The influence of evoking stimulus level on the neural suppression of transient evoked otoacoustic emissions.

This study concerns the suppression of transient evoked otoacoustic emissions (TEOAEs) by contralateral noise. The suppression is interpreted as neurally induced changes in cochlear mechanics. The magnitude of TEOAE suppression is explored in response to a single level of contralateral noise, in 20 normal subjects, and as a function of TEOAE evoking stimulus power in 6 subjects. TEOAE were found to be relatively more susceptible to contralateral suppression when the TEOAE evoking stimulus was low. This suggests that saturation of the TEOAE generator by the evoking stimulus reduces the susceptibility of the generator to neural suppression. However, this relation did not hold between ears. Those ears in which the TEOAE seemed easier to saturate were easier to suppress by contralateral noise. We have concluded that TEOAE generators can differ in their susceptibility to neural suppression. Ears in which the TEOAE generating mechanism is less dependent on the ipsilateral evoking stimuli power level, are also naturally more susceptible to efferent suppression.