Evidence map›Paper›PMID 33872835›Full record

ArticleHearing research2021

The onset of nonlinear growth of middle-ear responses to high intensity sounds.

Jeffrey Tao Cheng, Iman Ghanad, Aaron Remenschneider, John Rosowski

Open access · greenAbstract read
In one paragraph

Article in Hearing research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.3field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. The Transmission of Sound to the Cochlea in Normal and Pathological Human Middle Ears.Journal of the Association for Research in Otolaryngology : JARO · 2025
    Review
  3. Dynamic X-ray Microtomography vs. Laser-Doppler Vibrometry: A Comparative Study.Journal of the Association for Research in Otolaryngology : JARO · 2025
    Article
  4. Article
  5. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Jeffrey Tao ChengEaton-Peabody Laboratory, Massachusetts Eye and Ear Infirmary, 243 Charles Street, Boston, MA 02114, United States; Department of Otolaryngology-Head and Neck Surgery, Harvard Medical School, 243 Charles Street, Boston, MA 02114, United States; Graduate Program in Speech and Hearing Bioscience and Technology, Division of Medical Studies, Harvard University, Boston, MA 02115, United States. Electronic address: Tao_Cheng@meei.harvard.edu.
Iman GhanadEaton-Peabody Laboratory, Massachusetts Eye and Ear Infirmary, 243 Charles Street, Boston, MA 02114, United States.
Aaron RemenschneiderEaton-Peabody Laboratory, Massachusetts Eye and Ear Infirmary, 243 Charles Street, Boston, MA 02114, United States; Department of Otolaryngology-Head and Neck Surgery, Harvard Medical School, 243 Charles Street, Boston, MA 02114, United States; Department of Otolaryngology, UMass Medical Center, 281 Lincoln Street, Worcester, MA 01605, United States.
John RosowskiEaton-Peabody Laboratory, Massachusetts Eye and Ear Infirmary, 243 Charles Street, Boston, MA 02114, United States; Department of Otolaryngology-Head and Neck Surgery, Harvard Medical School, 243 Charles Street, Boston, MA 02114, United States; Graduate Program in Speech and Hearing Bioscience and Technology, Division of Medical Studies, Harvard University, Boston, MA 02115, United States.
Massachusetts Eye and Ear Infirmary · US

Funding

Middle Ear Nonlinearity in High Intensity Sound: Impact on Hearing Damage and ProtectionR01DC016079 · NIDCD · MASSACHUSETTS EYE AND EAR INFIRMARY · PI Jeffrey Tao Cheng · 2017 to 2026
$4.1M
Mechanisms of Conductive Presbycusis in HumansK08DC018575 · NIDCD · MASSACHUSETTS EYE AND EAR INFIRMARY · PI REMENSCHNEIDER, AARON KYLE · 2020 to 2024
$950k
NIDCD NIH HHS K08 DC018575NIDCD NIH HHS R01 DC016079
6 · The paper itself

Abstract

The human tympanic membrane (TM) and ossicles are generally considered to act as a linear system as they conduct low and moderate level environmental sounds to the cochlea. At intense stimulus levels (> 120 dB SPL) there is evidence that the TM and ossicles no longer act linearly. The anatomical structures that contribute to the nonlinear responses and their level and frequency dependences are not well defined. We used cadaveric human ears to characterize middle-ear responses to continuous tones between 200 and 20,000 Hz with levels between 60 and 150 dB SPL. The responses of the TM and ossicles are essentially sinusoidal, even at the highest stimulus level, but grow nonlinearly with increased stimulus level. The umbo and the stapes show different nonlinear behaviors: The umbo displacement grows faster than the stimulus level (expansive growth) at frequencies below 2000 Hz, while the stapes exhibits mostly compressive growth (grows slower than the stimulus level) over a wide frequency range. The sound pressure level where the nonlinearity first becomes obvious and the displacement at that level are lower at the stapes than at the umbo. These observations suggest the presence of multiple nonlinear processes within the middle ear. The existence of an expansive growth of umbo displacement that has limited effect on the stapes compressive growth suggests that the ossicular joints reduce the coupling between multiple nonlinear mechanisms within the middle ear. This study provides new data to test and refine middle-ear nonlinear models.

Indexed as

Ear, MiddleSoundHumansOssicular ProsthesisStapesTympanic MembraneVibrationCompressive nonlinearityExpansive nonlinearityHigh intensity soundMiddle-ear nonlinear modelMiddle-ear nonlinear response

Identifiers

PMID33872835
PMCPMC8113158
OpenAlexW3152579157

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.