Exploiting Dual Otoacoustic Emission Sources.

Two distinct processes generate otoacoustic emissions (OAEs). Reflection-source emissions, here recorded as stimulus frequency OAEs, are optimally informative at low sound levels and are more sensitive to slight hearing loss; they have been linked to cochlear amplifier gain and tuning. Distortion-source emissions are strongest at moderate-high sound levels and persist despite mild hearing loss; they likely originate in the nonlinear process of hair cell transduction. In this preliminary study, we exploit the unique features of each by generating a combined reflection-distortion OAE profile in normal hearing and hearing-impaired ears. Distortion-product (DP) and stimulus-frequency (SF) OAEs were recorded over a broad range of stimulus levels and frequencies. Individual I/O and transfer functions were generated for both emission types in each ear, and OAE peak strength, compression threshold, and rate of compression were calculated. These combined SFOAE and DPOAE features in normal and hearing-impaired ears may provide a potentially informative and novel index of hearing loss. This is an initial step toward utilizing OAE source in characterizing cochlear function and dysfunction.