Relationship between cochlear mechanics and speech-in-noise reception performance.

Abstract

Some normal-hearing listeners report difficulties in speech perception in noisy environments, and the cause is not well understood. The present study explores the correlation between speech-in-noise reception performance and cochlear mechanical characteristics, which were evaluated using a principal component analysis of the otoacoustic emission (OAE) spectra. A principal component, specifically a characteristic dip at around 2-2.5\u2009kHz in OAE spectra, correlated with speech reception thresholds in noise but not in quiet. The results suggest that subclinical cochlear dysfunction specifically contributes to difficulties in speech perception in noisy environments, which is possibly a new form of hidden hearing deficits.