Medial olivocochlear reflex strength in ears with low-to-moderate annual noise exposure

Abstract

Recent work suggests enhanced medial-olivocochlear reflex (MOCR) strength in noise exposed individuals. The current study aimed to replicate this finding using stricter signal-to-noise ratio (SNR) criteria in MOCR estimates and a larger subject population. Ninety-eight normal-hearing young adults participated. The MOCR test included measurement of click-evoked otoacoustic emissions (CEOAE) with and without contralateral noise. MOCR-induced magnitude and phase shifts were calculated. The MOCR test was performed twice to provide a within-session replication. Annual noise exposure history was estimated using the Noise Exposure Questionnaire. Annual noise exposure was not a statistically significant predictor of the MOCR-induced CEOAE magnitude shift. A statistically significant negative correlation was found between annual noise exposure and the MOCR-induced CEOAE phase shift. A significant negative correlation was also identified between annual noise exposure and CEOAE level. Results suggest diminished MOCR strength in noise-exposed individuals. This finding contrasts with recent work using similar methods. Compared to earlier work, the current study relied on higher OAE SNRs in MOCR estimates and sampled a larger population of subjects with broader noise exposure histories. The concurrent finding of reduced OAE levels in noise exposed individuals suggests acoustic trauma may be an underlying cause of reduced MOCR strength.