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'Cocktail party effect' in hearing impairment explained in new study
Recent research published in the Journal of the Association for Research in Otolaryngology states that binaural tone fusion range was significantly correlated with vowel fusion rates in both Normal-hearing (NH) listeners and hearing-impaired (HI) individuals.
Normal-hearing (NH) listeners use frequency cues, such as fundamental frequency (voice pitch), to segregate sounds into discrete auditory streams. However, many hearing-impaired (HI) individuals have abnormally broad binaural pitch fusion which leads to fusion and averaging of the original monaural pitches into the same stream instead of segregating the two streams and may similarly lead to fusion and averaging of speech streams across ears.
Hence, Lina A.J Reiss and colleagues from the Department of Otolaryngology, Oregon Health and Science University, Portland, USA carried out the present study to examine the relationship between speech fusion and vowel identification using dichotic speech stimuli.
Dichotic vowel perception was measured in NH and HI listeners, with across-ear fundamental frequency differences varied. Synthetic vowels /i/, /u/, /a/, and /ae/ were generated with three fundamental frequencies (F0) of 106.9, 151.2, and 201.8 Hz and presented dichotically through headphones.
For HI listeners, stimuli were shaped according to NAL-NL2 prescriptive targets. Although the dichotic vowels presented were always different across ears, listeners were not informed that there were no single vowel trials and could identify one vowel or two different vowels on each trial.
The results showed that-
a. When there was no F0 difference between the ears, both NH and HI listeners were more likely to fuse the vowels and identify only one vowel.
b. As ΔF0 increased, NH listeners increased the percentage of two-vowel responses, but HI listeners were more likely to continue to fuse vowels even with large ΔF0.
c. Binaural tone fusion range was significantly correlated with vowel fusion rates in both NH and HI listeners.
d. Confusion patterns with dichotic vowels differed from those seen with concurrent monaural vowels, suggesting different mechanisms behind the errors.
Therefore, the authors concluded that "broad fusion leads to spectral blending across ears, even for different ΔF0, and may hinder the stream segregation and understanding of speech in the presence of competing talkers."
BDS, MDS( Pedodontics and Preventive Dentistry)
Dr. Nandita Mohan is a practicing pediatric dentist with more than 5 years of clinical work experience. Along with this, she is equally interested in keeping herself up to date about the latest developments in the field of medicine and dentistry which is the driving force for her to be in association with Medical Dialogues. She also has her name attached with many publications; both national and international. She has pursued her BDS from Rajiv Gandhi University of Health Sciences, Bangalore and later went to enter her dream specialty (MDS) in the Department of Pedodontics and Preventive Dentistry from Pt. B.D. Sharma University of Health Sciences. Through all the years of experience, her core interest in learning something new has never stopped. She can be contacted at editorial@medicaldialogues.in. Contact no. 011-43720751
Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751