Showing posts with label audiology. Show all posts
Showing posts with label audiology. Show all posts

Thursday, October 08, 2026

First Fully Implantable Cochlear Implant Launches allows hearing 24 hours a day

Good news!

"... A new, fully implanted cochlear implant from Austrian company Med-El now offers the prospect of round-the-clock hearing without any visible sign. ...

The device has received European regulatory approval and the first four commercial implantations were carried out on the morning of the announcement, though it’s not yet available in the United States. ..."

"
  • The world's first and only commercially available cochlear implant with all components, including the microphone, implanted beneath the skin
  • Provides people with severe-to-profound hearing loss with continuous access to sound throughout daily life, including during sleep
  • Combines complete invisibility with hearing performance designed to be comparable to established cochlear implant solutions
"

First Fully Implantable Cochlear Implant Launches - IEEE Spectrum "Users get round-the-clock hearing with no visible external hardware"

MED-EL Launches TICI UNICO, the World's First and Only Totally Invisible Cochlear Implant (original news release)

Med-El’s new cochlear implant places its microphone, sound processor, rechargeable battery, and receiver coil beneath the scalp.


Monday, April 06, 2026

Physics - How Hair Cells in the Ear Actively Respond to Sound

Amazing stuff! There is a lot going on inside of ears!

"... Previous research has shown that hair bundles aren’t simply passive entities. They actively oscillate to amplify weak audio signals or to tune into specific frequencies. Biologists have also observed bundles oscillating in the absence of stimuli. Models have tried to capture this bundle behavior, but the connection between active oscillation and the audio response has not been made clear.
A new thermodynamic model of energy flow within hair bundles suggests that they work like tiny machines. Depending on the stimulus, the bundles either extract power from incoming sound waves or inject power into them—corresponding, respectively, to sensing or amplifying a stimulus.

In the inner ear, an active process called cochlear amplification helps humans (and other mammals) hear the faintest of sounds. When a faint whisper enters the ear, for example, the outer rows of hair cells respond to the weak signal by moving in a way that amplifies the sound waves for the inner hair cells, which are the ones that send a message to the brain. Molecular motors propel the movement or twisting of hair bundles required for these functions.

Previous work has explored how much energy a hair cell consumes to drive bundle oscillations, but the resulting models have typically assumed that bundles are moving spontaneously—that is, in the absence of external stimuli.
... [This work] have developed a stochastic thermodynamic model that includes an energy input from sound waves.  ...

The model featured three energy channels: an external environment acting like a heat reservoir, an external signal representing the sound stimulus, and an internal energy source driving active processes. The researchers found that the simulated hair bundle operated in one of four different thermodynamic regimes, depending on the amplitude and the frequency of the signal.

For two of the thermodynamic regimes, the hair bundles acted as work-to-work machines, converting mechanical work from one source into another, with minimal heat loss.
In the first regime, mechanical energy from the signal flowed through the hair bundle into the cell.
Conversely, in the second regime, energy flowed outward from the hair cell into the signal channel.
Although the two work-to-work regimes are simplified, the team believes that they correspond to the hair cell’s main functions of sensing and amplification. The switching between regimes depends on the strength of the incoming signal, with the active cell motion (amplification) only turning on when the signal is weak, Belousov says.

The other two regimes, likely not biologically relevant, were thermodynamic peculiarities. In one, the moving hair bundle actively dissipated heat. Surprisingly, in the remaining regime, the hair bundle could “work as a tiny refrigerator cooling down the surrounding environment around the cell,” ..."

From the abstract:
"Hair cells actively drive oscillations of their mechanosensitive organelles—the hair bundles that enable hearing and balance sensing in vertebrates. Why and how some hair cells expend energy by sustaining this oscillatory motion in order to fulfill their function as sensors and amplifiers remains unknown.
Here, we develop a stochastic thermodynamic theory to describe flows of mechanical energy in a periodically driven hair bundle. Our analysis of thermodynamic fluxes associated with hair-bundle motion and external sinusoidal stimulus reveals that these organelles function as thermodynamic work-to-work machines under different operational modes.
One mode allows the cell to harvest energy of the external signal, whereas another channels the power supplied by the cell into the signal. These two regimes might represent thermodynamic signatures of signal sensing and amplification, respectively, which we further connect to the receptor currents through ion channels controlled by the hair bundles.
In addition to energy harvesting and work transduction, our model also substantiates the capability of hair cells to operate as heaters and, at the expense of external driving, as active feedback refrigerators. We quantify the performance and robustness of the mechanical work-to-work conversion by hair bundles, whose thermodynamic efficiency in some conditions exceeds 80% of the applied power."

Physics - How Hair Cells in the Ear Actively Respond to Sound "Our ability to hear relies on tiny “hair bundles” in the inner ear. A new thermodynamical model offers an explanation for the different ways that bundles oscillate."



Left: A hair cell captured with differential interference contrast microscopy. Right: Energy can flow in and out of the cell through three channels: active driving by molecular motors in the cell, heat from the environment, and work from the external sound signal.



Fig. 1 Left: Schematic of a hair cell with its hair bundle on top. Energy is exchanged between the thermal environment, the hair bundle characterized by the position of its tallest cilium—the kinocilium—and two agents





Thursday, February 19, 2026

Can humans learn to listen like an owl with ears shaped like an owl?

Amazing stuff!

"Thanks to their incredibly sensitive hearing, barn owls can hunt down rodents and other tiny prey even on the darkest of nights. One ear is positioned slightly higher than the other, allowing these nocturnal predators to precisely locate sounds in both the vertical and horizontal planes. By rapidly integrating information from both ears, the bird’s brain can construct a three-dimensional map of auditory space.

Humans, by contrast, have symmetrical ears and lack such mental maps. Even so, we’re fairly good at localizing sounds and readily adapt to changes in ear shape and hearing sensitivity that affect the way we perceive spatial cues. ...

To find out, scientists fitted human listeners with custom-made asymmetrical ear molds and tested their ability to localize different types of sound. Study participants wore the molds continuously for up to 5 weeks, only taking them off to sleep. The wearers’ ability to localize sounds in the horizontal plane was largely unaffected, the team reports in a bioRxiv preprint. But the participants had a much harder time determining the vertical position of sounds. This ability did improve over time, but adaptation was limited, suggesting that the human brain can only partially remap spatial dimensions. ..."

From the abstract:
"The brain computes sound location from auditory spatial cues. Humans and barn owls can localize sounds with high accuracy, yet they rely on fundamentally different cue configurations shaped by their ear anatomy and neural circuitry.
In humans, symmetrical ears provide interaural time and level differences for horizontal localization, while vertical localization depends primarily on high-frequency, monaural spectral cues generated by the pinnae.
Barn owls, by contrast, possess asymmetrical ears and use binaural cues to localize sounds in both azimuth and elevation. Because auditory pathways are assumed to be tuned to the statistics of species-specific cues, it remains unclear whether humans can localize sounds using barn-owl-like spatial information.
We addressed this by fitting human listeners with asymmetric ear molds that disrupted normal spectral cues and introduced elevation-dependent interaural level differences, while preserving interaural time differences. Participants wore the molds during daily life and were tested on sound localization using broadband, high-pass, and low-pass noise.
Acute exposure to the molds severely degraded elevation localization, while horizontal localization remained largely unaffected. With prolonged exposure, elevation localization improved, but adaptation was limited. Crucially, improvement was strongest for broadband sounds. Because broadband sounds uniquely provide access to both low-frequency interaural time differences and high-frequency interaural level differences, this pattern indicates that listeners learned to use binaural cues to infer sound elevation.
These findings demonstrate that the human auditory system can partially adapt to extreme barn-owl-like outer-ear acoustics. Binaural cues can be repurposed to support elevation localization, with effective learning requiring access to complementary spatial cues."

ScienceAdviser



Figure 1. Acoustic spatial cues in humans and barn owls.


Wednesday, January 07, 2026

Hörgeräte schützen vor Demenz

Ich wette, da ist was dran, dass verschlechtertes Hören im Alter u. U. zu Demenz führen oder beitragen kann.

Manche ältere Menschen realisieren vielleicht nicht einmal wie weit ihre Hörfähigkeit über die Jahre nachgelassen hat.

Nicht gut hören macht auch einsam!

"Schamgefühle gehören neben Praktikabilitätsgründen zu den häufigsten Gründen, warum Menschen mit Schwerhörigkeit Hörhilfen ablehnen. Hörgeräte werden noch immer mit Schwäche und Altwerden assoziiert, und viele befürchten negative Reaktionen im sozialen Umfeld. Dazu kommt, dass viele Betroffene ihr eigenes Hördefizit lange unterschätzen, was eine Korrektur durch Hörgeräte und eine schnelle Eingewöhnung verzögert – mit dem Ergebnis, dass bis ins hohe Alter keine Hörhilfen getragen werden. Doch Schwerhörigkeit ist kein Komfort-Problem, sie birgt eine ­Gefahr: Denn wer nicht gut hört, hat ein nachweisbar erhöhtes Demenzrisiko. ..."

Hörgeräte schützen vor Demenz | FAZ (erfordert Abo) "Bis zu sieben Prozent aller Demenzerkrankungen könnten verhindert werden, wenn Menschen besser auf ihr Gehör achtgeben würden. Das könnte auch Einsamkeit verhindern."