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Trends in Amplification, Vol. 9, No. 1, 1-43 (2005)
DOI: 10.1177/108471380500900102

Auditory Neuropathy/Dys-synchrony and Its Perceptual Consequences

Gary Rance, PhD, MSc, BEd

The University of Melbourne, School of Audiology, 172 Victoria Parade, East Melbourne 3002, Australia; grance{at}unimelb.edu.au

Dip Aud, MAudSA(CC)

Department of Otolaryngology, The University of Melbourne, East Melbourne, Australia

Auditory neuropathy/dys-synchrony is a form of hearing impairment in which cochlear outer hair cell function is spared but neural transmission in the auditory pathway is disordered. This condition, or group of conditions with a common physiologic profile, accounts for approximately 7% of permanent childhood hearing loss and a significant (but as yet undetermined) proportion of adult impairment. This paper presents an overview of the mechanisms underlying auditory neuropathy/dys-synchrony-type hearing loss and the clinical profile for affected patients. In particular it examines the perceptual consequences of auditory neuropathy/ dyssynchrony, which are quite different from those associated with sensorineural hearing loss, and considers currently available, and future management options.


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