Distortion product otoacoustic emissions measured as vibration on the eardrum of human subjects

Criticality and chaos in auditory and vestibular sensing

The auditory and vestibular systems exhibit remarkable sensitivity of detection, responding to deflections on the order of angstroms, even in the presence of biological noise. The auditory system exhibits high temporal acuity and frequency selectivity, allowing us to make sense of the acoustic world around us. As the acoustic signals of interest span many orders of magnitude in both amplitude and frequency, this system relies heavily on nonlinearities and power-law scaling. The vestibular system, which detects ground-borne vibrations and creates the sense of balance, exhibits highly sensitive, broadband detection. It likewise requires high temporal acuity so as to allow us to maintain balance while in motion. The behavior of these sensory systems has been extensively studied in the context of dynamical systems theory, with many empirical phenomena described by critical dynamics. Other phenomena have been explained by systems in the chaotic regime, where weak perturbations drastically impact the future state of the system. Using a Hopf oscillator as a simple numerical model for a sensory element in these systems, we explore the intersection of the two types of dynamical phenomena. We identify the relative tradeoffs between different detection metrics, and propose that, for both types of sensory systems, the instabilities giving rise to chaotic dynamics improve signal detection.

Noise within: Signal-to-noise enhancement via coherent wave amplification in the mammalian cochlea

The extraordinary sensitivity of the mammalian inner ear has captivated scientists for decades, largely due to the crucial role played by the outer hair cells (OHCs) and their unique electromotile properties. Typically arranged in three rows along the sensory epithelium, the OHCs work in concert via mechanisms collectively referred to as the "cochlear amplifier" to boost the cochlear response to faint sounds. While simplistic views attribute this enhancement solely to the OHC-based increase in cochlear gain, the inevitable presence of internal noise requires a more rigorous analysis. Achieving a genuine boost in sensitivity through amplification requires that signals be amplified more than internal noise, and this requirement presents the cochlea with an intriguing challenge. Here we analyze the effects of spatially distributed cochlear-like amplification on both signals and internal noise. By combining a straightforward mathematical analysis with a simplified model of cochlear mechanics designed to capture the essential physics, we generalize previous results about the impact of spatially coherent amplification on signal degradation in active gain media. We identify and describe the strategy employed by the cochlea to amplify signals more than internal noise and thereby enhance the sensitivity of hearing. For narrow-band signals, this effective, wave-based strategy consists of spatially amplifying the signal within a localized cochlear region, followed by rapid attenuation. Location-dependent wave amplification and attenuation meet the necessary conditions for amplifying near-characteristic frequency (CF) signals more than internal noise components of the same frequency. Our analysis reveals that the sharp wave cutoff past the CF location greatly reduces noise contamination. The distinctive asymmetric shape of the "cochlear filters" thus underlies a crucial but previously unrecognized mechanism of cochlear noise reduction.

The Noise Within: Signal-to-Noise Enhancement via Coherent Wave Amplification in the Mammalian Cochlea

The extraordinary sensitivity of the mammalian inner ear has captivated scientists for decades, largely due to the crucial role played by the outer hair cells (OHCs) and their unique electromotile properties. Typically arranged in three rows along the sensory epithelium, the OHCs work in concert via mechanisms collectively referred to as the "cochlear amplifier" to boost the cochlear response to faint sounds. While simplistic views attribute this enhancement solely to the OHC-based increase in cochlear gain, the inevitable presence of internal noise requires a more rigorous analysis. Achieving a genuine boost in sensitivity through amplification requires that signals be amplified more than internal noise, and this requirement presents the cochlea with an intriguing challenge. Here, we analyze the effects of spatially distributed cochlear-like amplification on both signals and internal noise. By combining a straightforward but powerful mathematical analysis with a simplified model of cochlear mechanics designed to capture the essential physics, we generalize previous results about the impact of spatially coherent amplification on signal degradation in active gain media. We identify and describe the strategy employed by the cochlea to amplify signals more than internal noise and thereby enhance the sensitivity of hearing. For narrowband signals, this elegant, wave-based strategy consists of spatially amplifying the signal within a localized cochlear region, followed by rapid attenuation. Location-dependent wave amplification and attenuation meet the necessary conditions for amplifying near-characteristic frequency (CF) signals more than internal noise components of the same frequency. Our analysis reveals that the sharp wave cut-off past the CF location greatly reduces noise contamination. The distinctive asymmetric shape of the "cochlear filters" thus underlies a crucial but previously unrecognized mechanism of cochlear noise reduction.

A minimal physics-based model for musical perception

Some people, entirely untrained in music, can listen to a song and replicate it on a piano with unnerving accuracy. What enables some to "hear" music so much better than others? Long-standing research confirms that part of the answer is undoubtedly neurological and can be improved with training. However, are there structural, physical, or engineering attributes of the human hearing mechanism apparatus (i.e., the hair cells of the internal ear) that render one human innately superior to another in terms of propensity to listen to music? In this work, we investigate a physics-based model of the electromechanics of the hair cells in the inner ear to understand why a person might be physiologically better poised to distinguish musical sounds. A key feature of the model is that we avoid a "black-box" systems-type approach. All parameters are well-defined physical quantities, including membrane thickness, bending modulus, electromechanical properties, and geometrical features, among others. Using the two-tone interference problem as a proxy for musical perception, our model allows us to establish the basis for exploring the effect of external factors such as medicine or environment. As an example of the insights we obtain, we conclude that the reduction in bending modulus of the cell membranes (which for instance may be caused by the usage of a certain class of analgesic drugs) or an increase in the flexoelectricity of the hair cell membrane can interfere with the perception of two-tone excitation.

Signatures of cochlear processing in neuronal coding of auditory information

The vertebrate ear is endowed with remarkable perceptual capabilities. The faintest sounds produce vibrations of magnitudes comparable to those generated by thermal noise and can nonetheless be detected through efficient amplification of small acoustic stimuli. Two mechanisms have been proposed to underlie such sound amplification in the mammalian cochlea: somatic electromotility and active hair-bundle motility. These biomechanical mechanisms may work in concert to tune auditory sensitivity. In addition to amplitude sensitivity, the hearing system shows exceptional frequency discrimination allowing mammals to distinguish complex sounds with great accuracy. For instance, although the wide hearing range of humans encompasses frequencies from 20 Hz to 20 kHz, our frequency resolution extends to one-thirtieth of the interval between successive keys on a piano. In this article, we review the different cochlear mechanisms underlying sound encoding in the auditory system, with a particular focus on the frequency decomposition of sounds. The relation between peak frequency of activation and location along the cochlea - known as tonotopy - arises from multiple gradients in biophysical properties of the sensory epithelium. Tonotopic mapping represents a major organizational principle both in the peripheral hearing system and in higher processing levels and permits the spectral decomposition of complex tones. The ribbon synapses connecting sensory hair cells to auditory afferents and the downstream spiral ganglion neurons are also tuned to process periodic stimuli according to their preferred frequency. Though sensory hair cells and neurons necessarily filter signals beyond a few kHz, many animals can hear well beyond this range. We finally describe how the cochlear structure shapes the neural code for further processing in order to send meaningful information to the brain. Both the phase-locked response of auditory nerve fibers and tonotopy are key to decode sound frequency information and place specific constraints on the downstream neuronal network.

Measurement of Incus and Stapes Velocity Following Sound Stimulus in the Setting of Incudostapedial Joint Separation and Reconstruction

OBJECTIVE

Understand the biophysical property changes of incudostapedial joint (ISJ) separation and ossicular hydroxyapatite application on middle ear function.

STUDY DESIGN

Basic science.

SETTING

Cadaveric temporal bone research laboratory.

SUBJECTS AND METHODS

A complete mastoidectomy was performed on five human temporal bones. A Laser Doppler Vibrometer was utilized to obtain velocity transfer function measurements of the incus and stapes across a range of frequencies in response to an acoustic stimulus. Under binocular microscopy the ISJ was separated and subsequently repaired with bone cement. Measurements were taken prior to ISJ separation, following joint separation, 30 to 60 min postrepair of the joint, and again 24 to 48 h postrepair of the joint.

RESULTS

The stapes measurements taken from the intact ossicular chain and from the chains repaired with bone cement demonstrated a similar distribution of measurements. The ISJ separation showed dramatically reduced velocity transfer function stapes measurements but increased incus velocity transfer function measurements. In the early and delayed repaired chains, the mean velocity of the incus and stapes velocity peaked between 1.5 and 2 kHz, matching intact maximal velocity. Pure tone average at 0.5, 1, 2, and 3 kHz demonstrated no change in reconstructed stapes velocity at 24 to 48 h.

CONCLUSIONS

Isolated ISJ separation in fresh frozen and thawed temporal bones produces stapes velocity transfer function changes that corresponds with the clinically experienced conductive hearing loss. Repair with bone cement produced similar velocity curves to the intact ISJ curve with excellent recovery across mid-frequencies. This model would be useful for future ossicular mechanical studies.

Age-related degradation of tectorial membrane dynamics with loss of CEACAM16

Studies of genetic disorders of sensorineural hearing loss have been instrumental in delineating mechanisms that underlie the remarkable sensitivity and selectivity that are hallmarks of mammalian hearing. For example, genetic modifications of TECTA and TECTB, which are principal proteins that comprise the tectorial membrane (TM), have been shown to alter auditory thresholds and frequency tuning in ways that can be understood in terms of changes in the mechanical properties of the TM. Here, we investigate effects of genetic modification targeting CEACAM16, a third important TM protein. Loss of CEACAM16 has been recently shown to lead to progressive reductions in sensitivity. Whereas age-related hearing losses have previously been linked to changes in sensory receptor cells, the role of the TM in progressive hearing loss is largely unknown. Here, we show that TM stiffness and viscosity are significantly reduced in adult mice that lack functional CEACAM16 relative to age-matched wild-type controls. By contrast, these same mechanical properties of TMs from juvenile mice that lack functional CEACAM16 are more similar to those of wild-type mice. Thus, changes in hearing phenotype align with changes in TM material properties and can be understood in terms of the same TM wave properties that were previously used to characterize modifications of TECTA and TECTB. These results demonstrate that CEACAM16 is essential for maintaining TM mechanical and wave properties, which in turn are necessary for sustaining the remarkable sensitivity and selectivity of mammalian hearing with increasing age.

Drosophila sensory receptors-a set of molecular Swiss Army Knives

Genetic approaches in the fruit fly, Drosophila melanogaster, have led to a major triumph in the field of sensory biology-the discovery of multiple large families of sensory receptors and channels. Some of these families, such as transient receptor potential channels, are conserved from animals ranging from worms to humans, while others, such as "gustatory receptors," "olfactory receptors," and "ionotropic receptors," are restricted to invertebrates. Prior to the identification of sensory receptors in flies, it was widely assumed that these proteins function in just one modality such as vision, smell, taste, hearing, and somatosensation, which includes thermosensation, light, and noxious mechanical touch. By employing a vast combination of genetic, behavioral, electrophysiological, and other approaches in flies, a major concept to emerge is that many sensory receptors are multitaskers. The earliest example of this idea was the discovery that individual transient receptor potential channels function in multiple senses. It is now clear that multitasking is exhibited by other large receptor families including gustatory receptors, ionotropic receptors, epithelial Na+ channels (also referred to as Pickpockets), and even opsins, which were formerly thought to function exclusively as light sensors. Genetic characterizations of these Drosophila receptors and the neurons that express them also reveal the mechanisms through which flies can accurately differentiate between different stimuli even when they activate the same receptor, as well as mechanisms of adaptation, amplification, and sensory integration. The insights gleaned from studies in flies have been highly influential in directing investigations in many other animal models.

Mechanical Energy Dissipation Through the Ossicular Chain and Inner Ear Using Laser Doppler Vibrometer Measurement of Round Window Velocity

HYPOTHESIS

Round window velocity measurements should correlate closely with vibration measurements taken at proximal points along an intact chain over a set frequency range. These round window vibration measurements should be similar to the vibration measurements taken of the ossicles if mechanical energy is conserved through the vestibular organ.

BACKGROUND

To date there has not been a study which compares vibratory velocity measurements through an intact ossicular chain to the level of the round window. This study attempted to quantify the degree of mechanical energy transmission and suspected dissipation through the ossicular chain and vestibular organ through incus, stapes, and round window velocity measurements in response to sound stimulus.

METHODS

Five thawed human temporal bones with intact ossicular chain and tympanic membrane underwent complete mastoidectomy and a facial recess approach. A laser Doppler vibrometer (LDV) was mounted on the operating microscope to measure vibration of incus, stapes, and round window in response to a sound stimulus within the external auditory canal. Sound stimulus frequencies ranged from 0.5 to 4 kHz at 90 dB SPL.

RESULTS

Vibration velocity was measured across the frequency range for each incus, stapes, and round window. Vibration velocity curves obtained over the frequency range were similar for each of the bones with a notable resonant frequency around 2 kHz. The incus and stapes curve amplitudes were nearly identical with similar maximum velocity and frequency at which this maximal velocity was noted. Round window vibration velocity demonstrated a unique peak velocity. Transfer function measurements of the stapes and round window demonstrated markedly similar curves. The variation in velocity between temporal bones in response to the standardized stimulus was more dramatic in the round window measurements when compared with the incus and stapes.

CONCLUSIONS

This study supports the concept that round window transfer function is equivalent to stapes footplate transfer function when subjected to the same acoustic stimuli. This study also demonstrates that the round window is a much more difficult target to measure when using LDV technology and improvements in experimental design are required to better understand round window physiology in relation to transfer of acoustic vibratory stimulus transferred throughout the middle ear. A complete and thorough understanding of the biophysical properties of the middle and inner ear are critical for optimal ossiculoplasty outcomes and the development of future ossicular prosthetics.

Rapid imaging of tympanic membrane vibrations in humans

Functional imaging of the human ear is an extremely challenging task because of its minute anatomic structures and nanometer-scale motion in response to sound. Here, we demonstrate noninvasive in vivo functional imaging of the human tympanic membrane under various acoustic excitations, and identify unique vibration patterns that vary between human subjects. By combining spectrally encoded imaging with phase-sensitive spectral-domain interferometry, our system attains high-resolution functional imaging of the two-dimensional membrane surface, within a fraction of a second, through a handheld imaging probe. The detailed physiological data acquired by the system would allow measuring a wide range of clinically relevant parameters for patient diagnosis, and provide a powerful new tool for studying middle and inner ear physiology.

Picometer scale vibrometry in the human middle ear using a surgical microscope based optical coherence tomography and vibrometry system

We have developed a highly phase stable optical coherence tomography and vibrometry system that attaches directly to the accessory area of a surgical microscope common to both the otology clinic and operating room. Careful attention to minimizing sources of phase noise has enabled a system capable of measuring vibrations of the middle ear with a sensitivity of < 5 pm in an awake human patient. The system is shown to be capable of collecting a wide range of information on the morphology and function of the ear in live subjects, including frequency tuning curves below the hearing threshold, maps of tympanic membrane vibrational modes and thickness, and measures of distortion products due to the nonlinearities in the cochlear amplifier.

A mechanoelectrical mechanism for detection of sound envelopes in the hearing organ

To understand speech, the slowly varying outline, or envelope, of the acoustic stimulus is used to distinguish words. A small amount of information about the envelope is sufficient for speech recognition, but the mechanism used by the auditory system to extract the envelope is not known. Several different theories have been proposed, including envelope detection by auditory nerve dendrites as well as various mechanisms involving the sensory hair cells. We used recordings from human and animal inner ears to show that the dominant mechanism for envelope detection is distortion introduced by mechanoelectrical transduction channels. This electrical distortion, which is not apparent in the sound-evoked vibrations of the basilar membrane, tracks the envelope, excites the auditory nerve, and transmits information about the shape of the envelope to the brain.

The sound envelope is important for speech perception. Here, the authors look at mechanisms by which the sound envelope is encoded, finding that it arises from distortion produced by mechanoelectrical transduction channels. Surprisingly, the envelope is not present in basilar membrane vibrations.

Homeostatic enhancement of sensory transduction

Our sense of hearing boasts exquisite sensitivity, precise frequency discrimination, and a broad dynamic range. Experiments and modeling imply, however, that the auditory system achieves this performance for only a narrow range of parameter values. Small changes in these values could compromise hair cells' ability to detect stimuli. We propose that, rather than exerting tight control over parameters, the auditory system uses a homeostatic mechanism that increases the robustness of its operation to variation in parameter values. To slowly adjust the response to sinusoidal stimulation, the homeostatic mechanism feeds back a rectified version of the hair bundle's displacement to its adaptation process. When homeostasis is enforced, the range of parameter values for which the sensitivity, tuning sharpness, and dynamic range exceed specified thresholds can increase by more than an order of magnitude. Signatures in the hair cell's behavior provide a means to determine through experiment whether such a mechanism operates in the auditory system. Robustness of function through homeostasis may be ensured in any system through mechanisms similar to those that we describe here.

Identification of Bifurcations from Observations of Noisy Biological Oscillators

Hair bundles are biological oscillators that actively transduce mechanical stimuli into electrical signals in the auditory, vestibular, and lateral-line systems of vertebrates. A bundle’s function can be explained in part by its operation near a particular type of bifurcation, a qualitative change in behavior. By operating near different varieties of bifurcation, the bundle responds best to disparate classes of stimuli. We show how to determine the identity of and proximity to distinct bifurcations despite the presence of substantial environmental noise. Using an improved mechanical-load clamp to coerce a hair bundle to traverse different bifurcations, we find that a bundle operates within at least two functional regimes. When coupled to a high-stiffness load, a bundle functions near a supercritical Hopf bifurcation, in which case it responds best to sinusoidal stimuli such as those detected by an auditory organ. When the load stiffness is low, a bundle instead resides close to a subcritical Hopf bifurcation and achieves a graded frequency response—a continuous change in the rate, but not the amplitude, of spiking in response to changes in the offset force—a behavior that is useful in a vestibular organ. The mechanical load in vivo might therefore control a hair bundle’s responsiveness for effective operation in a particular receptor organ. Our results provide direct experimental evidence for the existence of distinct bifurcations associated with a noisy biological oscillator, and demonstrate a general strategy for bifurcation analysis based on observations of any noisy system.

Reticular lamina and basilar membrane vibrations in living mouse cochleae

It is commonly believed that the exceptional sensitivity of mammalian hearing depends on outer hair cells which generate forces for amplifying sound-induced basilar membrane vibrations, yet how cellular forces amplify vibrations is poorly understood. In this study, by measuring subnanometer vibrations directly from the reticular lamina at the apical ends of outer hair cells and from the basilar membrane using a custom-built heterodyne low-coherence interferometer, we demonstrate in living mouse cochleae that the sound-induced reticular lamina vibration is substantially larger than the basilar membrane vibration not only at the best frequency but surprisingly also at low frequencies. The phase relation of reticular lamina to basilar membrane vibration changes with frequency by up to 180 degrees from ∼135 degrees at low frequencies to ∼-45 degrees at the best frequency. The magnitude and phase differences between reticular lamina and basilar membrane vibrations are absent in postmortem cochleae. These results indicate that outer hair cells do not amplify the basilar membrane vibration directly through a local feedback as commonly expected; instead, they actively vibrate the reticular lamina over a broad frequency range. The outer hair cell-driven reticular lamina vibration collaboratively interacts with the basilar membrane traveling wave primarily through the cochlear fluid, which boosts peak responses at the best-frequency location and consequently enhances hearing sensitivity and frequency selectivity.

The Safety Pharmacology of Auditory Function

Safety pharmacology satisfies a key requirement in the process of drug development. Safety pharmacology studies are required to assess the impact of a new chemical entity (NCE) or biotechnology-derived product for human use on vital systems, such as those subserving auditory function. Safety pharmacology studies accordingly are defined as those studies that investigate the potential undesirable effects of a substance on auditory functions in relation to exposure in and above the therapeutic range. Auditory safety studies should be designed with the primary objective of determining how administration of a compound influences normal hearing. If an effect on hearing is identified, then it is necessary to determine through histopathology the underlying mechanism for the observed hearing loss. Since the auditory system contains a heterogeneous mixture of structural and cellular components that are organized in a very complex and integrated manner, it is necessary to clearly identify the underlying primary mechanism or target of the new chemical entity that produced the hearing loss. This chapter will highlight major components of auditory function with regard to potential opportunities for drug interaction. Aspects of designing ototoxicity studies will be discussed with an emphasis on standards deemed necessary by the US Food and Drug Administration. Additionally, classes of ototoxic compounds and their proposed mechanisms of action are described in depth.

Integrating the active process of hair cells with cochlear function

Uniquely among human senses, hearing is not simply a passive response to stimulation. Our auditory system is instead enhanced by an active process in cochlear hair cells that amplifies acoustic signals several hundred-fold, sharpens frequency selectivity and broadens the ear's dynamic range. Active motility of the mechanoreceptive hair bundles underlies the active process in amphibians and some reptiles; in mammals, this mechanism operates in conjunction with prestin-based somatic motility. Both individual hair bundles and the cochlea as a whole operate near a dynamical instability, the Hopf bifurcation, which accounts for the cardinal features of the active process.

Mechanical basis of otoacoustic emissions in tympanal hearing organs

Tympanal hearing organs of insects emit distortion-product otoacoustic emissions (DPOAEs), which in mammals are used as indicator for nonlinear cochlear amplification, and which are highly vulnerable to manipulations interfering with the animal's physiological state. Although in previous studies, evidence was provided for the involvement of auditory mechanoreceptors, the source of DPOAE generation and possible active mechanisms in tympanal organs remained unknown. Using laser Doppler vibrometry in the locust ear, we show that DPOAEs mechanically emerge at the tympanum region where the auditory mechanoreceptors are attached. Those emission-coupled vibrations differed remarkably from tympanum waves evoked by external pure tones of the same frequency, in terms of wave propagation, energy distribution, and location of amplitude maxima. Selective inactivation of the auditory receptor cells by mechanical lesions did not affect the tympanum's response to external pure tones, but abolished the emission's displacement amplitude peak. These findings provide evidence that tympanal auditory receptors, comparable to the situation in mammals, comprise the required nonlinear response characteristics, which during two-tone stimulation lead to additional, highly localized deflections of the tympanum.

Mechanical tuning of the moth ear: distortion-product otoacoustic emissions and tympanal vibrations

The mechanical tuning of the ear in the moth Empyreuma pugione was investigated by distortion-product otoacoustic emissions (DPOAE) and laser Doppler vibrometry (LDV). DPOAE audiograms were assessed using a novel protocol that may be advantageous for non-invasive auditory studies in insects. To evoke DPOAE, two-tone stimuli within frequency and level ranges that generated a large matrix of values (960 frequency-level combinations) were used to examine the acoustic space in which the moth tympanum shows its best mechanical and acoustical responses. The DPOAE tuning curve derived from the response matrix resembles that obtained previously by electrophysiology, and is V-shaped and tuned to frequencies between 25 and 45 kHz with low Q10dB values of 1.21±0.26. In addition, while using a comparable stimulation regime, mechanical distortion in the displacement of the moth's tympanal membrane at the stigma was recorded with a laser Doppler vibrometer. The corresponding mechanical vibration audiograms were compared with DPOAE audiograms. Both types of audiograms have comparable shape, but most of the mechanical response fields are shifted towards lower frequencies. We showed for the first time in moths that DPOAE have a pronounced analogy in the vibration of the tympanic membrane where they may originate. Our work supports previous studies that point to the stigma (and the internally associated transduction machinery) as an important place of sound amplification in the moth ear, but also suggests a complex mechanical role for the rest of the transparent zone.

An overview of wideband immittance measurements techniques and terminology: you say absorbance, I say reflectance

This article reviews the relationships among different acoustic measurements of the mobility of the tympanic membrane, including impedance, admittance, reflectance, and absorbance, which the authors group under the rubric of immittance measures. Each of these quantities is defined and related to the others. The relationship is most easily grasped in terms of a straight rigid ear canal of uniform area terminated by a uniform middle ear immittance placed perpendicular to the long axis of the ear canal. Complications due to variations from this geometry are discussed. Different methods for measuring these quantities are described, and the assumptions inherent within each method are made explicit. The benefits of wideband measurements of these quantities are described, as are the benefits and limitations of different components of immittance and reflectance/absorbance. While power reflectance (the square of the magnitude of pressure reflectance) is relatively invariant along the length of the ear canal, it has the disadvantage that it ignores phase information that may be useful in assessing the presence of acoustic leaks in ear-canal measurements and identifying other potential error sources. A combination of reflectance and impedance magnitude and angle give a more complete description of the middle ear from measurements in the ear canal.

Extraction of otoacoustic distortion product sources using pulse basis functions

Distortion product otoacoustic emissions (DPOAEs) acquired in normal-hearing subjects show considerable variation in amplitude with varying frequency. This is known as DPOAE fine structure. It is widely accepted that fine structure results from wave interference from two DPOAE sources, a non-linear generation component and a coherent reflection component. Here a method is presented that decomposes short-pulse DPOAE recordings into pulse basis functions and enables the quantification of both source components in the time domain, independent of their relative phase and at low cost of measurement time. Input-output functions utilizing the extracted primary-source component are analyzed.

Effects of cochlear loading on the motility of active outer hair cells

Outer hair cells (OHCs) power the amplification of sound-induced vibrations in the mammalian inner ear through an active process that involves hair-bundle motility and somatic motility. It is unclear, though, how either mechanism can be effective at high frequencies, especially when OHCs are mechanically loaded by other structures in the cochlea. We address this issue by developing a model of an active OHC on the basis of observations from isolated cells, then we use the model to predict the response of an active OHC in the intact cochlea. We find that active hair-bundle motility amplifies the receptor potential that drives somatic motility. Inertial loading of a hair bundle by the tectorial membrane reduces the bundle's reactive load, allowing the OHC's active motility to influence the motion of the cochlear partition. The system exhibits enhanced sensitivity and tuning only when it operates near a dynamical instability, a Hopf bifurcation. This analysis clarifies the roles of cochlear structures and shows how the two mechanisms of motility function synergistically to create the cochlear amplifier. The results suggest that somatic motility evolved to enhance a preexisting amplifier based on active hair-bundle motility, thus allowing mammals to hear high-frequency sounds.

No evidence for DPOAEs in the mechanical motion of the locust tympanum

Distortion-product otoacoustic emissions (DPOAEs) are present in non-linear hearing organs, and for low-intensity sounds are a by-product of active processes. In vertebrate ears they are considered to be due to hair cell amplification of sound in the cochlea; however, certain animals lacking a cochlea and hair cells are also reported to be capable of DPOAEs. In the Insecta, DPOAEs have been recorded from the locust auditory organ. However, the site of generation of these DPOAEs and the physiological mechanisms causing their presence in the locust ear are not yet understood, despite there being a number of potential places in the tympanal organ that could be capable of generating DPOAEs. This study aimed to record locust tympanal membrane vibration using a laser Doppler vibrometer in order to identify a distinct place of DPOAE generation on the membrane. Two species of locust were investigated over a range of frequencies and levels of acoustic stimulus, mirroring earlier acoustic recording studies; however, the current experiments were carried out in an open acoustic system. The laser measurements did not find any evidence of mechanical motion on the tympanal membrane related to the expected DPOAE frequencies. The results of the current study therefore could not confirm the presence of DPOAEs in the locust ear through the mechanics of the tympanal membrane. Experiments were also carried out to test how membrane behaviour altered when the animals were in a state of hypoxia, as this was previously found to decrease DPOAE magnitude, suggesting a metabolic sensitivity. However, hypoxia did not have any significant effect on the membrane mechanics. The location of the mechanical generation of DPOAEs in the locust's ear, and therefore the basis for the related physiological mechanisms, thus remains unknown.

Controlled round-window stimulation in human temporal bones yielding reproducible and functionally relevant stapedial responses

Stimulation of the round window (RW) has gained increasing clinical importance. Clinical, as well as human temporal bone and in-vivo animal studies show considerable variability. The influence of RW stimulation on the cochlea remains unclear. We designed a human temporal-bone study with controlled direct mechanical stimulation of the RW membrane to identify conditions for successful RW stimulation. Eight human temporal bones were stimulated on the RW by piezoelectric stack actuators with cylindrical aluminium rods of diameter 0.5 mm and with either flat or 30° inclined top surface. Using a dedicated two-stage positioning protocol for the actuator, we achieved highly reproducible measurements of the stimulus vibration at the RW and of the resultant vibration of the stapes footplate. The reverse transmission, characterized by the displacement ratio of the stapes-footplate relative to the actuator tip on the RW membrane, yielded an average displacement ratio of 0.089 up to 1.2 kHz when the actuator was coupled without angular misalignment to the RW membrane. The results suggest that 90-μm pretension of the RW membrane is essential for optimum and reproducible RW stimulation. The displacements are shown to be roughly consistent with the equal-volume displacement hypothesis under specific assumptions about the displacement mode of the RW membrane. It is further suggested that the large inter-patient variability in the effectiveness of RW stimulation might be due primarily to the success of coupling, rather than to the variability of functionally relevant anatomical parameters.

Forward and reverse transfer functions of the middle ear based on pressure and velocity DPOAEs with implications for differential hearing diagnosis

Recently it was shown that distortion product otoacoustic emissions (DPOAEs) can be measured as vibration of the human tympanic membrane in vivo, and proposed to use these vibration DPOAEs to support a differential diagnosis of middle-ear and cochlear pathologies. Here, we investigate how the reverse transfer function (r-TF), defined as the ratio of DPOAE-velocity of the umbo to DPOAE-pressure in the ear canal, can be used to diagnose the state of the middle ear. Anaesthetized guinea pigs served as the experimental animal. Sound was delivered free-field and the vibration of the umbo measured with a laser Doppler vibrometer (LDV). Sound pressure was measured 2-3 mm from the tympanic membrane with a probe-tube microphone. The forward transfer function (f-TF) of umbo velocity relative to ear-canal pressure was obtained by stimulating with multi-tone pressure. The r-TF was assembled from DPOAE components generated in response to acoustic stimulation with two stimulus tones of frequencies f(1) and f(2); f(2)/f(1) was constant at 1.2. The r-TF was plotted as function of DPOAE frequencies; they ranged from 1.7 kHz to 23 kHz. The r-TF showed a characteristic shape with an anti-resonance around 8 kHz as its most salient feature. The data were interpreted with the aid of a middle-ear transmission-line model taken from the literature for the cat and adapted to the guinea pig. Parameters were estimated with a three-step fitting algorithm. Importantly, the r-TF is governed by only half of the 15 independent, free parameters of the model. The parameters estimated from the r-TF were used to estimate the other half of the parameters from the f-TF. The use of r-TF data - in addition to f-TF data - allowed robust estimates of the middle-ear parameters to be obtained. The results highlight the potential of using vibration DPOAEs for ascertaining the functionality of the middle ear and, therefore, for supporting a differential diagnosis of middle-ear and cochlear pathologies.

Quantitative estimation of minor conductive hearing loss with distortion product otoacoustic emissions in the guinea pig

Subclinical conductive hearing losses (CHLs) can affect otoacoustic emissions and therefore limit their potential in the assessment of the cochlear function. Theoretical considerations to estimate a minor CHL from DPOAE measurements [Kummer et al. (2006). HNO 54, 457-467] are evaluated experimentally. They are based on the fact, that the level difference of the stimulus tones L(1) and L(2) for optimal excitation of the inner ear is given by L(1)=aL(2)+b. A CHL is presumed to attenuate both L(1) and L(2) to the same extent such that excitation of the inner ear is no longer optimal. From the change of L(1) that is necessary to restore optimal excitation of the inner ear and thus to produce maximal DPOAE levels, the CHL can be estimated. In 10 guinea pig ears an experimental CHL was produced, quantified by determination of compound action potential (CAP) thresholds at 8 kHz (CHL(CAP)) and estimated from DPOAE measurements at 8 kHz (CHL(DPOAE)). CHLs up to 12 dB could be assessed. CHL(DPOAE) correlated well with CHL(CAP) (R=0.741, p=0.0142). Mean difference between CHL(DPOAE) and CHL(CAP) was 4.2±2.6 dB. Estimation of minor CHL from DPOAE measurements might help to increase the diagnostic value of DPOAEs.

Measurement of conductive hearing loss in mice

In order to discriminate conductive hearing loss from sensorineural impairment, quantitative measurements were used to evaluate the effect of artificial conductive pathology on distortion-product otoacoustic emissions (DPOAEs), auditory brainstem responses (ABRs) and laser-Doppler vibrometry (LDV) in mice. The conductive manipulations were created by perforating the pars flaccida of the tympanic membrane, filling or partially filling the middle-ear cavity with saline, fixing the ossicular chain, and interrupting the incudo-stapedial joint. In the saline-filled and ossicular-fixation groups, averaged DPOAE thresholds increased relative to the control state by 20-36 and 25-39 dB, respectively with the largest threshold shifts occurring at frequencies less than 20kHz, while averaged ABR thresholds increased 12-19 and 12-25 dB, respectively without the predominant low-frequency effect. Both DPOAE and ABR thresholds were elevated by less than 10 dB in the half-filled saline condition; no significant change was observed after pars flaccida perforation. Conductive pathology generally produced a change in DPOAE threshold in dB that was 1.5-2.5 times larger than the ABR threshold change at frequencies less than 30 kHz; the changes in the two thresholds were nearly equal at the highest frequencies. While mild conductive pathology (ABR threshold shifts of <10 dB) produced parallel shifts in DPOAE growth with level functions, manipulations that produced larger conductive hearing losses (ABR threshold shifts >10 dB) were associated with significant deceases in DPOAE growth rate. Our LDV measurements are consistent with others and suggest that measurements of umbo velocity are not an accurate indicator of conductive hearing loss produced by ossicular lesions in mice.

Accuracy of velocity distortion product otoacoustic emissions for estimating mechanically based hearing loss

Distortion product otoacoustic emissions (DPOAEs) measured as vibration of the human eardrum have been successfully used to estimate hearing threshold. The estimates have proved more accurate than similar methods using sound-pressure DPOAEs. Nevertheless, the estimation accuracy of the new technique might have been influenced by endogenous noise, such as heart beat, breathing and swallowing. Here, we investigate in an animal model to what extent the accuracy of the threshold estimation technique using velocity-DPOAEs might be improved by reducing noise sources. Velocity-DPOAE I/O functions were measured in normal and hearing-impaired anaesthetized guinea pigs. Hearing loss was either conductive or induced by furosemide injection. The estimated distortion product threshold (EDPT) obtained by extrapolation of the I/O function to the abscissa was found to linearly correlate with the compound action potential threshold at the f(2) frequency, provided that furosemide data were excluded. The standard deviation of the linear regression fit was 6 dB as opposed to 8 dB in humans, suggesting that this accuracy should be achievable in humans with appropriate improvement of signal-to-noise ratio. For the furosemide animals, the CAP threshold relative to the regression line provided an estimate of the functional loss of the inner hair cell system. For mechanical losses in the middle ear and/or cochlear amplifier, DPOAEs measured as velocity of the umbo promise an accuracy of hearing threshold estimation comparable to classical audiometry.

Clinical utility of laser-Doppler vibrometer measurements in live normal and pathologic human ears

The laser-Doppler vibrometer (LDV) is a research tool that can be used to quickly measure the sound-induced velocity of the tympanic membrane near the umbo (the inferior tip of the malleus) in live human subjects and patients. In this manuscript we demonstrate the LDV to be a sensitive and selective tool for the diagnosis and differentiation of various ossicular disorders in patients with intact tympanic membranes and aerated middle ears. Patients with partial or total ossicular interruption or malleus fixation are readily separated from normal-hearing subjects with the LDV. The combination of LDV measurements and air-bone gap can distinguish patients with fixed stapes from those with normal ears. LDV measurements can also help differentiate air-bone gaps produced by ossicular pathologies from those associated with pathologies of inner-ear sound conduction such as a superior semicircular canal dehiscence.

[Laser Doppler vibrometric measurements of DPOAE in humans. Eardrum vibrations reflect middle- and inner-ear characteristics]

BACKGROUND

Up to now, laser interferometric vibration measurements of the human eardrum have not provided any information about cochlear function, because the measurement devices have not been sufficiently sensitive.

METHODS

After designing a new type of laser Doppler vibrometer (LDV) that allows detection of displacement amplitudes down to about 1 pm, we used this device in 20 subjects to measure growth functions of the distortion products of otoacoustic emissions (DPOAE) as vibrations of the umbo. For comparison, DPOAE growth functions were also measured conventionally with an acoustic probe in the closed external auditory meatus. Hearing thresholds were estimated from both sets of measurements and compared with Békésy thresholds.

RESULTS

The standard deviation of the threshold estimate obtained from the vibration DPOAEs was 8.6 dB, which is significantly smaller than that of the threshold estimate (16.7 dB) obtained from the acoustic DPOAEs. We attribute the smaller standard deviation for the LDV data to the fact that these measurements are made in an open sound field and are therefore less susceptible to pressure calibration errors.

CONCLUSIONS

Being relatively free of sound-field measurement artefacts, the LDV method allows precise estimation of the hearing threshold. Vibration measurements of the umbo have, therefore, considerable potential for the differential diagnosis of mechanical dysfunction of the middle and inner ear.

A mechanism for active hearing

The remarkable sensitivity, frequency selectivity, and nonlinearity of the cochlea have been attributed to the putative 'cochlear amplifier', which consumes metabolic energy to amplify the cochlear mechanical response to sounds. Recent studies have demonstrated that outer hair cells actively generate force using somatic electromotility and active hair-bundle motion. However, the expected power gain of the cochlear amplifier has not been demonstrated experimentally, and the measured location of cochlear nonlinearity is inconsistent with the predicted location of the cochlear amplifier. We instead propose a 'cochlear transformer' mechanism to interpret cochlear performance.