOHC, was an indirect measure of the amount of the hearing loss attributable to OHC damage; this was based on loudness matches between the two ears of subjects with unilateral hearing loss and was derived using a loudness model. The second measure was the equivalent rectangular bandwidth (ERB) of the auditory filter, which was estimated using the notched-noise method. The third measure was based on the slopes of growth-of-masking functions obtained in forward masking. The ratio of slopes for a masker centered well below the signal frequency and a masker centered at the signal frequency gives a measure of BM compression at the place corresponding to the signal frequency; a ratio close to 1 indicates little or no compression, while ratios less than 1 indicate that compression is occurring at the signal place. Generally, the results showed the expected pattern. The ERB tended to increase with increasing HLOHC. The ratio of the forward-masking slopes increased from about 0.3 to about 1 as HLOHC increased from 0 to 55 dB. The ratio of the slopes was highly correlated with the ERB (r = 0.92), indicating that the sharpness of the auditory filter decreases as the compression on the BM decreases.

People with hearing loss of cochlear origin usually display loudness recruitment; the rate of growth of loudness level with increasing sound level is greater than for a normally hearing person. Loudness recruitment has usually been studied with steady sounds of relatively long duration. The present study examines how recruitment affects the perception of dynamically varying sounds, namely amplitude modulated sinusoids. The modulation rates used ͑4, 8, 16, and 32 Hz͒ were chosen to span the range of the most prominent modulations present in the envelope of speech. Three subjects with unilateral cochlear hearing loss were used. In experiment 1, subjects were required to make loudness matches between 1-kHz tones presented alternately to the two ears. This was done over a wide range of sound levels. Experiment 2 used 1-kHz carriers that were amplitude modulated. The modulation was sinusoidal on a dB scale. The modulated tones were presented alternately to the two ears and were approximately equally loud in the two ears. The modulation depth was fixed in one ear, and the subject was required to adjust the modulation depth in the other ear so that the modulation depth appeared equal in the two ears. This was done for a range of modulation depths and with the fixed tone presented to both the normal and the impaired ear. A given modulation depth in the impaired ear was matched by a greater modulation depth in the normal ear. To a first approximation, the modulation-matching functions were independent of modulation rate. Furthermore, the functions could be predicted reasonably well from the loudness-matching results of experiment 1, obtained with steady tones. The results are consistent with the idea that loudness recruitment results from the loss of a fast-acting compressive nonlinearity that operates in the normal peripheral auditory system. Possible implications of the results for the use of fast-acting compression in hearing aids are discussed.

Sensitivity to TFS decreases with increasing age. The monaural and binaural TFS tests appear to reflect at least somewhat distinct auditory processes.