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Updated: Aug 2, 2025

Neuro-rehabilitation Approach for Sudden Sensorineural Hearing Loss
Published on: January 25, 2016
Hearing Through Bone Conduction Headsets
Sudeep Surendran1, Srdan Prodanovic1, Stefan Stenfelt1
1Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
Abstract:
Bone conduction (BC) stimulation has mainly been used for clinical hearing assessment and hearing aids where stimulation is applied at the mastoid behind the ear. Recently, BC has become popular for communication headsets where the stimulation position often is close to the anterior part of the ear canal opening. The BC sound transmission for this stimulation position is here investigated in 21 participants by ear canal sound pressure measurements and hearing threshold assessment as well as simulations in the LiUHead. The results indicated that a stimulation position close to the ear canal opening improves the sensitivity for BC sound by around 20 dB but by up to 40 dB at some frequencies. The transcranial transmission ranges typically between -40 and -25 dB. This decreased transcranial transmission facilitates saliency of binaural cues and implies that BC headsets are suitable for virtual and augmented reality applications. The findings suggest that with BC stimulation close to the ear canal opening, the sound pressure in the ear canal dominates the perception of BC sound. With this stimulation, the ear canal pathway was estimated to be around 25 dB greater than other contributors, like skull bone vibrations, for hearing BC sound in a healthy ear. This increased contribution from the ear canal sound pressure to BC hearing means that a position close to the ear canal is not appropriate for clinical use since, in such case, a conductive hearing loss affects BC and air conduction thresholds by a similar amount.
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