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Updated: May 4, 2026

Author Spotlight: Optimizing EAS with Long Electrodes for Enhanced Cochlear Coverage and Hearing Preservation
Published on: October 11, 2024
Efferent-mediated reduction in cochlear gain does not alter tuning estimates from stimulus-frequency otoacoustic
Shaum P Bhagat1, Chelsea Kilgore1
1Hearing Science Laboratory, School of Communication Sciences and Disorders, The University of Memphis, Memphis, TN 38105, United States.
Abstract:
The existence of efferent feedback from cortical and subcortical brain centers to the hair cells of the cochlea has been recognized for many years, but the role that efferent neurons play in hearing is not completely known. Stimulation of medial olivocochlear (MOC) efferent neurons suppresses sound-evoked basilar membrane responses and changes the tuning of single auditory nerve fibers in animal models. Both of these effects are linked to a MOC-induced reduction in the gain of the cochlear amplification provided by outer hair cells. To non-invasively examine the link between cochlear suppression and tuning in humans, stimulus-frequency otoacoustic emissions (SFOAEs) were recorded in conditions with and without contralateral acoustic stimulation (CAS) from 28 normal-hearing participants. SFOAEs were measured using clusters of closely-spaced probe-tone frequencies centered near 1.4 and 2.0kHz. An index of cochlear tuning, QERB, was calculated based on measures of SFOAE group delay at both 1.4 and 2.0kHz. A statistically significant (p<0.01) decrease in SFOAE levels acquired during CAS was detected only for the SFOAE cluster centered at 2kHz. No statistically significant differences in QERB were found between conditions with and without CAS at 1.4 and 2.0kHz. These findings suggest that in humans, tuning based on SFOAE group delay estimates is not appreciably altered at cochlear locations with MOC efferent-induced reductions in cochlear gain.
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