PubMed Health⌕ Search

Biomedical subjects

L Collet

Publications and source records attributed to L Collet.

At least 109 records · Page 6Linked to original sources
PubMed1994

Lack of association between transiently evoked otoacoustic emission amplitude and experimentation linked-factors (repeated acoustic stimulation, cerebrospinal fluid pressure, supine and sitting positions, alertness level).

Changes in transiently evoked otoacoustic emissions (TEOAEs) occur during sleep and during tasks requiring attention. This can be due to a central nervous system effect on the cochlea. But, an additional or dominant influence by non-controlled factors is possible. In this paper, the effect of click-stimulus repetition, lying and sitting positions, state of alertness (awake or asleep) and CSF pressure variation on TEOAE features were studied. None of these factors affected TEOAE amplitude. In 2 subjects, TEOAE amplitude increased considerably during the night while remaining stable in 7 subjects during daytime sleep. This may be due to circadian variations of TEOAE amplitude.

Acoustic Stimulation↗
PubMed1994

Can synchronized otoacoustic emissions really be attributed to SOAEs?

In this study, spontaneous and transiently evoked otoacoustic emissions (SOAEs and TOAEs, respectively) were recorded in 15 normal-hearing subjects. An analysis of the TOAE spectrum was performed with three time intervals: 20 ms-40 ms, 40 ms-60 ms, 60 ms-80 ms (the spectra found are labelled TOAE2-4, TOAE4-6, TOAE6-8). The frequencies of the peaks observed were compared to the SOAE frequencies. We found that 78.8% of the TOAE peaks also were observed as SOAEs and 91.2% of the SOAE peaks were recorded in the TOAE2-4 spectrum. Peaks that were not observed by either method had lower amplitude than the others, and SOAE peaks that were not in TOAE2-4 spectrum had higher frequencies than those that were observed in the TOAE2-4 spectrum. We conclude that the TOAE spectrum recorded after 20 ms does not include all of the SOAE frequencies and is not composed solely of SOAEs. Therefore, frequencies exist which are synchronized specifically to the stimulus and SOAEs exist which can't be synchronized more than 20 ms.

Acoustic Stimulation↗
PubMed1994

Interrelations between psychoacoustical tuning curves and spontaneous and evoked otoacoustic emissions.

With the hypothesis that cochlear active mechanisms are the origin of otoacoustic emissions (OAEs) and of the high frequency selectivity exhibited by the ear, psychoacoustical tuning curves (PTCs), transiently evoked otoacoustic emissions (TEOAEs), and spontaneous otoacoustic emissions (SOAEs) have been examined in 50 normal hearing subjects. Using a clinical simplified method, PTCs were successively assessed at three frequencies--1, 2 and 4 kHz--in each subject. The results showed the existence of significant differences in the quality of tuning (Q10dB) of the PTCs between, first, subjects having SOAEs and subjects having no SOAEs (Student's t-test; p < 0.05; df = 35) and, second, subjects having large TEOAEs and subjects having small TEOAEs (Student's t-test; p < 0.05; df = 14). Nevertheless, these significant differences did not appear for all the frequencies studied: the frequency selective relationship between PTCs and OAEs mainly involved the 2 kHz zone. Such results are discussed according to the specificities of the clinical method used for PTC measurement as well as to the spectral characteristics of OAEs.

Acoustic Stimulation↗
PubMed1994

Is the test of medial efferent system function a relevant investigation in tinnitus?

The present results are drawn from preliminary observations made in 28 patients suffering from unilateral, permanent, non-pulsatile tinnitus, who were systematically submitted to an investigation of their otoacoustic emissions in both ears. Spontaneous otoemissions (SOAE) were carefully looked for, before recording of transient evoked otoemissions (TEOAE). The effectiveness of the medial olivo-cochlear efferent system (MOC) was also tested. The comparison between TEOAE input/output curves obtained with and without contralateral stimulation allowed a global assessment of the functioning of MOC. Additional information relating to the MOC functioning at the precise frequency of tinnitus and/or around it, was available from the comparison of analogous curves obtained using distortion product otoacoustic emissions (DPOAE) instead of TEOAEs. The results show that: (1) when the amplitude of otoacoustic emissions differs between the two ears, the tinnitus is generally lateralized on the side where amplitude was the lowest, which seems to be related to a greater hearing loss; (2) no general law concerning tinnitus can be drawn from the global testing of MOC functioning; the only result is that the slope of TEOAE input/output function appears as a deciding factor for efficiency of MOC, the least efficiency almost always occurring on the side where the slope is greater, and (3) even in the case of proved global effectiveness of MOC activation, there is, at least in the vicinity and in at least one ear, a part of the cochlea where its functioning is altered. A better comprehension of the mechanisms underlying this symptom will probably come from exhaustive exploration of individual cases rather than a rougher investigation of large samples in which different aetiologies are likely to be mixed.

Adult↗
PubMed1993

Transiently evoked otoacoustic emission amplitudes change with changes of directed attention.

The effect of a visual and of an auditory task on the cochlea was studied by transiently evoked otoacoustic emissions (TEOAEs). TEOAE amplitude decreased during visual and auditory attention for all 13 subjects tested. The decreased TEOAE activity was noted predominantly within the 960 to 1920 Hz range during visual attention and within the 1920-2880 Hz range during auditory attention. Selective attention, by way of the olivocochlear medial efferent system, modifies cochlear micromechanical properties. Visual and auditory attention act on different areas of the cochlear partition.

Adult↗
PubMed1993

Effect of contralateral sound stimulation on the distortion product 2f1-f2 in humans: evidence of a frequency specificity.

The frequency characteristics of the suppression by contralateral stimulations, of the cubic 2f1-f2 distortion products (DPOAEs), were studied during 63 sessions performed in 39 humans with normal hearing. Each session consisted of exposure to five successive series of randomized contralateral NBN frequencies centered between 0.25 and 8 kHz, while measuring 2f1-f2 set at one of the four studied frequencies, i.e., 1, 2, 3 or 5 kHz. For each value of 2f1-f2, analysis of variance and Student's t-test were used in order to indicate and, if necessary, to localize, a possible significant frequency specificity. Results showed that the suppression exerted on 2f1-f2 DPOAEs by contralateral sound stimulation, is frequency specific, at least for middle frequencies of 1 and 2 kHz. The frequency specificity is specially marked when 2f1-f2 = 1 kHz with contralateral NBN central frequencies around 1 kHz. When 2f1-f2 = 2 kHz, central frequencies which induced a significant suppressive effect include frequencies around 2 kHz and also lower frequencies around 1 kHz. These observations support the interpretation that the suppression of the DPOAE is mediated by the medial olivo-cochlear efferent system.

Acoustic Stimulation↗
PubMed1993

Contralateral auditory stimulation alters acoustic distortion products in humans.

It is now generally accepted that otoacoustic emissions (OAE) represent the only objective and non-intrusive means of functional exploration of the active micromechanical characteristics of the outer hair cells of the organ of Corti. Previous studies showed a decrease of the transiently evoked otoacoustic emissions and spontaneous otoacoustic emissions in humans, during acoustic stimulation of the contralateral ear, and attributed this effect to the medial efferent system. Such an effect has been shown on acoustic distortion product otoacoustic distortion emissions (DPOAE) in guinea pigs, but has not been investigated for DPOAEs recorded in humans, although DPOAEs represent the easiest means of exploring active micromechanical cochlear properties both in humans and in laboratory animals. The present study sought to investigate the existence and characteristics of a contralateral auditory stimulation effect on DPOAEs recorded in humans. This study shows that contralateral broad-band noise (BBN) has a suppressive effect on DPOAEs recorded from 0.5 kHz to 5 kHz. This effect is not due to air conduction, as no change in the noise floor occurred under increasing contralateral stimulation, and as no reduction in DPOAE amplitude was obtained in subjects whose contralateral ear was sealed with a plastic ear plug. Moreover, cross-over attenuation by bone transmission has been ruled out, as no change in DPOAE amplitude was recorded in the healthy ear of total unilaterally deaf patients during acoustic stimulation of the deaf ear. The effect seen was not entirely due to the acoustic reflex, as it was found and could indeed be even greater in subjects with no acoustic reflex. Results presented here show that the contralateral BBN effect is greater at low levels of ipsilateral stimulation, which leads us to discuss the involvement of both passive and active mechanisms in DPOAE generation at high stimulation levels. The contralateral BBN effect seems to be greater in mid frequency cochlear regions. There is strong evidence that the medial efferent system is involved and that afferent and efferent inputs are, at least partly, integrated at a brainstem level in order to ensure cochlear interaction. DPOAEs provide an interesting model for functional exploration of the efferent system, since they seem to be the only type of otoacoustic emission that can be recorded in both humans and in the majority of animals, and since results are obtained in the same way from both animals and humans, which allows experimental animal models very close to the human model.

Acoustic Impedance Tests↗
PubMed1993

Interrelations between transiently evoked otoacoustic emissions, spontaneous otoacoustic emissions and acoustic distortion products in normally hearing subjects.

Active cochlear mechanisms and especially outer hair cells seem to be involved in oto-acoustic emissions (OAEs) genesis. This study sought to investigate basic characteristics of spontaneous otoacoustic emissions (SOAEs), click-evoked otoacoustic emissions (TOAEs) and interrelations between SOAEs, TOAEs and 2f1-f2 and 2f2-f1 distortion product OAEs (DPOAEs) in 135 normally hearing subjects. A gender effect was shown on TOAEs and DPOAEs amplitude, and is attributed to the higher incidence of SOAEs in women (58%) than in men (22%). Moreover, SOAEs presence seems to mask the age effect found, especially at high frequency components, on TOAEs amplitude. A general influence of SOAEs on TOAEs and DPOAEs is shown, especially at frequencies ranging from 1 kHz to 3 kHz, collecting more than 66% of the SOAEs peaks recorded. Lastly, correlations between TOAEs frequency band amplitude and 2f1-f2 DPOAEs amplitude, shows frequency specificity, at least at low frequencies (i.e., from 0.5 to 2 kHz) in agreement with previous works suggesting that the 2f1-f2 DPOAEs generation site is at the geometric mean of the primaries. The same correlations calculated with 2f2-f1 DPOAEs amplitude show frequency specificity at low frequencies i.e., at 800 Hz and 1600 Hz. 2f2-f1 DPOAEs in humans are shown to be generated near the 2f2-f1 frequency region on the cochlear partition.

Acoustic Impedance Tests↗
PubMed1993

Sleep and active cochlear micromechanical properties in human subjects.

In this paper the effect of sleep on the cochlea is studied by transiently evoked otoacoustic emissions (TEOAEs). Amplitude increases considerably (e.g., 4 dB) and the effect of a contralateral noise on the TEOAEs decreases during the night. These modifications can be related to sleep, although there is no link to electroencephalographic sleep stage. During sleep onset, the effect of contralateral noise disappears: this could correspond to a functional rest of the auditory pathway during that period.

Acoustic Stimulation↗
PubMed1993

Functional maturation of cochlear active mechanisms and of the medial olivocochlear system in humans.

The aim of this study was to investigate the functional development of cochlear active mechanisms and of the medial efferent olivocochlear system. Otoacoustic emissions (evoked and spontaneous) were recorded in 42 preterm neonates (conceptional age ranging form 33 to 39 weeks) and a control group of 20 young normal-hearing adults. Medial olivocochlear system activity was examined by coupling evoked otoacoustic emission recording to a contralateral stimulation. Otoacoustic emission recordings were carried out using the Otodynamic ILO88 software and hardware. The stimuli were unfiltered clicks and the contralateral stimulation was broad band noise of 50 and 70 dBSPL delivered by an Adam generator. The results revealed the presence of EOAEs and SOAEs from at least 33 weeks in humans, suggesting that the functional maturation of the outer hair cells is nearly complete at that age. The study further revealed that the contralateral stimulation had no effect on evoked otoacoustic emissions in preterm neonates. The lack of activity observed in medial olivocochlear system indicated functional immaturity here, at least before full-term birth.

Adult↗
PubMed1993

Medial olivo-cochlear system and tinnitus.

A possible role of the efferent system in the mechanisms of tinnitus generation has been put forward by several authors. A simple method for studying the functioning of this system is to compare the amplitudes of otoemissions with and without mild contralateral stimulation. In a recent communication, Veuillet et al. (1991) reported that, on the side of tinnitus, the efferent system of patients suffering from unilateral tinnitus seems to be less efficient than on the other side. The results presented here correspond to those obtained in the very first tinnitus patients submitted to a research protocol exploring systematically the efferent system. When possible, the effectiveness was tested in two ways: globally, using evoked otoacoustic emissions (EOAEs) and, very precisely in the frequency zone of the tinnitus, using cubic distortion product 2f1-f2. Preliminary results obtained in bilateral and unilateral tinnitus sufferers show that a majority of them exhibits, at least in the proximity of the tinnitus, a lack of effectiveness of the efferent system. In some of them, instead of the suppressive effect, an increasing one was even observed.

Adult↗
PubMed1993

Comparative influence of repeated measurement and of attention on evoked otoacoustic emissions.

This study compared the influence of an auditory attention task and of repetitive measures on the peripheral auditory system, using evoked otoacoustic emissions (EOAEs). The experimental task protocol comprised three sessions (pre-control, attention and post-control conditions) with, in each session, six measurements of EOAEs, at intervals of about 60 seconds, while the other ear was receiving two pure tones of 2,500 and 750 Hz, with a probability of appearance of 20% and 80%, respectively. In the contralateral attention condition, the subject had to count the number of the less frequent high pitched sounds. A long duration protocol (20 min for the total experiment) was used in order to examine a possible time-effect on EOAEs. An increase in EOAE amplitude during the second and third sessions, with linear saturation around the last measurements, was observed. While no attention effect could be identified, a time-effect seemed to be present. Possible explanations for the influence of repeated measurements on EOAEs are discussed. Moreover, EOAE amplitudes of subjects presenting spontaneous otoacoustic emissions were compared to those of subjects without SOAEs: significant differences were found, showing the particularity of cochleas emitting SOAEs.

Acoustic Stimulation↗
PubMed1993

Characteristics of transient otoacoustic emissions in patients with sudden idiopathic hearing loss.

In a prospective study of 24 patients hospitalized with sudden idiopathic hearing loss syndrome (SIHLS), tonal audiometry was conducted first at an early stage after onset (Day O), again a second time (Day A, mean = 4.12 days), and again a third time (Day B, mean = 8.71 days). Transient evoked otoacoustic emissions (TEOAE) were recorded on Days O and A elicited by click stimulation. The question under investigation was whether TEOAE presence, TEOAE amplitude or peak amplitudes for the various 200-Hz-wide bands on Day O could be exploited to assess cochlear function, as indicated by pure-tone audiometry on Days A and B. The TEOAE amplitude on Day O was found to be correlated with improvement in tone threshold on Day B at 2 kHz. One significant correlation emerged between the band amplitude on Day O and the audiometric frequency improvement: on Day B between peak amplitude at 1.2 kHz and 1 kHz frequency improvement. From these results, TEOAE could theoretically be a means to assess cochlear functioning during SIHLS for 1 and 2 kHz frequencies. However, correlations are too weak to form the basis of any predictive test that could be clinically useful.

Acute Disease↗