Sigmoid sinus cortical plate dehiscence induces pulsatile tinnitus through amplifying sigmoid sinus venous sound

Sigmoid sinus cortical plate dehiscence (SSCPD) is common in pulsatile tinnitus (PT) patients, and is treated through SSCPD resurfacing surgery in clinic, but the bio-mechanism is not clear as so far. This study aimed to clarify the bio-mechanism of PT sensation induced by SSCPD, and quantify the relationship of cortical plate (CP) thickness and PT sensation intensity. It was hypothesized that SSCPD would induce PT through significantly amplifying sigmoid sinus (SS) venous sound in this study. Finite element (FE) analysis based on radiology data of typical patient was used to verify this hypothesis, and was validated with clinical reports. In cases with different CP thickness, FE simulations of SS venous sound generation and propagation procedure were performed, involving SS venous flow field, vibration response of tissue overlying dehiscence area (including SS vessel wall and CP) and sound propagation in temporal bone air cells. It was shown in results that SS venous sound at tympanic membrane was 56.9 dB in SSCPD case and −45.2 dB in intact CP case, and was inaudible in all thin CP cases. It was concluded that SSCPD would directly induce PT through significantly amplifying SS venous sound, and thin CP would not be the only pathophysiology of PT. This conclusion would provide a theoretical basis for the design of SSCPD resurfacing surgery for PT patients with SSCPD or thin CP.     

An in vitro experimental study on the relationship between pulsatile tinnitus and the dehiscence/thinness of sigmoid sinus cortical plate

Pulsatile tinnitus (PT), characterized as pulse-synchronous, is generally objective. Sigmoid sinus (SS) venous sound is widely suggested to be a possible sound source of PT. The dehiscence and thinness of SS cortical plate (CP) was commonly reported as PT pathology in previous studies, but lack quantitative or biomechanical analysis. In this study, it was aimed to quantify the relationship between venous sound and CP dehiscence/thinness using in vitro experiment. The in vitro models of SS and CP were established based on 3D-printing, with the developed pulsatile venous flow in the SS model. The generated sound signal and the vibration response at the dehiscent/thinned area were analyzed. The sound signal generated in the normal-sized dehiscence model was pulse-synchronous within 100-–400 Hz, which had similar acoustic characteristics as the clinical PT sounds. It was concluded that the pulsatile venous sound is produced at TS-SS junction in case of CP dehiscence. The CP, even a thinned one can effectively diminish the venous sound and sound-generating pulsatile vibration at TS-SS junction. The CP dehiscence would induce pulse-synchronous and high pressure venous sound, as well as pulse-synchronous vibration above 20 Hz, regardless of the dehiscence size. On the contrary, the CP thinness would not induce obvious venous sound or pulsatile vibration above 20 Hz.     

An acoustic valve within the nose of sperm whales Physeter macrocephalus

相似文献   

A description of defensive hiss types in the flat horned hissing cockroach (Aeluropoda insignis)

Acoustic communication can inform studies of behaviour and phylogeny in insect species. Despite there being 4600 described species of cockroach, few studies have focused on their ability to communicate acoustically. Cockroaches have been found to produce sound in a variety of ways. Species within the tribe Gromphadorhini produce sound through modified spiracles, often referred to as hisses. Sound parameters have been described for the species Gromphadorhina portentosa and Elliptorhina chopardi. Aeluropoda insignis, within the same tribe, produces sound and is morphologically similar to these two species, but no research has been published describing its acoustic signals. Our study explores the defensive acoustic signals of this species and indicates that A. insignis is capable of producing three classes of acoustic signals (whistles, whistle–hisses and hisses) associated with defensive behaviour. Sexes differed in the entropy and the frequency of their signals, with males producing signals with lower entropy and at higher frequency than females. Future studies on acoustic communication within Blattodea could give more insight into the complexity of signals and their relationship to behavioural context.     

Structure and formation of the perforated theca defining the Pelagophyceae (Heterokonta), and three new genera that substantiate the diverse nature of the class

The pelagophytes, a morphologically diverse class of marine heterokont algae, have been historically united only by DNA sequences. Recently we described a novel perforated theca (PT) encasing cells from the Pelagophyceae and hypothesized it may be the first morphological feature to define the class. Here we consolidate that observation, describing a PT for the first time in an additional seven pelagophyte genera, including three genera new to science. We established clonal cultures of pelagophytes collected from intertidal pools located around Australia, and established phylogenetic trees based on nuclear 18S rDNA and plastid rbcL, psaA, psaB, psbA and psbC gene sequences that led to the discovery of three new species: Wyeophycus julieharrissiae and Chromopallida australis form a distinct lineage along with Ankylochrysis lutea within the Pelagomonadales, while Pituiglomerulus capricornicus is sister genus to Chrysocystis fragilis in the Chrysocystaceae (Sarcinochrysidales). Using fixation by high-pressure freezing for electron microscope observations, a distinctive PT was observed in the three new genera described in this paper, as well as four genera not previously investigated: Chrysoreinhardia, Sargassococcus, Sungminbooa and Andersenia. The mechanism of PT formation is novel, being fabricated from rafts in Golgi-derived vesicles before being inserted into an established PT. Extracellular wall and/or mucilage layers assemble exterior to the PT in most pelagophytes, the materials likewise secreted by Golgi-derived vesicles, though the mechanism of secretion is novel. Secretory vesicles never fuse with the plasma membrane as in classic secretion and deposition, but rather relocate extracellularly beneath the PT and disintegrate, the contents having to pass through the PT prior to wall and/or mucilage synthesis. This study substantiates the diverse nature of pelagophytes, and provides further evidence that the PT is a sound morphological feature to define the Pelagophyceae, with all 14 of the 20 known genera studied to date by TEM possessing a PT.     

Unilateral Tinnitus: Changes in Connectivity and Response Lateralization Measured with fMRI

Tinnitus is a percept of sound that is not related to an acoustic source outside the body. For many forms of tinnitus, mechanisms in the central nervous system are believed to play a role in the pathology. In this work we specifically assessed possible neural correlates of unilateral tinnitus. Functional magnetic resonance imaging (fMRI) was used to investigate differences in sound-evoked neural activity between controls, subjects with left-sided tinnitus, and subjects with right-sided tinnitus. We assessed connectivity patterns between auditory nuclei and the lateralization of the sound-evoked responses. Interestingly, these response characteristics did not relate to the laterality of tinnitus. The lateralization for left- or right ear stimuli, as expressed in a lateralization index, was considerably smaller in subjects with tinnitus compared to that in controls, reaching significance in the right primary auditory cortex (PAC) and the right inferior colliculus (IC). Reduced functional connectivity between the brainstem and the cortex was observed in subjects with tinnitus. These differences are consistent with two existing models that relate tinnitus to i) changes in the corticothalamic feedback loops or ii) reduced inhibitory effectiveness between the limbic system and the thalamus. The vermis of the cerebellum also responded to monaural sound in subjects with unilateral tinnitus. In contrast, no cerebellar response was observed in control subjects. This suggests the involvement of the vermis of the cerebellum in unilateral tinnitus.     

Cerebral responses to change in spatial location of unattended sounds

The neural basis of spatial processing in the auditory cortex has been controversial. Human fMRI studies suggest that a part of the planum temporale (PT) is involved in auditory spatial processing, but it was recently argued that this region is active only when the task requires voluntary spatial localization. If this is the case, then this region cannot harbor an ongoing spatial representation of the acoustic environment. In contrast, we show in three fMRI experiments that a region in the human medial PT is sensitive to background auditory spatial changes, even when subjects are not engaged in a spatial localization task, and in fact attend the visual modality. During such times, this area responded to rare location shifts, and even more so when spatial variation increased, consistent with spatially selective adaptation. Thus, acoustic space is represented in the human PT even when sound processing is not required by the ongoing task.     

Predisposition for and Prevention of Subjective Tinnitus Development

Dysfunction of the inner ear as caused by presbyacusis, injuries or noise traumata may result in subjective tinnitus, but not everyone suffering from one of these diseases develops a tinnitus percept and vice versa. The reasons for these individual differences are still unclear and may explain why different treatments of the disease are beneficial for some patients but not for others. Here we for the first time compare behavioral and neurophysiological data from hearing impaired Mongolian gerbils with (T) and without (NT) a tinnitus percept that may elucidate why some specimen do develop subjective tinnitus after noise trauma while others do not. Although noise trauma induced a similar permanent hearing loss in all animals, tinnitus did develop only in about three quarters of these animals. NT animals showed higher overall cortical and auditory brainstem activity before noise trauma compared to T animals; that is, animals with low overall neuronal activity in the auditory system seem to be prone to develop tinnitus after noise trauma. Furthermore, T animals showed increased activity of cortical neurons representing the tinnitus frequencies after acoustic trauma, whereas NT animals exhibited an activity decrease at moderate sound intensities by that time. Spontaneous activity was generally increased in T but decreased in NT animals. Plastic changes of tonotopic organization were transient, only seen in T animals and vanished by the time the tinnitus percept became chronic. We propose a model for tinnitus prevention that points to a global inhibitory mechanism in auditory cortex that may prevent tinnitus genesis in animals with high overall activity in the auditory system, whereas this mechanism seems not potent enough for tinnitus prevention in animals with low overall activity.     

Reduced geographic variation in roars in different habitats rejects the acoustic adaptation hypothesis in the black-and-gold howler monkey (Alouatta caraya)

Vocalizations used for long-range communication must disperse without significant structural changes to be decoded by receivers. The acoustic adaptation hypothesis (AAH) holds that, since acoustic signals are influenced by the habitat in which they disperse, sounds will possess specific structural characteristics to diminish sound degradation. Additionally, vocalizations can also be influenced by genetics, anatomy, and/or cultural aspects. Here, we tested the AAH through quantitative comparisons of roars in four allopatric populations of the black-and-gold howler monkey (Alouatta caraya) across an environmental gradient from open to closed, in northeastern Argentina. At each site, we obtained good-quality recordings from three adult males, also between July and November 2013, conducted vegetation surveys (measuring tree density, canopy closure, and vertical structure), evaluated potential masking of roars by gathering environmental sound samples, and assessed sound attenuation of a synthetic tone at three different distances: 10 m (landmark reference distance), 50, and 100 m. We also tested the alternative hypothesis that acoustic properties of roars could be explained by population genetic divergence. Our results did not support the AAH. Although our four study sites were significantly different in vegetation structure, conforming to an open-to-closed gradient, roars of A. caraya were not different among populations. Likewise, although environmental sound differed between sites, we found no evidence of environmental sound affecting the acoustic properties of roars. The attenuation of the synthetic tone was only near significant at 100 m distance between both extreme sites from the environmental gradient. The four A. caraya study populations grouped into three genetically differentiated clusters. Since roar features were independent from population genetic clustering, we reject the genetic hypothesis too. The combination of high amplitude and low peak frequency of roars, coupled to small home range size and extensive overlap between neighboring groups, allows roars to keep their communication value across habitats without need of specific environmental tuning.     

Pneumatic processes in the temporal bone of chimpanzee (Pan troglodytes) and gorilla (Gorilla gorilla)

The ontogeny of human temporal bone pneumatization has been well studied from both comparative and clinical perspectives. While a difference in the extent of air cell distribution has been noted in our closest living relatives, chimpanzees and gorillas, the processes responsible have been relatively unexplored. To examine these processes, a large, age‐graded series of hominoid skulls was radiographed and the progress of pneumatization recorded. Additionally, a subsample of 30 chimpanzees and 12 gorillas was subjected to high‐resolution CT scanning. Neonatal specimens show a well‐developed mastoid antrum, as well as a capacious hypotympanum extending into the petrous apex. In African apes, as in humans, the mastoid antrum serves as the focus for air cell expansion into the mastoid and immediately adjacent areas. In chimpanzees and gorillas, however, a pronounced lateral structure, described as the squamous antrum, serves as the focus of pneumatization for anterior structures such as the squamous and zygomatic. The diminution of this structure in Homo sapiens explains the difference in air cell distribution in these regions. J. Morphol. 241:127–137, 1999. © 1999 Wiley‐Liss, Inc.     

Theory of the acoustic instability and behavior of the phase velocity of acoustic waves in a weakly ionized plasma

The amplification of acoustic waves due to the transfer of thermal energy from electrons to the neutral component of a glow discharge plasma is studied theoretically. It is shown that, in order for acoustic instability (sound amplification) to occur, the amount of energy transferred should exceed the threshold energy, which depends on the plasma parameters and the acoustic wave frequency. The energy balance equation for an electron gas in the positive column of a glow discharge is analyzed for conditions typical of experiments in which acoustic wave amplification has been observed. Based on this analysis, one can affirm that, first, the energy transferred to neutral gas in elastic electron-atom collisions is substantially lower than the threshold energy for acoustic wave amplification and, second, that the energy transferred from electrons to neutral gas in inelastic collisions is much higher than that transferred in elastic collisions and thus may exceed the threshold energy. It is also shown that, for amplification to occur, there should exist some heat dissipation mechanism more efficient than gas heat conduction. It is suggested that this may be convective radial mixing within a positive column due to acoustic streaming in the field of an acoustic wave. The features of the phase velocity of sound waves in the presence of acoustic instability are investigated.     

Peripheral control and lateralization of birdsong

Recent studies on several species of oscine songbirds show that they achieve their varied vocal performances through coordinated activity of respiratory, syringeal, and other vocal tract muscles in ways that take maximum advantage of the acoustic flexibility made possible by the presence of two independently controlled sound sources in their bipartite syrinx (vocal organ). During song, special motor programs to respiratory muscles alter the pattern of ventilation to maintain the supply of respiratory air and oxygen to permit songs of long duration, high syllable repetition rates, or maximum spectral complexity. Each side of the syrinx receives its own motor program that, together with that sent to respiratory muscles, determines the acoustic properties of the ipsilaterally produced sound. The acoustic expression of these bilaterally distinct, phonetic motor patterns depends on the action of dorsal syringeal adductor muscles that, by opening or closing the ipsilateral side of the syrinx to airflow, determine the amount each side contributes to song. The syringeally generated sound is further modified by muscles that control the shape of the vocal tract. Different species have adopted different motor strategies that use the left and right sides of the syrinx in patterns of unilateral, bilateral, alternating, or sequential phonation to achieve the differing temporal and spectral characteristics of their songs. As a result, the degree of song lateralization probably varies between species to form a continuum from unilateral dominance to bilateral equality. © 1997 John Wiley & Sons, Inc. J Neurobiol 33: 632–652, 1997     

Acoustic barriers as an acoustic deterrent for native potamodromous migratory fish species

This study focused on the use of sound playbacks as acoustic deterrents to direct native potamodromous migratory species away from all kind of traps. The effects of two acoustic treatments, a repeated sine sweep up to 2 kHz (sweep-up stimulus) and an intermittent 140 Hz tone, were tested in three fish species native to Iberia: Salmo trutta, Pseudochondrostoma duriense and Luciobarbus bocagei. In contrast with S. trutta, the endemic cyprinids P. duriense and L. bocagei exhibited a strong repulse reaction to the frequency sweep-up sound. The 140 Hz stimulus did not seem to alter significantly the behaviour of any of the studied species. These results highlight the potential of acoustic stimuli as fish behavioural barriers and their application to in situ conservation measures of native Iberian fish populations, to protect them from hydropower dams. In addition, this study shows that acoustic deterrents can be used selectively on target species.     

Directional hearing in the barn owl (Tyto alba)

Summary The acoustical properties of the external ear of the barn owl (Tyto alba) were studied by measuring sound pressure in the ear canal and outer ear cavity. Under normal conditions, pressure amplification by the external ear reaches about 20 dB between 3–9 kHz but decreases sharply above 10 kHz. The acoustic gain curve of the outer ear cavity alone is close to that of a finite-length exponential horn between 1.2–13 kHz with maximum gain reaching 20 dB between 5–9 kHz. Pressure gain by the facial ruff produces a maximum of 12 dB between 5–8 kHz and decreases rapidly above 9 kHz.The directional sensitivity of the external ear was obtained from pressure measurements in the ear canal. Directivity of the major lobe is explained, to a first approximation, by the sound diffraction properties of a circular aperture. Aperture size is based on the average radius (30 mm) of the open face of the ruff. Above 5 kHz, the external ear becomes highly directional and there is a 26° disparity in elevation between the acoustic axis of the left and right ear. In azimuth, directivity patterns are relocated closer to the midline as frequency increases and the acoustic axis moves at a rate of 20°/octave between 2–13 kHz. Movement of the axis can be explained, to a first approximation, by the acoustical diffraction properties of an obliquely truncated horn, due to the asymmetrical shape of the outer ear cavity.The directional sensitivity of the barn owl ear was studied by recording cochlear microphonic (CM) potentials from the round window membrane. Between 3–9 kHz, CM directivity patterns are clearly different to the directivity patterns of the external ear; CM directionality is abruptly lost above 10 kHz. Above 5 kHz, CM directivity patterns are characterized by an elongated major lobe containing the CM axis, forming a tilted band of high amplitude but low directionality (CM axial plane), closely bordered by minima or nulls. The highest directionality is found in theCM directional plane, approximately perpendicular to the CM axial plane. The left and right ear axial planes are symmetrical about the interaural midline (tilted 12° to the right of the midline of the head) and inclined by an average of 60° to the left and right respectively. In azimuth, the CM axis moves towards the midline at a rate of 37°/octave as frequency increases from 2–9 kHz, crossing into contralateral space near 7 kHz. In the CM directional plane, the directivity of the major lobe suggests that a pressure gradient may occur at the TM. The region of frontal space mapped by movement of the CM axis in azimuth closely matches the angle of sound incidence which would be expected to produce the maximum driving pressure at the TM. It is suggested that acoustical interference at the TM results from sound transmission through the interaural canal and therefore the ear is inherently directional. It is proposed that ear directionality in the barn owl may be explained by the combined effect of sound diffraction by the outer ear cavity and a pressure gradient at the TM.Abbreviations CM cochlear microphonic - RMS root mean square - SPL sound pressure level - TM tympanic membrane     

Underwater acoustic communication in the macrophagic carnivorous larvae of Ceratophrys ornata (Anura: Ceratophryidae)

Natale, G.S., Alcalde, L., Herrera, R., Cajade, R., Schaefer, E.F., Marangoni, F. and Trudeau, V.L. 2011. Underwater acoustic communication in the macrophagic carnivorous larvae of Ceratophrys ornata (Anura: Ceratophryidae). —Acta Zoologica (Stockholm) 92 : 46–53. We provide the first evidence for sound production by anuran larvae. In this study, we describe the sounds, their context‐specific emission and the structures related to sound production of the carnivorous larvae of Ceratophrys ornata (Amphibia, Anura, Ceratophryidae). Tadpoles emit a brief, clear and very audible metallic‐like sound that consists of a short train of notes that occur at all stages of larval development. Tadpoles make sound only when a conspecific tadpole is preying upon it or when touched by an object. Ceratophrys ornata larvae possess the basic required anatomical structures for sound production via expulsion of atmospheric air from the lungs through the open soft‐tissue glottis. The glottis is opened and closed via the larval laryngeal muscles (constrictor laryngis and dilatator laryngis). The arytenoid cartilages appear at stage 40 and the cricoid cartilage does at stage 43. Adult laryngeal muscles differentiate from the larval ones at stage 46 together with the vocal sac formation from the adult interhyoideus muscle. We demonstrate (n = 2160 conspecific predator–prey interactions) that larval sounds occur always under predatory attack, probably serving to diminish the chances of cannibalism. These data raise the possibility that other macrophagic carnivorous anuran larvae may produce sound.     

The introduction of a transpositionally active copy of retrotransposon GYPSY into the Stable Strain of Drosophila melanogaster causes genetic instability

A previously described genetic system comprising a Mutator Strain (MS) and the Stable Strain (SS) from which it originated is characterized by genetic instability caused by transpositions of the retrotransposon gypsy. A series of genetic crosses was used to obtain three MS derivatives, each containing one MS chromosome (X, 2 or 3) in the environment of SS chromosomes. All derivatives are characterized by elevated frequencies of spontaneous mutations in both sexes. Mutations appear at the premeiotic stage and are unstable. Transformed derivatives of SS and another stable strain 208 were obtained by microinjection of plasmid DNA containing transpositionally active gypsy inserted into the Casper vector. In situ hybridization experiments revealed amplification and active transposition of gypsy in SS derivatives, while the integration of a single copy of gypsy into the genome of 208 does not change the genetic properties of this strain. We propose that genetic instability in the MS system is caused by the combination of two factors: mutation(s) in gene(s) regulating gypsy transposition in SS and its MS derivatives, and the presence of transpositionally active gypsy copies in MS but not SS.     

Motor stereotypy and diversity in songs of mimic thrushes

The relationship between the motor and acoustic similarity of song was examined in brown thrashers (Toxostoma rufum) and grey catbirds (Dumetella carolinensis) (family Mimidae), which have very large song repertoires and sometimes mimic other species. Motor similarity was assessed by cross correlation of syringeal airflows and air sac pressures that accompany sound production. Although most syllables were sung only once in the song analyzed, some were repeated, either immediately forming a couplet, or after a period of intervening song, as a distant repetition. Both couplets and distant repetitions are produced by distinctive, stereotyped motor patterns. Their motor similarity does not decrease as the time interval between repetitions increases, suggesting that repeated syllables are stored in memory as fixed motor programs. The acoustic similarity between nonrepeated syllables, as indicated by correlation of their spectrograms, has a significant positive correlation with their motor similarity. This correlation is weak, however, suggesting that there is no simple linear relationship between motor action and acoustic output and that similar sounds may sometimes be produced by different motor mechanisms. When compared without regard to the sequence in which they are sung, syllables paired for maximum spectral similarity form a continuum with repeated syllables in terms of their acoustic and motor similarity. The prominence of couplets in the “syntax” of normal song is enhanced by the dissimilarity of successive nonrepeated syllables that make up the remainder of the song. © 1996 John Wiley & Sons, Inc.     

Sound production in the red swamp crayfish Procambarus clarkii (Decapoda: Cambaridae)

Little is known about the acoustic behaviour of freshwater crustaceans. The present study is the first to describe the acoustic features and the sound production mechanisms of the crayfish Procambarus clarkii. Acoustic signalling was recorded and videotaped. When the animals were recorded in air, they produced a pulsed signal by beating the scaphognathite inside the chamber constituted by the efferent branchial channels. No sound was emitted after scaphognathite ablation. The acoustic features of the signals varied among individuals but were not correlated with body size. Several hypotheses on the functions of these sounds were discussed.     

Étude de divers aspects de la prise en charge des acouphènes pour un sourd unilatéral avec le stimulateur électrique implantable extracochléaire Tinnelec RW®

Study of some aspects of the tinnitus treatment for unilateral deaf with an extracochlear electrical stimulation device. In France, there are about 6000 cases of sudden hearing loss, all of them bring with tinnitus. At present, the treatment of chronic tinnitus is based on the natural development or the facilitation of habituation. For the tinnitus, which resist to the habituation, the principle of the treatments consists in facilitating the habituation process. In a sound therapy the use of a sound generator, with a hearing aid if necessary, is proposed in order to facilitate habituation. But, in case of unilateral deafness acoustical habituation is not possible and tinnitus may cause a depression. Electrical stimulation offers a new therapeutic perspective, which overcomes the main problems to habituation. This approach is very promising that's why it seems essential to study some aspects. The project tries to answer to four questions: How do we have to stimulate electrically for a maximal efficiency? how can we fit the electric stimulation for maximal efficiency? When is it necessary to set up the stimulation? Can we intend to apply this technique to subjects having hearing residues? Recent experimental studies have proposed Tinnelec^® stimulator of the MXM Company as a therapeutic solution for the difficult tinnitus treatment in-patient with unilateral deafness. Many points will be examined through a clinical study and an animal study.     

Modulatory Effects of Spectral Energy Contrasts on Lateral Inhibition in the Human Auditory Cortex: An MEG Study

We investigated the modulation of lateral inhibition in the human auditory cortex by means of magnetoencephalography (MEG). In the first experiment, five acoustic masking stimuli (MS), consisting of noise passing through a digital notch filter which was centered at 1 kHz, were presented. The spectral energy contrasts of four MS were modified systematically by either amplifying or attenuating the edge-frequency bands around the notch (EFB) by 30 dB. Additionally, the width of EFB amplification/attenuation was varied (3/8 or 7/8 octave on each side of the notch). N1m and auditory steady state responses (ASSR), evoked by a test stimulus with a carrier frequency of 1 kHz, were evaluated. A consistent dependence of N1m responses upon the preceding MS was observed. The minimal N1m source strength was found in the narrowest amplified EFB condition, representing pronounced lateral inhibition of neurons with characteristic frequencies corresponding to the center frequency of the notch (NOTCH CF) in secondary auditory cortical areas. We tested in a second experiment whether an even narrower bandwidth of EFB amplification would result in further enhanced lateral inhibition of the NOTCH CF. Here three MS were presented, two of which were modified by amplifying 1/8 or 1/24 octave EFB width around the notch. We found that N1m responses were again significantly smaller in both amplified EFB conditions as compared to the NFN condition. To our knowledge, this is the first study demonstrating that the energy and width of the EFB around the notch modulate lateral inhibition in human secondary auditory cortical areas. Because it is assumed that chronic tinnitus is caused by a lack of lateral inhibition, these new insights could be used as a tool for further improvement of tinnitus treatments focusing on the lateral inhibition of neurons corresponding to the tinnitus frequency, such as the tailor-made notched music training.