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Predicting Binaural Hearing After Stapedectomy From Presurgery Results

Predicting Binaural Hearing After Stapedectomy From Presurgery Results Abstract • Past research has indicated that binaural hearing abilities are not always normal in patients having otosclerosis who have received bilaterally normal pure-tone thresholds through stapedectomy. This study investigated whether poststapedectomy performance on the binaural masking-level difference test could be predicted from presurgery tests in which the two ears were stimulated at an equal sound pressure level and at an equal sensation level. Results indicated that (1) binaural hearing usually improved following stapedectomy, though some patients maintained abnormally poor binaural hearing even though postsurgery pure-tone thresholds were normal; and (2) prediction of postsurgery results was poor, with postsurgery results often being underestimated from presurgery results. Results are interpreted in terms of possible forms of auditory deprivation and acoustic cross-over. (Arch Otolaryngol Head Neck Surg. 1990;116:946-950) References 1. Hausler R, Colburn HS, Marr E. Sound localization in subjects with impaired hearing . Acta Otolaryngol . 1983; (suppl 400) . Monograph. 2. Jerger J, Brown D, Smith S. Effect of peripheral hearing loss on the MLD . Arch Otolaryngol Head Neck Surg . 1984;110:290-296.Crossref 3. Quaranta A, Cassano P, Cervellera G. Clinical value of the tonal masking level difference . Audiology . 1978;17:232-238.Crossref 4. Nordlund B. Directional audiometry . Acta Otolaryngol . 1964;57:1-18.Crossref 5. Hall JW, Derlacki ED. Binaural hearing after middle ear surgery . J Otol Rhinol Laryngol . 1986;95:118-124. 6. Hall JW, Derlacki ED. Binaural hearing after middle ear surgery: MLD for interaural time and level cues . Audiology . 1988;27:89-98.Crossref 7. McFadden D. Masking level differences determined with and without interaural disparities in masker intensity . J Acoust Soc Am . 1968;44:212-223.Crossref 8. Hall JW, Harvey ADG. NoSo and NoSπ thresholds as a function of masker level for narrowband and wideband masking noise . J Acoust Soc Am . 1984;76:1699-1703.Crossref 9. Levitt H. Transformed up-down methods in psychoacoustics . J Acoust Soc Am . 1971;49:467-477.Crossref 10. Jeffress LA, McFadden DM. Differences of interaural phase and level in detection and lateralization . J Acoust Soc Am . 1971;49:1169-1179.Crossref 11. Colburn HS, Hausler R. Note of the modeling of binaural interaction in impaired auditory systems . In: Brink GV, Bilsen FA, eds. Physical, Physiological and Behavioral Studies in Hearing . Delft, the Netherlands: Delft University; 1980:491-503. 12. Clopton B, Silverman M. Changes in latency and duration of neural responding following developmental auditory deprivation . Exp Brain Res . 1978;32:39-47.Crossref 13. Coleman JR, O'Conner P. Effects of monaural and binaural sound deprivation on cell development in the anteroventral cochlear nucleus of rats . Exp Neurol . 1979;64:553-566.Crossref 14. Tucci DL, Born DE, Rubel EW. Changes in spontaneous activity and CNS morphology associated with conductive and sensorineural hearing loss in chickens . Ann Otol Rhinol Laryngol . 1987;96:343-350. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

Predicting Binaural Hearing After Stapedectomy From Presurgery Results

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References (17)

Publisher
American Medical Association
Copyright
Copyright © 1990 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1990.01870080068018
Publisher site
See Article on Publisher Site

Abstract

Abstract • Past research has indicated that binaural hearing abilities are not always normal in patients having otosclerosis who have received bilaterally normal pure-tone thresholds through stapedectomy. This study investigated whether poststapedectomy performance on the binaural masking-level difference test could be predicted from presurgery tests in which the two ears were stimulated at an equal sound pressure level and at an equal sensation level. Results indicated that (1) binaural hearing usually improved following stapedectomy, though some patients maintained abnormally poor binaural hearing even though postsurgery pure-tone thresholds were normal; and (2) prediction of postsurgery results was poor, with postsurgery results often being underestimated from presurgery results. Results are interpreted in terms of possible forms of auditory deprivation and acoustic cross-over. (Arch Otolaryngol Head Neck Surg. 1990;116:946-950) References 1. Hausler R, Colburn HS, Marr E. Sound localization in subjects with impaired hearing . Acta Otolaryngol . 1983; (suppl 400) . Monograph. 2. Jerger J, Brown D, Smith S. Effect of peripheral hearing loss on the MLD . Arch Otolaryngol Head Neck Surg . 1984;110:290-296.Crossref 3. Quaranta A, Cassano P, Cervellera G. Clinical value of the tonal masking level difference . Audiology . 1978;17:232-238.Crossref 4. Nordlund B. Directional audiometry . Acta Otolaryngol . 1964;57:1-18.Crossref 5. Hall JW, Derlacki ED. Binaural hearing after middle ear surgery . J Otol Rhinol Laryngol . 1986;95:118-124. 6. Hall JW, Derlacki ED. Binaural hearing after middle ear surgery: MLD for interaural time and level cues . Audiology . 1988;27:89-98.Crossref 7. McFadden D. Masking level differences determined with and without interaural disparities in masker intensity . J Acoust Soc Am . 1968;44:212-223.Crossref 8. Hall JW, Harvey ADG. NoSo and NoSπ thresholds as a function of masker level for narrowband and wideband masking noise . J Acoust Soc Am . 1984;76:1699-1703.Crossref 9. Levitt H. Transformed up-down methods in psychoacoustics . J Acoust Soc Am . 1971;49:467-477.Crossref 10. Jeffress LA, McFadden DM. Differences of interaural phase and level in detection and lateralization . J Acoust Soc Am . 1971;49:1169-1179.Crossref 11. Colburn HS, Hausler R. Note of the modeling of binaural interaction in impaired auditory systems . In: Brink GV, Bilsen FA, eds. Physical, Physiological and Behavioral Studies in Hearing . Delft, the Netherlands: Delft University; 1980:491-503. 12. Clopton B, Silverman M. Changes in latency and duration of neural responding following developmental auditory deprivation . Exp Brain Res . 1978;32:39-47.Crossref 13. Coleman JR, O'Conner P. Effects of monaural and binaural sound deprivation on cell development in the anteroventral cochlear nucleus of rats . Exp Neurol . 1979;64:553-566.Crossref 14. Tucci DL, Born DE, Rubel EW. Changes in spontaneous activity and CNS morphology associated with conductive and sensorineural hearing loss in chickens . Ann Otol Rhinol Laryngol . 1987;96:343-350.

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Aug 1, 1990

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