Objectives The purpose of this study was to obtain behavioral hearing thresholds for frequencies between 0.125 and 20 kHz from a large population between 10 and 65 years old using a clinically feasible calibration method expected to compensate well for variations in the distance between the eardrum and an insert-type sound source. Previous reports of hearing thresholds in the extended high frequencies (> 8 kHz) have either used calibration techniques known to be inaccurate or specialized equipment not suitable for clinical use. Design Hearing thresholds were measured from 352 human subjects between 10 to 65 years old having clinically normal hearing thresholds (< 20 dB HL) up to 4 kHz. An otoacoustic emission probe fitted with custom sound sources was used and the stimulus levels individually tailored based on an estimate of the insertion depth of the measurement probe. The calibrated stimulus levels were determined based on measurements made at various depths of insertion in a standard ear simulator. Threshold values were obtained for 21 frequencies between 0.125 and 20 kHz using a modified Békésy technique. Forty six of the subjects returned for a second measurement months later from the initial evaluation. Results In agreement with previous reports hearing thresholds at extended high frequencies were found to be sensitive to age related changes in auditory function. In contrast with previous reports, no gender differences were found in average hearing thresholds at most evaluated frequencies. Two aging processes, one faster than the other in time scale, appear to influence hearing thresholds in different frequency ranges. The standard deviation of test-retest threshold difference for all evaluated frequencies was 5~10 dB, comparable to that reported in the literature for similar measurement techniques, but smaller than that observed for data obtained using the standard clinical procedure. Conclusions The depth-compensated ear-simulator-based calibration method and the modified Békésy technique allow reliable measurement of hearing thresholds over the entire frequency range of human hearing. Hearing thresholds at the extended high frequencies are sensitive to aging and reveal subtle differences, which are not evident in the frequency range evaluated regularly (8 kHz and below). Previously-reported gender-related differences in hearing thresholds may be related to ear canal acoustics and the calibration procedure and not due to differences in hearing sensitivity.

Distortion-product otoacoustic emission (DPOAE) fine structure and component characteristics are reported between 0.75 and 16 kHz in 356 clinically normal hearing human subjects ages 10 to 65 yr. Stimulus tones at 55/40, 65/55, and 75/75 dB SPL were delivered using custom designed drivers and a calibration method that compensated for the depth of insertion of the otoacoustic emission (OAE) probe in the ear canal. DPOAE fine structure depth and spacing were found to be consistent with previous reports with depth varying between 3 and 7 dB and average spacing ratios (f/Δf) between 15 and 25 depending on stimulus level and frequency. In general, fine structure depth increased with increasing frequency, likely due to a diminishing difference between DPOAE component levels. Fine structure spacing became wider with increasing age above 8 kHz. DPOAE components were extracted using the inverse fast Fourier transform method, adhering to a strict signal to noise ratio criterion for clearer interpretation. Component data from four age groups between 18 and 55 yr old were available for the stimulus levels of 75/75 dB SPL. The age groups could be differentiated with greater than 90% accuracy when using the level of the component presumed to originate from the DPOAE characteristic frequency place. This accuracy held even for frequencies at and below 4 kHz where the age groups exhibited similar average hearing thresholds.

Discrimination of the change in depth of sinusoidal amplitude modulation (AM) was investigated as a function of stimulus duration. The carrier frequency was 4000 Hz, the standard modulation depth (m) was either 0.1, 0.18, or 0.3, and the modulation rate was either 10, 20, 40, or 80 Hz. For all standard depths and modulation rates, threshold (delta m) decreased by more than a factor o two as stimulus duration doubled from the shortest duration used up to a certain duration (critical duration), beyond which the threshold decreased only slightly or remained constant. The critical duration corresponded to about four cycles of modulation. Psychometric functions were measured for different stimulus durations to examine the extent to which a multiple-looks model could explain the present data. This model provided a reasonable prediction of the change in AM depth discrimination threshold as a function of stimulus duration.

Hearing thresholds have been shown to exhibit periodic minima and maxima, a pattern known as threshold microstructure. Microstructure has previously been linked to spontaneous otoacoustic emissions (SOAEs) and normal cochlear function. However, SOAEs at high frequencies (>4 kHz) have been associated with hearing loss or cochlear pathology in some reports. Microstructure would not be expected near these high-frequency SOAEs. Psychophysical tuning curves (PTCs), the expression of frequency selectivity, may also be altered by SOAEs. Prior comparisons of tuning between ears with and without SOAEs demonstrated sharper tuning in ears with emissions. Here, threshold microstructure and PTCs were compared at SOAE frequencies ranging between 1.2 and 13.9 kHz using subjects without SOAEs as controls. Results indicate: (1) Threshold microstructure is observable in the vicinity of SOAEs of all frequencies; (2) PTCs are influenced by SOAEs, resulting in shifted tuning curve tips, multiple tips, or inversion. High frequency SOAEs show a greater effect on PTC morphology. The influence of most SOAEs at high frequencies on threshold microstructure and PTCs is consistent with those at lower frequencies, suggesting that high-frequency SOAEs reflect the same cochlear processes that lead to SOAEs at lower frequencies.

Growth-of-masking (GOM) functions were obtained in three groups of normal-hearing subjects using a simultaneous-masking paradigm. In all cases, the signal frequency (fs) was higher than the masker frequency (fm), either by a certain ratio (1.44) or by a certain distance [3 equivalent rectangular bandwidths (ERBs)]. The purpose was to evaluate the effect of overall frequency on the slope of the steep portion of the GOM function, and to evaluate the change in slope that can occur at high levels. Signal frequency ranged from 400 to 5000 Hz, and masker level ranged from 40 to 95 dB SPL. On average, the slope of the steep portion of the GOM function was about 1.4 for signal frequencies from 400 to 750 Hz, and 2.0 for signal frequencies from 1944 to 5000 Hz. This is consistent with the possibility that the cochlea may behave more linearly at the apical (low-frequency) region than at the basal (high-frequency) region. In addition, for signal frequencies at and above 750 Hz, the slope of the masking function changed from a value much greater than 1.0 to a value of 1.0 at high levels. The change in slope was better correlated with signal sensation level (i.e., amount of masking) than with either signal or masker SPL: the lack of a change at the lower signal frequencies may reflect the smaller amounts of masking there. The change to a linear growth of masking may represent a change in the response to the signal from compressive to linear at high levels.

It has been proposed that OAEs be classified not on the basis of the stimuli used to evoke them, but on the mechanisms that produce them (Shera and Guinan, 1999). One branch of this taxonomy focuses on a coherent reflection model and explicitly describes interrelationships between spontaneous emissions (SOAEs) and stimulus-frequency emissions (SFOAEs). The present study empirically examines SOAEs and SFOAEs from individual ears within the context of model predictions, using a low stimulus level (20 dB SPL) to evoke SFOAEs. Emissions were recorded from ears of normal-hearing young adults, both with and without prominent SOAE activity. When spontaneous activity was observed, SFOAEs demonstrated a localized increase about the SOAE peaks. The converse was not necessarily true though, i.e., robust SFOAEs could be measured where no SOAE peaks were observed. There was no significant difference in SFOAE phase-gradient delays between those with and without observable SOAE activity. However, delays were larger for a 20 dB SPL stimulus level than those previously reported for 40 dB SPL. The total amount of SFOAE phase accumulation occurring between adjacent SOAE peaks tended to cluster about an integral number of cycles. Overall, the present data appear congruous with predictions stemming from the coherent reflection model and support the notion that such comparisons ideally are made with emissions evoked using relatively lower stimulus levels.

Spectral integration was measured for pure-tone signals masked by unmodulated or modulated noise bands centered at the signal frequencies. The bands were typically 100 Hz wide, and when modulated, they were sinusoidally amplitude modulated at a rate of 8 Hz and a depth of 100%. In experiment 1, thresholds were first measured for each individual pure tone of a triplet in the presence of its respective masker band, and then for those three tones added together at their respective threshold levels, masked by their respective masker bands. Four sets of triplets were used: 250, 1000, 4000 Hz; 354, 1000, 2828 Hz; 500, 1000, 2000 Hz; and 800, 1000, 1200 Hz. When the masker bands were unmodulated, the amount of spectral integration was about 2.4 dB for all triplets, consistent with the integration expected based on the multiband energy detector model. When the bands were modulated, the amount of integration depended upon the spacing between masker bands; for the two widest spacings, the integration was between about 0 and 3 dB, whereas for the two closest spacings, the integration was approximately 5 dB. Experiments 2 and 3 addressed the cause of this greater spectral integration in the presence of the modulated masker bands with closer spacing. The second experiment demonstrated that sensitivity (d') was proportional to signal power regardless of whether the background noise was modulated or not, and thus the greater integration in dB in the presence of the modulated noise bands could not be accounted for by shallower psychometric functions in those conditions. Instead, the third experiment showed that the greater integration was likely due to the fact that the masker bands were comodulated. In other words, it was probably due to cues related to comodulation masking release when all three bands (and signals) were present.

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