6Blurred frequency resolution
Loudness is only one thing the damaged cochlea handles badly. Another is frequency resolution — the ear's ability to keep nearby frequencies separate. A healthy cochlea behaves like a bank of sharply tuned filters, resolving the spectral peaks of speech that distinguish one vowel from another. The same outer-hair-cell damage that abolishes compression also broadens those filters, so adjacent peaks blur together and the fine spectral pattern of speech is smeared. This is a pure distortion, not a loss of audibility, and it is one a hearing aid is powerless to repair: amplification changes how loud the sound is, not how finely the ear can pick it apart. Decades of attempts to pre-sharpen the spectrum in the aid have failed to translate into clinical benefit.
TThe ear as a spectral analyser
Normal hearing resolves frequency through a set of overlapping auditory filters, each sharply tuned by the active cochlear amplifier (Chapter 2). This sharp tuning is what lets the ear separate the formant peaksof a vowel — the spectral landmarks that carry much of speech's identity.
CFilters that broaden
With outer-hair-cell damage, the active tuning is lost and the auditory filters broaden — each place on the cochlea now responds to a wider band of frequencies. The exquisite frequency selectivity of the healthy ear gives way to a coarse, smeared analysis.[2003]
CSmearing speech
The consequence for speech is spectral smearing: formant peaks that should stand apart blur into one another, so vowels lose their distinctiveness and consonant cues are muddied. The listener hears sound, even loud sound, but the spectral detail that distinguishes similar words is gone. This is a failure of resolution, not of audibility — and noise makes it far worse, because the smeared target and the background overlap.[1991]
CWhy the aid can't fix it
A hearing aid changes the level of the signal; it cannot change the width of the ear's filters. Researchers have tried to compensate by pre-sharpening the spectrum — enhancing peaks and deepening valleys before amplification — but these schemes have not produced clinically useful gains, because the broadened cochlea re-smears whatever the aid sharpens. The distortion lives in the ear, beyond the aid's reach. An implant, by contrast, imposes its own place code on the nerve, sidestepping the broken filters (Chapter 8).
What underlies the difficulty, and why did spectral enhancement disappoint?
How does sensorineural loss degrade frequency resolution?
Why can't a hearing aid fix broadened frequency resolution?