Brainstem Encoding of Aided Speech in Hearing Aid Users with Cochlear Dead Region(s)

Abstract Introduction Neural encoding of speech begins with the analysis of the signal as a whole broken down into its sinusoidal components in the cochlea, which has to be conserved up to the higher auditory centers. Some of these components target the dead regions of the cochlea causi...

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Main Authors: Mohammad Ramadan Hassaan, Ola Abdallah Ibraheem, Dalia Helal Galhom
Format: Article
Language:English
Published: Thieme Revinter Publicações Ltda. 2016-02-01
Series:International Archives of Otorhinolaryngology
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0035-1571159
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author Mohammad Ramadan Hassaan
Ola Abdallah Ibraheem
Dalia Helal Galhom
author_facet Mohammad Ramadan Hassaan
Ola Abdallah Ibraheem
Dalia Helal Galhom
author_sort Mohammad Ramadan Hassaan
collection DOAJ
description Abstract Introduction Neural encoding of speech begins with the analysis of the signal as a whole broken down into its sinusoidal components in the cochlea, which has to be conserved up to the higher auditory centers. Some of these components target the dead regions of the cochlea causing little or no excitation. Measuring aided speech-evoked auditory brainstem response elicited by speech stimuli with different spectral maxima can give insight into the brainstem encoding of aided speech with spectral maxima at these dead regions. Objective This research aims to study the impact of dead regions of the cochlea on speech processing at the brainstem level after a long period of hearing aid use. Methods This study comprised 30 ears without dead regions and 46 ears with dead regions at low, mid, or high frequencies. For all ears, we measured the aided speech-evoked auditory brainstem response using speech stimuli of low, mid, and high spectral maxima. Results Aided speech-evoked auditory brainstem response was producible in all subjects. Responses evoked by stimuli with spectral maxima at dead regions had longer latencies and smaller amplitudes when compared with the control group or the responses of other stimuli. Conclusion The presence of cochlear dead regions affects brainstem encoding of speech with spectral maxima perpendicular to these regions. Brainstem neuroplasticity and the extrinsic redundancy of speech can minimize the impact of dead regions in chronic hearing aid users.
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spelling doaj.art-644d890216ba4435ae169095695016542022-12-21T22:21:16ZengThieme Revinter Publicações Ltda.International Archives of Otorhinolaryngology1809-97771809-48642016-02-01200322623410.1055/s-0035-1571159Brainstem Encoding of Aided Speech in Hearing Aid Users with Cochlear Dead Region(s)Mohammad Ramadan Hassaan0Ola Abdallah Ibraheem1Dalia Helal Galhom2Audiology unit, Otorhinolaryngology department, Faculty of Medicine, Zagazig University, Zagazig, Sharkia, EgyptAudiology unit, Otorhinolaryngology department, Faculty of Medicine, Zagazig University, Zagazig, Sharkia, EgyptAudiology unit, Otorhinolaryngology department, Faculty of Medicine, Zagazig University, Zagazig, Sharkia, EgyptAbstract Introduction Neural encoding of speech begins with the analysis of the signal as a whole broken down into its sinusoidal components in the cochlea, which has to be conserved up to the higher auditory centers. Some of these components target the dead regions of the cochlea causing little or no excitation. Measuring aided speech-evoked auditory brainstem response elicited by speech stimuli with different spectral maxima can give insight into the brainstem encoding of aided speech with spectral maxima at these dead regions. Objective This research aims to study the impact of dead regions of the cochlea on speech processing at the brainstem level after a long period of hearing aid use. Methods This study comprised 30 ears without dead regions and 46 ears with dead regions at low, mid, or high frequencies. For all ears, we measured the aided speech-evoked auditory brainstem response using speech stimuli of low, mid, and high spectral maxima. Results Aided speech-evoked auditory brainstem response was producible in all subjects. Responses evoked by stimuli with spectral maxima at dead regions had longer latencies and smaller amplitudes when compared with the control group or the responses of other stimuli. Conclusion The presence of cochlear dead regions affects brainstem encoding of speech with spectral maxima perpendicular to these regions. Brainstem neuroplasticity and the extrinsic redundancy of speech can minimize the impact of dead regions in chronic hearing aid users.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0035-1571159auditory brain stem responsehearing aidsspeech perception
spellingShingle Mohammad Ramadan Hassaan
Ola Abdallah Ibraheem
Dalia Helal Galhom
Brainstem Encoding of Aided Speech in Hearing Aid Users with Cochlear Dead Region(s)
International Archives of Otorhinolaryngology
auditory brain stem response
hearing aids
speech perception
title Brainstem Encoding of Aided Speech in Hearing Aid Users with Cochlear Dead Region(s)
title_full Brainstem Encoding of Aided Speech in Hearing Aid Users with Cochlear Dead Region(s)
title_fullStr Brainstem Encoding of Aided Speech in Hearing Aid Users with Cochlear Dead Region(s)
title_full_unstemmed Brainstem Encoding of Aided Speech in Hearing Aid Users with Cochlear Dead Region(s)
title_short Brainstem Encoding of Aided Speech in Hearing Aid Users with Cochlear Dead Region(s)
title_sort brainstem encoding of aided speech in hearing aid users with cochlear dead region s
topic auditory brain stem response
hearing aids
speech perception
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0035-1571159
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