BINAURAL NOISE SUPPRESSES LINEAR CLICK-EVOKED OTOACOUSTIC EMISSIONS MORE THAN IPSILATERAL OR CONTRALATERAL NOISE

We studied the efferent suppression of click-evoked otoacoustic emissi ons with 65 dB SPL of white noise presented to left, right, or sometim es both, ears for 408 ms. Each burst of noise preceded a series of fou r unipolar 80 mu s 65 dB peak Sound Pressure clicks, presented to the left ear only. The first click of the four-click group followed the en d of the noise by either 1, 2, 5, 10, 20, 50, 100 or 200 ms; each subs equent click was offset by 20 additional ms via an ILO88 system with s pecial programming modifications. Conditions were alternated so that a 'without noise' condition preceded a 'with noise' condition for three repetitions of 600 clicks per trial. Seven subjects with normal heari ng participated in the study, and three of the seven participated in a Lest-retest reliability study. Results showed the greatest suppressio n followed binaural stimulation ending within one to five ms of the fi rst click in the pulse train. Somewhat less suppression was seen follo wing ipsilateral stimulation. The least amount of suppression was seen following contralateral stimulation, suggesting that previous researc h using contralateral stimulation may underestimate efferent effects. We saw no effects when the end of the noise was 100 ms or more away fr om the beginning of the click train.