Yonghee Oh

Binaural pitch fusion: Comparison of normal-hearing and hearing-impaired listenersa)

Binaural pitch fusion is the fusion of dichotically presented tones that evoke different pitches between the ears. In normal-hearing (NH) listeners, the frequency range over which binaural pitch fusion occurs is usually <0.2 octaves. Recently, broad fusion ranges of 1-4 octaves were demonstrated in bimodal cochlear implant users. In the current study, it was hypothesized that hearing aid (HA) users would also exhibit broad fusion. Fusion ranges were measured in both NH and hearing-impaired (HI) listeners with hearing losses ranging from mild-moderate to severe-profound, and relationships of fusion range with demographic factors and with diplacusis were examined. Fusion ranges of NH and HI listeners averaged 0.17 ± 0.13 octaves and 1.7 ± 1.5 octaves, respectively. In HI listeners, fusion ranges were positively correlated with a principal component measure of the covarying factors of young age, early age of hearing loss onset, and long durations of hearing loss and HA use, but not with hearing threshold, amplification level, or diplacusis. In NH listeners, no correlations were observed with age, hearing threshold, or diplacusis. The association of broad fusion with early onset, long duration of hearing loss suggests a possible role of long-term experience with hearing loss and amplification in the development of broad fusion.

Binaural pitch fusion: Pitch averaging and dominance in hearing-impaired listeners with broad fusion

Both bimodal cochlear implant and bilateral hearing aid users can exhibit broad binaural pitch fusion, the fusion of dichotically presented tones over a broad range of pitch differences between ears [Reiss, Ito, Eggleston, and Wozny. (2014). J. Assoc. Res. Otolaryngol. 15(2), 235-248; Reiss, Eggleston, Walker, and Oh. (2016). J. Assoc. Res. Otolaryngol. 17(4), 341-356; Reiss, Shayman, Walker, Bennett, Fowler, Hartling, Glickman, Lasarev, and Oh. (2017). J. Acoust. Soc. Am. 143(3), 1909-1920]. Further, the fused binaural pitch is often a weighted average of the different pitches perceived in the two ears. The current study was designed to systematically measure these pitch averaging phenomena in bilateral hearing aid users with broad fusion. The fused binaural pitch of the reference-pair tone combination was initially measured by pitch-matching to monaural comparison tones presented to the pair tone ear. The averaged results for all subjects showed two distinct trends: (1) The fused binaural pitch was dominated by the lower-pitch component when the pair tone was either 0.14 octaves below or 0.78 octaves above the reference tone; (2) pitch averaging occurred when the pair tone was between the two boundaries above, with the most equal weighting at 0.38 octaves above the reference tone. Findings from two subjects suggest that randomization or alternation of the comparison ear can eliminate this asymmetry in the pitch averaging range. Overall, these pitch averaging phenomena suggest that spectral distortions and thus binaural interference may arise during binaural stimulation in hearing-impaired listeners with broad fusion.

Voice gender release from masking in cochlear implant users is correlated with binaural pitch fusion

Spatial and voice gender separation of target from masking speech leads to substantial release from masking in normal-hearing listeners. However, binaural pitch fusion is often broad in cochlear implant (CI) listeners, such that dichotic stimuli with pitches differing by up to 3-4 octaves are fused (Reiss et al., 2014). We hypothesized that broad binaural fusion could reduce a listener’s ability to separate competing speech streams with different voice pitches, and thus reduce the voice gender as well as spatial benefit for speech perception in noise. Speech reception thresholds were measured in both bilateral and bimodal CI users, using male and female target talkers at two spatial configurations (co-location and 60-degrees of target-masker separation). Binaural pitch fusion was also measured. Different-gender maskers improved target detection performance in bimodal CI users, and performance was better with female than male targets in bilateral CI users. No spatial benefit was seen in either CI group. As hypothesized, voice gender masking release was strongly correlated with binaural fusion range in bimodal CI users. These results suggest that sharp binaural fusion is necessary for maximal speech perception in noise in bimodal CI users, but does not benefit bilateral CI users. [Work supported by NIH-NIDCD grant R01 DC01337.]Spatial and voice gender separation of target from masking speech leads to substantial release from masking in normal-hearing listeners. However, binaural pitch fusion is often broad in cochlear implant (CI) listeners, such that dichotic stimuli with pitches differing by up to 3-4 octaves are fused (Reiss et al., 2014). We hypothesized that broad binaural fusion could reduce a listener’s ability to separate competing speech streams with different voice pitches, and thus reduce the voice gender as well as spatial benefit for speech perception in noise. Speech reception thresholds were measured in both bilateral and bimodal CI users, using male and female target talkers at two spatial configurations (co-location and 60-degrees of target-masker separation). Binaural pitch fusion was also measured. Different-gender maskers improved target detection performance in bimodal CI users, and performance was better with female than male targets in bilateral CI users. No spatial benefit was seen in either CI group. As...

Binaural Pitch Fusion in Bilateral Cochlear Implant Users

Objectives: Binaural pitch fusion is the fusion of stimuli that evoke different pitches between the ears into a single auditory image. Individuals who use hearing aids or bimodal cochlear implants (CIs) experience abnormally broad binaural pitch fusion, such that sounds differing in pitch by as much as 3–4 octaves are fused across ears, leading to spectral averaging and speech perception interference. The goal of this study was to determine if adult bilateral CI users also experience broad binaural pitch fusion. Design: Stimuli were pulse trains delivered to individual electrodes. Fusion ranges were measured using simultaneous, dichotic presentation of reference and comparison stimuli in opposite ears, and varying the comparison stimulus to find the range that fused with the reference stimulus. Results: Bilateral CI listeners had binaural pitch fusion ranges varying from 0 to 12 mm (average 6.1 ± 3.9 mm), where 12 mm indicates fusion over all electrodes in the array. No significant correlations of fusion range were observed with any subject factors related to age, hearing loss history, or hearing device history, or with any electrode factors including interaural electrode pitch mismatch, pitch match bandwidth, or within-ear electrode discrimination abilities. Conclusions: Bilateral CI listeners have abnormally broad fusion, similar to hearing aid and bimodal CI listeners. This broad fusion may explain the variability of binaural benefits for speech perception in quiet and in noise in bilateral CI users.

Binaural Pitch Fusion: Effects of Amplitude Modulation

Hearing-impaired adults, including both cochlear implant and bilateral hearing aid (HA) users, often exhibit broad binaural pitch fusion, meaning that they fuse dichotically presented tones with large pitch differences between ears. The current study was designed to investigate how binaural pitch fusion can be influenced by amplitude modulation (AM) of the stimuli and whether effects differ with hearing loss. Fusion ranges, the frequency ranges over which binaural pitch fusion occurs, were measured in both normal-hearing (NH) listeners and HA users with various coherent AM rates (2, 4, and 8 Hz); AM depths (20%, 40%, 60%, 80%, and 100%); and interaural AM phase and AM rate differences. The averaged results show that coherent AM increased binaural pitch fusion ranges to about 2 to 4 times wider than those in the unmodulated condition in both NH and bilateral HA subjects. Even shallow temporal envelope fluctuations (20% AM depth) significantly increased fusion ranges in all three coherent AM rate conditions. Incoherent AM introduced through interaural differences in AM phase or AM rate led to smaller increases in binaural pitch fusion range compared with those observed with coherent AM. Significant differences between groups were observed only in the coherent AM conditions. The influence of AM cues on binaural pitch fusion shows that binaural fusion is mediated in part by central processes involved in auditory grouping.

The effects of interaural level differences on binaural fusion in normal-hearing listeners

Sound localization is an important aspect of auditory scene analysis, allowing listeners to group acoustic components from the same location into a single stream (Bregman 1990). Binaural pitch fusion, the fusion of different frequency tones across ears, can be thought of as one type of auditory streaming. Little is known about how sound localization cues affect binaural fusion. The goal of this study was to investigate the effects of interaural level differences (ILDs), one cue for sound localization, on binaural fusion of dichotic tones. Binaural pitch fusion was measured in adult normal-hearing (NH) listeners, using five ILD conditions: ILD = 0, 1.25, 2.5, 5, and 10 dB. Fusion ranges were measured by simultaneous presentation of reference and comparison stimuli in opposite ears, and varying the comparison stimulus to find the frequency range that fused with the reference stimulus. Preliminary results (5 NH; data collection is ongoing) show that small ILDs increase fusion ranges, while larger ILDs decrease fusion ranges. These findings suggest that ILDs can affect fusion range in NH listeners, and imply that simulated sound source location may provide a top-down grouping cue for binaural fusion. [This research was funded by a NIH-NIDCD grant R01 DC013307.]Sound localization is an important aspect of auditory scene analysis, allowing listeners to group acoustic components from the same location into a single stream (Bregman 1990). Binaural pitch fusion, the fusion of different frequency tones across ears, can be thought of as one type of auditory streaming. Little is known about how sound localization cues affect binaural fusion. The goal of this study was to investigate the effects of interaural level differences (ILDs), one cue for sound localization, on binaural fusion of dichotic tones. Binaural pitch fusion was measured in adult normal-hearing (NH) listeners, using five ILD conditions: ILD = 0, 1.25, 2.5, 5, and 10 dB. Fusion ranges were measured by simultaneous presentation of reference and comparison stimuli in opposite ears, and varying the comparison stimulus to find the frequency range that fused with the reference stimulus. Preliminary results (5 NH; data collection is ongoing) show that small ILDs increase fusion ranges, while larger ILDs decrea...

Difficulty with understanding speech in background noise is predicted by broad binaural pitch fusion in bimodal cochlear implant users

Combined use of a cochlear implant (CI) and a contralateral hearing aid has been shown to improve CI users’ speech perception performance in multi-talker environments, presumably due to the use of acoustic temporal fine structure cues for separating one talker from several other talkers. However, there is large variability in this bimodal benefit. In this study, we show that differences in width of binaural pitch fusion, the fusion of dichotically presented tones that evoke different pitches across ears, explain a large part of this variability. Specifically, broad binaural pitch fusion could lead to fusion of multiple voices as one voice, and reduce the ability to use voice pitch differences to separate voices and understand speech in a multi-talker environment. Speech reception thresholds measured using male and female target talkers were compared with binaural pitch fusion results. Overall performance improved with different genders for target and maskers. A strong negative correlation was observed between voice gender benefit and breadth of binaural pitch fusion. These results suggest that sharp binaural pitch fusion is necessary for maximal speech perception in noise when acoustic hearing is available to transmit voice pitch cues. [Work supported by NIH-NIDCD Grant Nos. R01 DC01337 and F32 DC016193.]Combined use of a cochlear implant (CI) and a contralateral hearing aid has been shown to improve CI users’ speech perception performance in multi-talker environments, presumably due to the use of acoustic temporal fine structure cues for separating one talker from several other talkers. However, there is large variability in this bimodal benefit. In this study, we show that differences in width of binaural pitch fusion, the fusion of dichotically presented tones that evoke different pitches across ears, explain a large part of this variability. Specifically, broad binaural pitch fusion could lead to fusion of multiple voices as one voice, and reduce the ability to use voice pitch differences to separate voices and understand speech in a multi-talker environment. Speech reception thresholds measured using male and female target talkers were compared with binaural pitch fusion results. Overall performance improved with different genders for target and maskers. A strong negative correlation was observed bet...

Effect of auditory stream segregation cues on binaural pitch fusion

Binaural pitch fusion, the fusion of dichotically presented tones that evoke different pitches across ears, can be influenced by temporal envelope cues such as coherent amplitude modulation (Oh and Reiss, ASA 2017). This suggests that binaural pitch fusion may be governed at least in part by top-down processes involved in auditory grouping. The current study was designed to investigate how temporal streaming cues either prior or posterior to a fused dichotic tone pair can influence binaural pitch fusion. Six normal-hearing (NH) listeners and six bilateral hearing-aid (HA) users were tested in a modified auditory streaming paradigm (Steiger and Bregman, 1982). A pair of simultaneous, dichotic reference and comparison stimuli was placed in rapid alternation with a third binaural (diotic) capture stimulus, for a total of 10 alternations. The binaural fusion ranges, the frequency ranges over which binaural pitch fusion occurred for dichotic stimuli, were smaller when measured with the streaming paradigm than ...

Factors associated with broad binaural pitch fusion in children and adults with hearing aids and cochlear implants

Many hearing-impaired adults who use hearing aids (HAs) and/or cochlear implants (CIs) have broad binaural pitch fusion, such that sounds with large pitch differences are fused across ears (Reiss et al., JARO 2014; JASA). The goal was to determine which subject factors are associated with broad binaural pitch fusion. Binaural pitch fusion was measured in bilateral HA users, bimodal CI users who use a HA in the contralateral ear, and bilateral CI users. Fusion ranges were measured by simultaneous, dichotic presentation of reference and comparison stimuli in opposite ears, and varying the comparison stimulus to find the range that fused with the reference stimulus. Both children (ages 6-9) and adults were tested. Children in the HA and bilateral CI groups had broader fusion than the bimodal CI group. In addition, broad fusion was positively correlated with long durations of HA use and early onset of hearing loss in adult HA users, and negatively correlated with duration of CI use in pediatric bimodal CI use...

Binaural pitch averaging and dominance trends in cochlear implant users

Both cochlear implant (CI) and hearing aid (HA) users exhibit broad binaural pitch fusion, the fusion of stimuli differing in pitch across ears by as much as 3 octaves (Reiss et al., 2014, ARO 2015). Typically, two distinct trends are observed for the fused binaural pitch: dominance by the pitch perceived in one ear, or averaging of the pitches perceived in the two ears. In this study, detailed fusion pitch weighting trends as a function of pitch difference were investigated in both bimodal and bilateral CI users. Weights depended on the pitch differences, with averaging occurring for tones or electrodes closer in pitch and dominance occurring for tones or electrodes farther apart in pitch. The averaging region was typically 0.3–0.8 octaves for bimodal CI users and 1–3 electrodes for bilateral CI users around the reference, with weighting bias, in some cases, toward the ear with greater stimulus variability. Overall results show that the fusion pitch trends of the CI users were similar to those observed p...