Objective auditory dysfunction in infantile autism.
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Adolescent↗
Biomedical subjects
L Collet
Publications and source records attributed to L Collet.
Transiently evoked otoacoustic emission amplitudes change with changes of directed attention.
The effect of a visual and of an auditory task on the cochlea was studied by transiently evoked otoacoustic emissions (TEOAEs). TEOAE amplitude decreased during visual and auditory attention for all 13 subjects tested. The decreased TEOAE activity was noted predominantly within the 960 to 1920 Hz range during visual attention and within the 1920-2880 Hz range during auditory attention. Selective attention, by way of the olivocochlear medial efferent system, modifies cochlear micromechanical properties. Visual and auditory attention act on different areas of the cochlear partition.
Adult↗
Effect of contralateral sound stimulation on the distortion product 2f1-f2 in humans: evidence of a frequency specificity.
The frequency characteristics of the suppression by contralateral stimulations, of the cubic 2f1-f2 distortion products (DPOAEs), were studied during 63 sessions performed in 39 humans with normal hearing. Each session consisted of exposure to five successive series of randomized contralateral NBN frequencies centered between 0.25 and 8 kHz, while measuring 2f1-f2 set at one of the four studied frequencies, i.e., 1, 2, 3 or 5 kHz. For each value of 2f1-f2, analysis of variance and Student's t-test were used in order to indicate and, if necessary, to localize, a possible significant frequency specificity. Results showed that the suppression exerted on 2f1-f2 DPOAEs by contralateral sound stimulation, is frequency specific, at least for middle frequencies of 1 and 2 kHz. The frequency specificity is specially marked when 2f1-f2 = 1 kHz with contralateral NBN central frequencies around 1 kHz. When 2f1-f2 = 2 kHz, central frequencies which induced a significant suppressive effect include frequencies around 2 kHz and also lower frequencies around 1 kHz. These observations support the interpretation that the suppression of the DPOAE is mediated by the medial olivo-cochlear efferent system.
Acoustic Stimulation↗
Contralateral auditory stimulation alters acoustic distortion products in humans.
It is now generally accepted that otoacoustic emissions (OAE) represent the only objective and non-intrusive means of functional exploration of the active micromechanical characteristics of the outer hair cells of the organ of Corti. Previous studies showed a decrease of the transiently evoked otoacoustic emissions and spontaneous otoacoustic emissions in humans, during acoustic stimulation of the contralateral ear, and attributed this effect to the medial efferent system. Such an effect has been shown on acoustic distortion product otoacoustic distortion emissions (DPOAE) in guinea pigs, but has not been investigated for DPOAEs recorded in humans, although DPOAEs represent the easiest means of exploring active micromechanical cochlear properties both in humans and in laboratory animals. The present study sought to investigate the existence and characteristics of a contralateral auditory stimulation effect on DPOAEs recorded in humans. This study shows that contralateral broad-band noise (BBN) has a suppressive effect on DPOAEs recorded from 0.5 kHz to 5 kHz. This effect is not due to air conduction, as no change in the noise floor occurred under increasing contralateral stimulation, and as no reduction in DPOAE amplitude was obtained in subjects whose contralateral ear was sealed with a plastic ear plug. Moreover, cross-over attenuation by bone transmission has been ruled out, as no change in DPOAE amplitude was recorded in the healthy ear of total unilaterally deaf patients during acoustic stimulation of the deaf ear. The effect seen was not entirely due to the acoustic reflex, as it was found and could indeed be even greater in subjects with no acoustic reflex. Results presented here show that the contralateral BBN effect is greater at low levels of ipsilateral stimulation, which leads us to discuss the involvement of both passive and active mechanisms in DPOAE generation at high stimulation levels. The contralateral BBN effect seems to be greater in mid frequency cochlear regions. There is strong evidence that the medial efferent system is involved and that afferent and efferent inputs are, at least partly, integrated at a brainstem level in order to ensure cochlear interaction. DPOAEs provide an interesting model for functional exploration of the efferent system, since they seem to be the only type of otoacoustic emission that can be recorded in both humans and in the majority of animals, and since results are obtained in the same way from both animals and humans, which allows experimental animal models very close to the human model.
Acoustic Impedance Tests↗
Interrelations between transiently evoked otoacoustic emissions, spontaneous otoacoustic emissions and acoustic distortion products in normally hearing subjects.
Active cochlear mechanisms and especially outer hair cells seem to be involved in oto-acoustic emissions (OAEs) genesis. This study sought to investigate basic characteristics of spontaneous otoacoustic emissions (SOAEs), click-evoked otoacoustic emissions (TOAEs) and interrelations between SOAEs, TOAEs and 2f1-f2 and 2f2-f1 distortion product OAEs (DPOAEs) in 135 normally hearing subjects. A gender effect was shown on TOAEs and DPOAEs amplitude, and is attributed to the higher incidence of SOAEs in women (58%) than in men (22%). Moreover, SOAEs presence seems to mask the age effect found, especially at high frequency components, on TOAEs amplitude. A general influence of SOAEs on TOAEs and DPOAEs is shown, especially at frequencies ranging from 1 kHz to 3 kHz, collecting more than 66% of the SOAEs peaks recorded. Lastly, correlations between TOAEs frequency band amplitude and 2f1-f2 DPOAEs amplitude, shows frequency specificity, at least at low frequencies (i.e., from 0.5 to 2 kHz) in agreement with previous works suggesting that the 2f1-f2 DPOAEs generation site is at the geometric mean of the primaries. The same correlations calculated with 2f2-f1 DPOAEs amplitude show frequency specificity at low frequencies i.e., at 800 Hz and 1600 Hz. 2f2-f1 DPOAEs in humans are shown to be generated near the 2f2-f1 frequency region on the cochlear partition.
Acoustic Impedance Tests↗
Sleep and active cochlear micromechanical properties in human subjects.
In this paper the effect of sleep on the cochlea is studied by transiently evoked otoacoustic emissions (TEOAEs). Amplitude increases considerably (e.g., 4 dB) and the effect of a contralateral noise on the TEOAEs decreases during the night. These modifications can be related to sleep, although there is no link to electroencephalographic sleep stage. During sleep onset, the effect of contralateral noise disappears: this could correspond to a functional rest of the auditory pathway during that period.
Acoustic Stimulation↗
Click-evoked otoacoustic emissions and hearing threshold in sensorineural hearing loss.
The influence of hearing loss on the click-evoked otoacoustic emissions (EOAE) were studied in 931 ears. The EOAEs were never found when hearing loss on the best hearing frequency was above 40 dB HL. The presence of EOAEs reflects the hearing threshold at the best hearing frequency, not only at the middle frequencies.
Acoustic Stimulation↗
Is the round-window electrical test possible in children?
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Adolescent↗
Functional maturation of cochlear active mechanisms and of the medial olivocochlear system in humans.
The aim of this study was to investigate the functional development of cochlear active mechanisms and of the medial efferent olivocochlear system. Otoacoustic emissions (evoked and spontaneous) were recorded in 42 preterm neonates (conceptional age ranging form 33 to 39 weeks) and a control group of 20 young normal-hearing adults. Medial olivocochlear system activity was examined by coupling evoked otoacoustic emission recording to a contralateral stimulation. Otoacoustic emission recordings were carried out using the Otodynamic ILO88 software and hardware. The stimuli were unfiltered clicks and the contralateral stimulation was broad band noise of 50 and 70 dBSPL delivered by an Adam generator. The results revealed the presence of EOAEs and SOAEs from at least 33 weeks in humans, suggesting that the functional maturation of the outer hair cells is nearly complete at that age. The study further revealed that the contralateral stimulation had no effect on evoked otoacoustic emissions in preterm neonates. The lack of activity observed in medial olivocochlear system indicated functional immaturity here, at least before full-term birth.
Adult↗
Medial olivo-cochlear system and tinnitus.
A possible role of the efferent system in the mechanisms of tinnitus generation has been put forward by several authors. A simple method for studying the functioning of this system is to compare the amplitudes of otoemissions with and without mild contralateral stimulation. In a recent communication, Veuillet et al. (1991) reported that, on the side of tinnitus, the efferent system of patients suffering from unilateral tinnitus seems to be less efficient than on the other side. The results presented here correspond to those obtained in the very first tinnitus patients submitted to a research protocol exploring systematically the efferent system. When possible, the effectiveness was tested in two ways: globally, using evoked otoacoustic emissions (EOAEs) and, very precisely in the frequency zone of the tinnitus, using cubic distortion product 2f1-f2. Preliminary results obtained in bilateral and unilateral tinnitus sufferers show that a majority of them exhibits, at least in the proximity of the tinnitus, a lack of effectiveness of the efferent system. In some of them, instead of the suppressive effect, an increasing one was even observed.
Adult↗
Comparative influence of repeated measurement and of attention on evoked otoacoustic emissions.
This study compared the influence of an auditory attention task and of repetitive measures on the peripheral auditory system, using evoked otoacoustic emissions (EOAEs). The experimental task protocol comprised three sessions (pre-control, attention and post-control conditions) with, in each session, six measurements of EOAEs, at intervals of about 60 seconds, while the other ear was receiving two pure tones of 2,500 and 750 Hz, with a probability of appearance of 20% and 80%, respectively. In the contralateral attention condition, the subject had to count the number of the less frequent high pitched sounds. A long duration protocol (20 min for the total experiment) was used in order to examine a possible time-effect on EOAEs. An increase in EOAE amplitude during the second and third sessions, with linear saturation around the last measurements, was observed. While no attention effect could be identified, a time-effect seemed to be present. Possible explanations for the influence of repeated measurements on EOAEs are discussed. Moreover, EOAE amplitudes of subjects presenting spontaneous otoacoustic emissions were compared to those of subjects without SOAEs: significant differences were found, showing the particularity of cochleas emitting SOAEs.
Acoustic Stimulation↗
Characteristics of transient otoacoustic emissions in patients with sudden idiopathic hearing loss.
In a prospective study of 24 patients hospitalized with sudden idiopathic hearing loss syndrome (SIHLS), tonal audiometry was conducted first at an early stage after onset (Day O), again a second time (Day A, mean = 4.12 days), and again a third time (Day B, mean = 8.71 days). Transient evoked otoacoustic emissions (TEOAE) were recorded on Days O and A elicited by click stimulation. The question under investigation was whether TEOAE presence, TEOAE amplitude or peak amplitudes for the various 200-Hz-wide bands on Day O could be exploited to assess cochlear function, as indicated by pure-tone audiometry on Days A and B. The TEOAE amplitude on Day O was found to be correlated with improvement in tone threshold on Day B at 2 kHz. One significant correlation emerged between the band amplitude on Day O and the audiometric frequency improvement: on Day B between peak amplitude at 1.2 kHz and 1 kHz frequency improvement. From these results, TEOAE could theoretically be a means to assess cochlear functioning during SIHLS for 1 and 2 kHz frequencies. However, correlations are too weak to form the basis of any predictive test that could be clinically useful.
Acute Disease↗
Use of otoacoustic emissions to explore the medial olivocochlear system in humans.
The association between contralateral stimulation and otoacoustic emissions makes it possible to study the medial olivocochlear system in humans. Characterization of this functional exploration and clinical applications are discussed.
Acoustic Stimulation↗
[Determination of the isoelectric point of beta-lactamases isolated from 67 Klebsiella oxytoca strains and phenotype behaviour against eight beta-lactam antibiotics].
Klebsiella oxytoca is naturally resistant to aminopenicillins and carboxypenicillins by production of a chromosomal beta-lactamase but susceptible to third generation cephalosporins. The third generation cephalosporins activity may be reduced by: overproduction of the chromosomally encoded beta-lactamase or an extended-spectrum beta-lactamase. These activity modification are rarely found in the hospital of Aix-en-Provence (France). The activity modification rate of K. oxytoca resistant by one of these mechanisms between 1986 and 1991 are 3.6% for chromosomally encoded beta-lactamase overproduction and 0.7% for acquisition of an extended-spectrum beta-lactamase. We have determined the isoelectric point (pI) by isoelectrofocusing of the beta-lactamases isolated from 67 K. oxytoca and the activity of 8 beta-lactams has been studied by disk-diffusion. 51 wild strains, 14 overproducing strains (including 2 in vitro mutants) and 2 strains with extended-spectrum beta-lactamase were studied. For every wild strain, we observed only one band except for two strains with two bands (pl 5.4 + 6.3 and pl 5.6 + 7.7). The isoelectric points for the other strains are comprised between pl 5.25 and pl 8.2: 22 pl 7.7; 13 pl 5.25; 4 pl 5.6; 4 pl 6.3; 2 pl 6.6; 2 pl 8.1 and 2 pl 8.2. In the strains with chromosomally encoded beta-lactamase overproduction we observed several bands in each extract and only the major band was considered. The isoelectric point of in vitro mutant strains with beta-lactamase overproduction was the same that the wild strains. We observed 3 pl: 5.25 - 1 pl: 5.6 - 3 pl 6.3 and 5 pl 7.7.(ABSTRACT TRUNCATED AT 250 WORDS)
Anti-Bacterial Agents↗
[Exploration of the efferent system in man: basic and clinical results].
Since 1989, the exploration of the medial efferent system has been possible in human by using a non-invasive technique consisting in the association of the contralateral acoustic stimulation and the evoked otoacoustic emissions (EOAEs). This exploration presents a great interest for fundamental auditory research because it is the sole means of exploring in human these cochlear efferent neurons synapsing at the base of the outer hair cells. The function of this system is still unknown. The interest of such an exploration in clinical research is now becoming obvious such that it would be not only useful but also necessary to establish a precise diagnosis in particular pathologies. The aim of the present paper is to expose basic results obtained on the medial efferent system in normal subjects and above all to present findings for pathological ears, among which figure in particular: retrocochlear pathologies, hyperacousia, noise-induced hearing loss, tinnitus. In addition to the diagnostic interest of the exploration of the medial efferent system, a knowledge of its functioning will probably allow its role in audition to be determined.
Acoustic Stimulation↗
Visual attention and evoked otoacoustic emissions: a slight but real effect.
The effect of auditory or visual attention tasks on the peripheral auditory system, studied by Brainstem Auditory Evoked Potentials (BAEPs), electrocochleography or Evoked Oto-Acoustic Emissions (EOAEs), has been a subject of controversy. To investigate the divergences in findings, a study using EOAE and visual and auditory attention was run on 12 subjects. A significant effect during visual attention was obtained. A general diminution of EOAEs of 0.35 dB (equivalent reduction) was found. This result seems to prove that BAEPs are not the best technique to reveal the effect of attention on cochlear mechanisms, because of the weakness of the effect.
Adult↗
Differential effects of ear-canal pressure and contralateral acoustic stimulation on evoked otoacoustic emissions in humans.
The effect of ear canal pressure variation (ECPV) on click evoked otoacoustic emissions (EOAEs) was compared to the suppressive effect observed with contralateral acoustic stimulation (CAS) in 11 healthy subjects. Both total EOAE amplitude and amplitude of 200 Hz frequency bands (22) were analyzed. Our results revealed that the ECPV as the CAS induced a decrease of the total EOAE amplitude; these two factors showed an additive effect when they are conjoint. The study of the EOAE frequency bands showed that the majority of them decreased under CAS and ECPV; however, a few bands are not affected. Moreover, it appeared that amplitude of the EOAE frequency bands were not modified in a similar way between the two factors: indeed some bands around 4.1 kHz did not decrease either by CAS or ECPV. These results suggest that these applied factors exert different actions on EOAEs. Moreover, the lack of a decrease effect for the same bands, both with CAS and ECPV, may explain the vulnerability of some cochlear locations.
Acoustic Stimulation↗
Influence of spontaneous otoacoustic emissions (SOAE) on acoustic distortion product input/output functions: does the medial efferent system act differently in the vicinity of an SOAE?
Otoacoustic emission (OAE) generation mechanisms reside in the active micromechanical properties of the organ of Corti, and especially in the outer hair cells (OHCs). OHCs are strongly innervated by medial efferent olivo-cochlear fibres. Decrease of the intensity of transiently evoked otoacoustic emissions (TOAEs) and modification of spontaneous otoacoustic emissions (SOAEs) during acoustic stimulation of the contralateral ear have already been shown in humans. Similar results were obtained in guinea pigs with a decrease of 2F1-F2 acoustic distortion products (DPOAEs) and a suppression of the effect with sectioning of the floor of the fourth ventricle. The present study sought to investigate the influence of contralateral auditory stimulation on DPOAEs recorded in humans. It shows a decrease in DPOAE intensity for all frequencies, at levels above 45 dB SPL of contralateral broad band noise. This effect was found at levels of contralateral BBN well below the acoustic reflex threshold, and in subjects without acoustic reflex. Moreover, the influence of transcranial transmission could be ruled out since no effect was found when contralateral BBN applied to the altered ear of totally unilaterally deaf patients. Thus, the contralateral acoustic stimulation effect on DPOAEs provides a new means of functional exploration of the medial efferent system in humans. The effect obtained is more ample at low primary frequency levels. Moreover, as DPOAEs are known to be stronger and to show more irregular input/output function patterns in the vicinity of an SOAE, the influence of contralateral auditory stimulation was studied for DPOAEs recorded at 10 Hz, 50 Hz and 150 Hz from an SOAE frequency.
Acoustic Stimulation↗