Sound transmission to the eardrum from various points in the external ear was measured by means of probe microphone technique. Twelve human subjects participated, and three directions of sound incidence were included. For the major part of the audio frequency range the transmission to the eardrum proved independent of direction from points at the centerline of the ear canal, including the entrance (open or blocked). The results further suggested that the region with independent transmission extends some millimeters outside the entrance plane. The transmission from the free field to the eardrum was divided into a directional-dependent part and two directional-independent parts: (1) the transmission from the free field to the blocked entrance, (2) a pressure division between the radiation impedance and the ear-canal input impedance, and (3) the transmission along the ear canal. All parts of the transmission were seen to be highly individual. The first part was shown to be uncorrelated with any of the other parts, whereas mutual dependence of parts (2) and (3) resulted in a smaller variation in the combined transmission than for the parts in separate. The standard deviation between subjects for head-related transfer functions (HRTFs) measured at the eardrum, the open entrance, and the blocked entrance was studied, and the lowest values were found for the blocked-entrance HRTFs. It is concluded, that the blocked entrance is the most suitable point for measurements of HRTFs and for binaural recordings, since sound at this point includes the complete spatial information, and in addition to that the minimum amount of individual information.

When distortion product otoacoustic emissions (DPOAEs) are measured with a high-frequency resolution, the DPOAE shows quasi-periodic variations across frequency, called DPOAE fine structure. In this study the DPOAE fine structure is determined for 50 normal-hearing humans using fixed primary levels of L1/L2 = 65/45 dB. An algorithm is developed, which characterizes the fine structure ripples in terms of three parameters: ripple spacing, ripple height, and ripple prevalence. The characteristic patterns of fine structure can be found in the DPOAE of all subjects, though the DPOAE fine structure characteristics are individual and vary from subject to subject. On average the ripple spacing decreases with increasing frequency from 1/8 oct at 1 kHz to 3/32 oct at 5 kHz. The ripple prevalence is two to three ripples per 1/3 oct, and ripple heights of up to 32 dB could be detected. The 50 normal-hearing subjects were divided into two groups, the subjects of group A having slightly better hearing levels than subjects of group B. The subjects of group A have significantly higher DPOAE levels. The overall prevalence of fine structure ripples do not differ between the two groups, but are higher and narrower for subjects of group B than for group A.

Summary. The term "binaural technique" is used as a cover label here for methods of sound recording, synthesis and reproduction, where the signals in focus are the acoustic signals at the eardrums. If these are presented authentically to listeners, the listeners will obtain acoustic cues which are deemed sufficient for authentic auditory experience -including its spatial aspects. This chapter reviews the basic principles of binaural technique -putting a special focus on results of investigations which have been performed at Aalborg University. These basic principles form the foundation for current utilization of binaural technique at large. They include basic theory, investigations on sound transmission in the ear canal, measurements and post-processing of head-related transfer functions, HRTFs, transfer functions of headphones and their adequate equalization, and results from localization experiments in real life as well as with binaural recordings from real heads and artificial heads. Numerous applications to these methods exist. Some of them will be introduced exemplarily.

Objective: Primarily to understand whether clinically relevant factors affect the International Outcome Inventory (IOI-HA) scores and to examine if IOI-HA scores improve when renewing the hearing aids (HA) for experienced users. Secondly, to estimate the overall HA effectiveness using the IOI-HA. Design: A prospective observational study. Study sample: In total, 1961 patients with hearing loss were included. All patients underwent a hearing examination, were fitted with HAs, and answered the IOI-HA. Factor analysis of IOI-HA separated the items into a Factor 1 (use of HA, perceived benefits, satisfaction, and quality of life) and Factor 2 (residual activity limitation, residual participation restriction and impact on others) score. Results: Degree of hearing loss, word recognition score, motivation, HA usage time, tinnitus, asymmetry, and sex were significantly associated with total IOI-HA, Factor 1, or Factor 2 scores. The seven IOI-HA items increased on average by 0.4 (p < 0.001) when renewing HAs. The total median IOI-HA score at follow-up was 29 (7) for experienced (n ¼ 460) and first-time users (n ¼ 1189), respectively. Conclusions: Degree of hearing loss, word recognition score, motivation, tinnitus, asymmetry, and sex may be used to identify patients who require special attention to become successful HA users.

Active amplifiers within the cochlea generate, as a by-product of their function, distortion-product otoacoustic emissions (DPOAEs) in response to specific two-tone stimuli. Focus has been on invoking emissions in a mid-frequency range from ∼0.5 to 4 kHz. The present study investigates stimulus parameters of the DPOAE at 2f1-f2 frequencies below 0.5 kHz. Eighteen out of 21 young human adults screened had audiometrically normal hearing for inclusion in the experiment. DPOAEs were measured with pure-tone stimuli in four configurations: f2 fixed around 2.13 kHz, f2 fixed around 0.53 kHz, 2f1-f2 fixed at 1.23 kHz and 0.25 kHz. Eight stimulus ratios, f2/f1, and three stimulus sound pressure levels, L1/L2, were measured in each configuration. Trends in ratio-magnitude responses for the mid-frequency DPOAE agree with those reported in previous literature. DPOAEs are not limited to distortion frequencies >0.5 kHz, but the stimulus ratio invoking the largest DPOAE in the mid-frequency range does not do so in the low-frequency range. Guiding the ratio according to the equivalent rectangular bandwidth of auditory filters maintains the DPOAE level.

Maternal vascular murmurs in the frequency range of 200-800 Hz were identified as a possible marker of abnormal uteroplacental blood flow, and provide a means to measure the arterial pulse wave velocity.

The effects of overexposure on the properties of distortion product otoacoustic emissions (DPOAEs) are investigated. In total, 39 normal-hearing humans were monaurally exposed to a 1-kHz tone lasting for 3 min at an equivalent threshold sound-pressure level of 105.5 dB. The effects of overexposure were studied in two experiments (1) on the broadband DPOAE and (2) on the DPOAE fine structure, measured using a higher frequency resolution in a narrower frequency range. The obtained DPOAE shifts were compared to temporary threshold shift (TTS) obtained after a similar exposure. Similarities between DPOAE shifts and TTS were found in the affected frequency range and the time course of recovery. The amount of TTS was higher in the early recovery time (1-4-min postexposure), but similar to the DPOAE shift (even in absolute terms) at later recovery times (5-20-min postexposure). The DPOAE fine structure was not systematically changed after the exposure.

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