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Electrically Evoked Stapedius Reflex Measurements in Cochlear Implantation and Its Application in the Postoperative Fitting Process
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Noise-induced Cochlear Synaptopathy and Signal Processing Disorders.

Hengchao Chen1, Lijuan Shi2, Lijie Liu2

  • 1Otolaryngology Research Institute, 6th Affiliated Hospital, Shanghai Jiao Tong University, Shanghai, China.

Neuroscience
|September 30, 2018
PubMed
Summary

Noise-induced hidden hearing loss (NIHHL) involves synaptic damage, which may partially repair but remain abnormal. Current evidence questions the usefulness of certain tests for detecting this condition.

Keywords:
coding deficithidden hearing lossnoise exposuresyanptogenesissynaptopathy

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Area of Science:

  • Audiology
  • Neuroscience
  • Hearing Research

Background:

  • Noise-induced hidden hearing loss (NIHHL) is characterized by synaptic damage without permanent threshold shifts.
  • Evidence primarily stems from animal models, but human occurrence is suspected.
  • NIHHL research focuses on synaptic repair, threshold shifts, and neural coding deficits.

Purpose of the Study:

  • To review controversial aspects of NIHHL.
  • To investigate synaptic re-establishment after noise exposure.
  • To examine the role of synaptic damage/repair in threshold shifts and recovery.
  • To explore the link between synaptic processes and neural coding deficits.

Main Methods:

  • Review of existing literature on noise-induced hidden hearing loss.
  • Analysis of studies on synaptic damage and repair mechanisms.
  • Evaluation of neural coding deficits in the context of cochlear synaptopathy.

Main Results:

  • Damaged synapses can partially repair after noise exposure but remain functionally abnormal.
  • Some neural response deficits in temporal and intensity coding are observed.
  • No strong evidence supports hypothesized coding-in-noise deficits.
  • The utility of envelope following responses for detecting cochlear synaptopathy is questionable.

Conclusions:

  • Synaptic repair after noise exposure is incomplete and functionally impaired.
  • Current methods for detecting NIHHL, such as envelope following responses, may lack sensitivity and usefulness.
  • Further research is needed to understand NIHHL mechanisms and develop reliable diagnostic tools.