ArticleProceedings of the National Academy of Sciences of the United States of America2019
Extended high-frequency hearing enhances speech perception in noise.
Article in Proceedings of the National Academy of Sciences of the United States of America, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 84 papers, 2 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
84 citing papers in PubMed, 2 syntheses or guidelines pooled it, 219 citations in OpenAlex.
- N-acetylcysteine for the Prevention of Cisplatin-Induced Hearing Loss: A Systematic Review and Meta-analysis.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2025Pooled it
- Is Noise Exposure Associated With Impaired Extended High Frequency Hearing Despite a Normal Audiogram? A Systematic Review and Meta-Analysis.Trends in hearingPooled it
- Quantifying What Better-Ear PTA4 Does Not Capture: High-Frequency and Asymmetric Classification Discordance in Two Independent Adult Population Samples from Germany and the United States.Audiology research · 2026Article
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- Brainstem encoding of speech in the extended high frequencies and its behavioral correlates.Journal of neurophysiology · 2026Article
- On the Sharpness of Auditory Filters: Considering Subclinical Deficits Reveals Sharper Otoacoustic Emission Estimates of Frequency Selectivity in Humans.Journal of the Association for Research in Otolaryngology : JARO · 2025Article
- Cortical connectivity in speech and sensory networks associated with childrens' listening and attention disorders.medRxiv : the preprint server for health sciences · 2025Article
- Auditory-cognitive contributions to speech-in-noise perception determined with structural equation modelling of a large sample.Scientific reports · 2025Article
- Self-Perception of Hearing Abilities: The Role of Auditory Processing and Extended High-Frequency Hearing in Older Adults With Normal Hearing.Journal of audiology & otology · 2025Article
- Remote self-report and speech-in-noise measures predict clinical audiometric thresholds.International journal of audiology · 2025Article
- Association among Extended High-Frequency Hearing, Speech Perception in Noise, and Auditory Temporal-Spectral Processing in Adults with Normal Hearing: A Cross-Sectional Study.Indian journal of otolaryngology and head and neck surgery : official publication of the Association of Otolaryngologists of India · 2025Article
- Automatic development of speech-in-noise hearing tests using machine learning.Scientific reports · 2025Article
- The relationship between distortion product otoacoustic emissions and audiometric thresholds in the extended high-frequency range.The Journal of the Acoustical Society of America · 2025Article
- Predicting speech-in-noise ability with static and dynamic auditory figure-ground analysis using structural equation modelling.Proceedings. Biological sciences · 2025Article
- An Anechoic, High-Fidelity, Multidirectional Speech Corpus.Journal of speech, language, and hearing research : JSLHR · 2025Article
- Early Deficits in Speech Perception in Carriers of the p.Pro51Ser Variant in the <italic>COCH</italic> Gene: A Prospective Longitudinal Evaluation of Speech Perception in Quiet and Noise.Audiology & neuro-otology · 2025Article
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- DX243 counteracts both acoustic trauma-induced reduction in cortical brain oscillations and cochlear synaptopathy.Frontiers in pharmacology · 2025Article
- Reduced Neural Distinctiveness of Speech Representations in the Middle-Aged Brain.Neurobiology of language (Cambridge, Mass.) · 2025Article
24 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 3 countries.
Funding
Abstract
Young healthy adults can hear tones up to at least 20 kHz. However, clinical audiometry, by which hearing loss is diagnosed, is limited at high frequencies to 8 kHz. Evidence suggests there is salient information at extended high frequencies (EHFs; 8 to 20 kHz) that may influence speech intelligibility, but whether that information is used in challenging listening conditions remains unknown. Difficulty understanding speech in noisy environments is the most common concern people have about their hearing and usually the first sign of age-related hearing loss. Digits-in-noise (DIN), a widely used test of speech-in-noise perception, can be sensitized for detection of high-frequency hearing loss by low-pass filtering the broadband masking noise. Here, we used standard and EHF audiometry, self-report, and successively higher cutoff frequency filters (2 to 8 kHz) in a DIN test to investigate contributions of higher-frequency hearing to speech-in-noise perception. Three surprising results were found. First, 74 of 116 "normally hearing," mostly younger adults had some hearing loss at frequencies above 8 kHz. Early EHF hearing loss may thus be an easily measured, preventive warning to protect hearing. Second, EHF hearing loss correlated with self-reported difficulty hearing in noise. Finally, even with the broadest filtered noise (≤8 kHz), DIN hearing thresholds were significantly better (
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.