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Updated: Aug 24, 2026

Performing Repeated Intraoperative Impedance Telemetry Measurements during Cochlear Implantation
Published on: August 4, 2023
Cochlear hysteresis: observation with low-frequency modulated distortion product otoacoustic emissions
Lin Bian1, Erin E Linhardt, Mark E Chertoff
1Department of Hearing and Speech, University of Kansas Medical Center, 3901 Rainbow Boulevard, Kansas City, Kansas 66160, USA. lbian@kumc.edu
Abstract:
Low-frequency modulation of distortion product otoacoustic emissions (DPOAEs) can be used to estimate a nonlinear transducer function (fTr) of the cochlea. From gerbils, DPOAEs were measured while presenting a high-level bias tone. Within one period of the bias tone, the magnitudes of the cubic difference tone (CDT, 2f1 - f2) demonstrated two similar modulation patterns (MPs) each resembled the absolute value of the third derivative of the fTr. The center peaks of the MPs occurred at positive sound pressures for rising in bias pressure or loading of the cochlear transducer, and more negative pressures while decreasing bias amplitude or unloading. The corresponding fTr revealed a sigmoid-shaped hysteresis loop with counterclockwise traversal. Physiologic indices that characterized the double MP varied with primary level. A Boltzmann-function-based model with negative damping as a feedback component was proposed. The model was able to replicate the experimental results. Model parameters that fit to the CDT data indicated higher transducer gain and more prominent feedback role at lower primary levels. Both physiologic indices and model parameters suggest that the cochlear transducer dynamically changes its gain with input signal level and the nonlinear mechanism is a time-dependent feedback process.
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