Objective: The purpose of this study was to evaluate a test of virtual
auditory localization including assessment of its ease of administrat
ion and its sensitivity to differences in binaural performance in chil
dren and adults. This test eliminates many potential problems inherent
in any free-field localization test such as calibration problems, pro
blems replicating source and listener locations, and issues associated
with head movements. Design: Binaural performance was measured using
the virtual localization test and a simple binaural detection task, th
e masking-level difference (MLD), for three groups of subjects: adults
, children with a negative history of otitis media, and children with
a positive history of otitis media. There were five subjects in each g
roup. The adults were all student volunteers; the children were recrui
ted first and subsequently placed into groups based on their medical h
istories obtained from their physicians and parental reports. Results:
Results indicate that this test of virtual auditory localization is u
seful for measuring binaural performance in children and adults and is
sensitive to differences in binaural processing. Performance of the a
dults and children with a negative history of otitis media was compara
ble on both of the binaural tests, and on the binaural detection task,
was similar to that reported in the literature for normal-hearing lis
teners; but the children with a positive history of otitis media perfo
rmed more poorly on both tests. Conclusions: The results of this study
indicate that the virtual localization test described here is easy to
administer to children and adults. The signal processing techniques u
sed in this virtual auditory localization test lend themselves to stra
ightforward comparisons across different laboratories and clinics and
make this test a potentially useful clinical tool. The development of
such a clinical test is currently under study.