Carolina Abdala, PhD

Professor of Otolaryngology-Head and Neck Surgery

Co-Division Chief

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Overview

Human Cochlear Function: A Continuum of Maturation and Aging.
This project studies changes in cochlear function throughout the human lifespan, defining the timeline for these age-related shifts and the mechanisms driving the changes. We use primarily otoacaoustic emissions, a noninvasive ear canal probe of cochlear mechanics to learn about the human peripheral system. We apply both distortion- (DPOAE) and reflection-source (stimulus frequency OAEs and the reflection-component of the DPOAE) emissions using custom-algorithms, innovative swept-tone methodology and advanced analysis schemes. We disentangle the origin of age-related effects by separating distortion product OAEs into their dual components, distortion and reflection; and studying how each component’s phase and amplitude is impacted throughout the human lifespan. In our lab it is important to study both apical and basal halves of the cochlea to yield a more comprehensive understanding of how the cochlea codes low and high-frequency sounds. The apex has been minimally studied in humans, and wholly unexplored during maturation. Yet, we have recently reported striking immaturities in DPOAE phase for low-frequency signals coded in the apex of neonates. Our exploration of human cochlear function from base to apex using multiple OAE sources establishes a normative framework, provides detailed information about newborn cochlear maturation, and probes how the elderly cochlea ages into senescence. These findings contribute to more comprehensive cochlear models and toward the development of more innovative probes of cochlear function for human application. This project is funded by the NIH-NIDCD.

Exploiting Dual OAE Sources to Study the Normal and Impaired Human Cochlea.
This project attempts to exploit the distinct information embedded in reflection- and distortion-source OAEs to create a more comprehensive and descriptive joint test of cochlear function. At present, OAEs are used in a categorical sense, simply to detect hearing loss. However, once hearing loss is detected, we wish to learn about the underlying deficit and etiology. The ample information provided by the two OAE types (i.e. linear reflection and nonlinear distortion) can offer distinct clues about different aspects of cochlear function. We wish to exploit this distinct information to describe (not just detect) sensorineural hearing loss (SNHL). At present, SNHL is a catch-all term, defined by degree of loss and audiometric configuration. However, two hearing losses with identical audiograms can produce varying perceptual difficulties and varied success with hearing aids. By recording a combined reflection and distortion OAE profile over broad level and frequency ranges, we may be able to learn more about the underlying deficits that comprise the broad and vague category of SNHL. When used in combination, the properties embodied by each OAE can be considered in one joint metric. We are currently developing and testing this joint OAE protocol by recording stimulus frequency OAEs and the distortion component of DPOAEs in ears with normal and impaired hearing. This project is conducted in collaboration with fellow USC faculty member Dr. Christopher Shera.

https://sites.usc.edu/abdalab/

Research Funding

  • Advanced Detection and Differential Diagnosis of Hearing Loss Using Otoacoustic Emissions
    NIH · R01DC018307 · Sep 1, 2020 – Aug 31, 2026 · Role: Principal Investigator
  • Otoacoustic Emissions: Evoking the Future
    NIH · R13DC016825 · Sep 19, 2017 – Aug 31, 2018 · Role: Co-Principal Investigator
  • Human Cochlear Function: A Continuum of Maturation and Aging
    NIH · R01DC003552 · Aug 1, 1998 – Jul 31, 2021 · Role: Principal Investigator
  • DEVELOPMENT OF HUMAN COCHLEAR FUNCTION
    NIH · R29DC003552 · Aug 1, 1998 – Jul 31, 2003 · Role: Principal Investigator

Publications

  • Binaural diplacusis in individuals with suspected endolymphatic hydrops. Hear Res. 2026 Mar; 473:109568.. View in PubMed
  • Distinguishing Between Presbycusis and Noise-Induced Hearing Loss With a Joint-Otoacoustic Emission Profile. Ear Hear. 2026 May-Jun 01; 47(3):702-715.. View in PubMed
  • Detection of mild sensory hearing loss using a joint reflection-distortion otoacoustic emission profile. J Acoust Soc Am. 2024 10 01; 156(4):2220-2236.. View in PubMed
  • Whole Stimulus DPOAE Analysis. AIP Conf Proc. 2024 Feb 27; 3062(1).. View in PubMed
  • Does Endolymphatic Hydrops Shift the Cochlear Tonotopic Map? AIP Conf Proc. 2024 Feb 27; 3062(1). Stiepan S, Shera CA , Abdala C . . View in PubMed
  • Characterizing a Joint Reflection-Distortion OAE Profile in Humans With Endolymphatic Hydrops. Ear Hear. 2023 Nov-Dec 01; 44(6):1437-1450.. View in PubMed
  • The Remarkable Outer Hair Cell: Proceedings of a Symposium in Honour of W. E. Brownell. J Assoc Res Otolaryngol. 2023 04; 24(2):117-127.. View in PubMed
  • Characterizing the Relationship Between Reflection and Distortion Otoacoustic Emissions in Normal-Hearing Adults. J Assoc Res Otolaryngol. 2022 Oct; 23(5):647-664.. View in PubMed
  • Weakened Cochlear Nonlinearity During Human Aging and Perceptual Correlates. Ear Hear. 2021 July.. View in PubMed
  • Extended low-frequency phase of the distortion-product otoacoustic emission in human newborns. JASA Express Lett. 2021 Jan; 1(1):014404.. View in PubMed