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Suprathreshold Auditory Processing in Noise-Induced Hearing Loss

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Noise-Induced Hearing Loss

Part of the book series: Springer Handbook of Auditory Research ((SHAR,volume 40))

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Abstract

This chapter reviews auditory processing changes that occur in individuals with sensorineural hearing loss due to noise exposure. The typical patient with noise-induced hearing loss (NIHL) initially presents with a high-frequency sensorineural hearing loss that spreads to other frequencies as the noise exposure continues. Studies on various animal models have shown that the configuration of hearing loss and subsequent recovery depend on the intensity, frequency, and duration of exposure (see Clark 1991 and Salvi and Boettcher 2008, for review). Briefly stated, the sensorineural hearing loss resulting from noise exposure seems to be restricted mostly to the frequency of exposure for low-intensity [83 dB sound pressure level (SPL), Salvi et al. 1978] stimulation, while high-intensity (95 dB SPL) stimulation results in hearing loss at frequencies one half to an octave above the exposure frequency. The half-octave shift has been well described in the seminal work of Davis et al. (1950). For long-term exposures, the amount of temporary threshold shift (TTS) typically increases linearly over the first 24 h of exposure and then plateaus to a level referred to as asymptotic threshold shift (ATS). Recovery after noise exposure is also dependent on the intensity and duration of exposure. Recovery tends to be slowest for audiometric frequencies around 4,000 Hz, regardless of what the frequency of exposure is (Davis et al. 1950). In general, small amounts of ATS due to low-intensity exposures are associated with faster recovery, whereas large amounts of ATS (greater than around 55 dB) due to high-intensity exposures are associated with slower recovery and in some cases, permanent threshold shifts (PTS; Clark 1991). As the auditory system sustains ATS for weeks and months, the amount of recovery at the eventual cessation of the exposure decreases. At the extreme, ATS is a good predictor of PTS for prolonged exposures.

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Acknowledgments

The author thanks Caleb Williams and Ethan Levien for invaluable help with the preparation of this manuscript.

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Authors and Affiliations

  1. Department of Speech, Language, and Hearing Sciences, University of Florida, Gainesville, FL, 32611, USA

    Mini N. Shrivastav

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Correspondence to Mini N. Shrivastav .

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Editors and Affiliations

  1. Department of Speech, Language, and Hearing Sciences, University of Florida, Gainesville, FL, 32610, USA

    Colleen G. Le Prell

  2. Department of Communication Disorders and Science Center for Hearing Research College of Arts and Sciences, State University of New York at Buffalo, Buffalo, NY, 14214, USA

    Donald Henderson

  3. Marine Biological Laboratory, Woods Hole, MA, 02543, USA

    Richard R. Fay

  4. Department of Biology, University of Maryland, College Park, MD, 20742, USA

    Arthur N. Popper

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Shrivastav, M.N. (2012). Suprathreshold Auditory Processing in Noise-Induced Hearing Loss. In: Le Prell, C.G., Henderson, D., Fay, R.R., Popper, A.N. (eds) Noise-Induced Hearing Loss. Springer Handbook of Auditory Research, vol 40. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-9523-0_7

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