This chapter is a reference guide for those who want to quickly access a formula, or need a reminder of what the many abbreviations stand for in this e-book or the associated games.
For first time readers, there is an analogy that may be of interest, but after that, the remainder is quick references for those who have already completed the book, so you would then skip to Chapter 2
Show Me the Masking Analogy Take Me to Chapter 2Masking is one of the more challenging topics for first year audiology students. There are some fundamental concepts of crossover and crossback that have to be understood. Perhaps an analogy will help. Perhaps not, but it probably won’t hurt, so let’s try.
Sarah, age 3, is in the kitchen with her father who is keeping her busy making cookies. Sarah’s mother is in the next room, behind a closed door, talking to Sarah’s grandmother who wants to know what to buy Sarah for her upcoming birthday.
Uh oh! Sarah’s father can hear bits of the phone conversation from the other room; the “what to get Sarah” conversation has “crossed over” to the kitchen, which means risk that Sarah’s birthday gift won’t be a surprise.
In hearing testing, some of the test ear signal can spill over to the non-test ear. Just as we want only the grandmother to hear the birthday gift suggestions, not Sarah, we want only the test ear to hear the tone (or speech testing material). We don’t want the response to come from the non-test ear. When the sound is conveyed from the test ear to the non-test ear, it is said to have “crossed over”.
Sarah’s father quickly turns on some music, which is louder than the faint murmur of the conversation in the other room. He has masked the “crossover”.
To prevent the non-test ear from detecting the crossed-over tone, noise will be put into the non-test ear.
Sarah complains that she doesn’t like that song and changes it, alas to one that is quieter. Dad can hear bits of the conversation, so he asks Sarah to turn up the volume.
Just putting some noise in the non-test ear doesn’t mean it’s enough noise. We will consider if we may be undermasking.
Not unexpectedly, the radio may be heard in the room where grandmother and mother are talking by phone. If the radio is lower than the conversation, it’s not a problem.
In masking, if the noise that is meant to keep the non-test ear from hearing the test ear tone is loud enough, it can cross back to the test ear cochlea. If some of the masking noise sent to the non-test ear sneaks over to the test ear, that’s not necessarily a problem. As long as the crossed back noise is less intense than the signal level (reaching the test ear cochlea), then it won’t alter the test results.
A favorite song comes on and Sarah turns up the volume considerably and stops her cookie making to dance to the music. The grandmother complains “Can you turn down the radio you have in the background? It’s louder than you are and I’m having trouble understanding you.” Problematically, Sarah’s tunes have crossed from the kitchen back to the room where the all-important conversation about gift choices is taking place.
When the masking noise interferes with hearing of the test ear signal, then “crossback” is “overmasking”. (We want to mask -- prevent the hearing of the crossover -- but we don’t want so much masking that it crosses back to the test ear and interferes with hearing of the signal in the test ear.) Sometimes the solution is to turn down the masker noise.
But what if the mother’s cell phone was lousy and/or the grandmother’s phone had low volume and the only way for them to converse is if the mother speaks very loudly? The mother’s loud voice reaches the kitchen, so the father has to have the radio that loud to keep Sarah from hearing. This is a no-win situation. The radio is interfering with the phone conversation, so Grandmother can’t hear Sarah’s mother, but the mother needs to speak loudly.
Sometimes we need a lot of masking noise to mask the crossover, but that crosses back and keeps the test ear from hearing the tone. If adjustments cannot be made to prevent audible crossover (keep non-test ear from hearing) without having the confounding problem of cross back causing overmasking (noise interfering with test ear hearing), then that is called a masking dilemma. It’s only a dilemma if there is no solution. If you have to work at adjusting the noise level but can find a level that works, then it’s not a true dilemma.
Sarah’s mother wouldn’t have much luck at keeping the phone conversation secret if a glass bead curtain separated the two rooms – the decorative curtain provides no sound attenuation. (Sarah’s mother would have known that other sound needs to mask her conversation right from the start.) The hollow-core interior doors in most homes provide pretty minimal sound attenuation; if the door is solid wood, the attenuation would be better.
Attenuation is a loss of sound – the glass curtain offered no attenuation. In audiologic testing we are concerned with the between-ears attenuation, which is termed the interaural attenuation.
Bone vibrators are the glass curtain of the audiology world. If you put the oscillator on the right ear, the bones of the head are all vibrating together and you send the entire signal over to the left ear.
Supra-aural earphones are akin to the hollow-core door. Insert earphones have the best interaural attenuation – they convey the least sound from test ear to non-test ear, or noise from non-test ear back to the test ear.
Let’s imagine that Sarah’s parents are "new-age" types who believe that family should not be separated by solid doors. And since it’s raining outside, the mother is not inclined to go outside to make the phone call. Mom will be easily heard, any music that is in the kitchen will readily cross back to Mom and interfere with the Grandmother’s hearing about what gifts Sarah would like.
Solution: have Sarah wear earphones to listen to the music while baking the cookies. Now, for this analogy to work, the earphones have to be the foam type that sit on top of the ear and don’t block sound out – they just present the music directly to Sarah, which allows masking. Sarah’s wearing of earphones has the advantage of less chance of cross-back. Imagine how loud the music presented via earphones would have to be to be heard by Grandmother.
Since bone-conducted sound all crosses to the non-test ear, we have an inherent problem. The non-test ear is always stimulated. If you were to try to put masking noise into the non-test ear by bone conduction, it would cross right back and overmask. The solution is to put the masking noise in by air-conduction – using an insert earphone or supra-aural earphone. The insert earphones are not preventing the crossover, they are not creating any attenuation (just as the foam earphones sitting in Sarah’s conchas would not mask her mother’s conversation if the music is off). It just means that we can mask (Sarah won’t hear) – and the noise won’t immediately overmask (won’t interfere with the phone conversation).
This part of the analogy is a bit weak, but let’s try it. Could there ever be a time when the mother’s voice (through the glass curtain) is more audible in the kitchen than over the phone? Sure, how about if phone Grandmother was using had insufficient volume? Well, that doesn’t make for a good analogy for bone-conduction testing, so we are going to have to create a far-fetched scenario. I’ll have to make Sarah an official Hamill for a moment, though I have no such niece. Hamills don’t give the extended family real Christmas gifts, we exchange gag gifts. The person who gives the best gag gift wins the coveted fish slippers, which are … slippers shaped like fish. The winner displays the fish slippers but never wears them, as they must be surrendered to the next year’s winner without toe jam contamination. Sarah’s Aunt Mary gave Sarah a pair of earphones that have giant dog ears attached, as shown in Figure 1-2. Now Sarah can hear sounds better than average so long as she’s looking in that direction of the sound source, and the cookie-cutting Sarah is indeed looking at the glass beaded door, wondering who her mother is talking to on the phone. (And Aunt Mary once again has custody of the fish slippers. Hey, I warned you the analogy was weak.)
Wearing earphones causes bone-conducted sound to increase in loudness, though it’s not related to a resonance effect like Sarah’s dog earphones. How that works will be covered in Chapters 6 and 9. The phenomenon of sound increasing in loudness when an earphone is in place is called the occlusion effect – the crossed over bone-conduction sound is actually louder in the non-test ear, just as Sarah could hear her mother better than her grandmother can – unless Sarah has the (masking) music on.
Mercifully, this is nearly the end of the analogy, which I hope is some aid in remembering the crossover, crossback, interaural attenuation terminology.
Masking is a difficult topic to fully comprehend. This brief text, and its accompanying games, attempt to make masking easier to understand. We need to mask because sometimes when testing one ear, the signal could “cross over” to the non-test ear. We will always put masking in by air-conduction, and preferably using an insert earphone to produce that masking noise. If we aren’t using loud enough noise to mask the crossover, then we are “undermasking.” There are times when the masking noise is so loud it can “cross back” to the test ear and cause erroneous results – this is called overmasking.
Bone-conduction testing is especially challenging. All of the signal crosses to the non-test ear, and if you insert an earphone to start the masking process, for the low-frequency stimuli, you create a sound enhancement, called the occlusion effect. This means you will need even more masking noise in the non-test ear to nullify the occlusion effect. And… unfortunately that added noise makes cross back more likely.
There are two fundamental approaches to masking: plateau masking and formula masking. Plateau masking is akin to Sarah’s father putting on some music, checking that he can’t hear the phone conversation, then turning up the music a bit more to be sure. In plateau masking, you make incremental noise adjustments. In formula masking, you know how your masking is calibrated, and you can calculate how much noise is enough. You’ll double check your math – was that really enough (not undermasking), not too much (not overmasking)? This would be like the experienced father knowing that the soundtrack to Nemo (does Nemo have a soundtrack?) at volume 20 will mask the conversation if Sarah’s Mom is speaking at 50 dB HL behind a door.
You need to understand plateau masking well before learning about formula masking.
I’ll try to make this learning as fun as possible for you – or if that’s too high a bar then hopefully this e-book, the games, and the audiometer simulator will make the learning less painful.
The masking signal must be at or above the minimum, and that minimum level must not be at or above the maximum that protects from overmasking. If the minimum is equal to or greater than maximum, then use plateau masking.
For these formulae, 'TE signal level' is your estimate of the eventual masked threshold.
Minimum Masking Level:
TE signal level – IA + significant NTE ABG + 10 dB
For insert earphones:
TE signal level – 40 dB + NTE ABG
For supra-aural earphones:
TE signal level - 30 dB + NTE ABG
It is recommended that you use the highest “reasonably possible” AC threshold in this calculation. This way, if your threshold comes in a bit higher than anticipated, you do not need to increase the noise and recheck threshold.
Maximum Masking Level:
BC threshold of the TE + IA – 5
For insert earphones:
BC TE + 45 dB
For supra-aural phones:
BC TE + 35 dB
It is recommended that you use the lowest “reasonably possible” BC threshold – so that if you are wrong, and bone-conduction is a bit better than you assumed, you will not be in an overmasking situation.
Once threshold has been established:
BC TE is your estimate of the eventual, masked, bone-conduction threshold for the test ear.
Minimum Masking Level:
BC TE +10 + (larger of: OE or NTE ABG)
It is recommended that you use the highest “reasonably possible” BC threshold in this calculation. This way, if your threshold comes in a bit higher than anticipated, you do not need to increase the noise and recheck threshold.
Recommended OE values:
250 Hz: 20 dB
500 Hz: 10 dB
1K Hz : 5 dB
2K Hz+: None
Maximum Masking Level:
BC TE + 45
It is recommended that you use the lowest “reasonably possible” BC threshold – so that if you are wrong, and bone-conduction is a bit better than you assumed, you will not be in an overmasking situation.
Check that masking is sufficient – calculate the Minimum Masking Level using the established BC, and calculate the maximum using that same threshold. The masking level you used must be between Min and Max. If Min > Max then plateau mask, you may have a masking dilemma. (Note, this will only “work” if you use the same threshold for min and max, if you base min and max on different scenarios (e.g. setting min to work in case threshold is a little higher than you guessed, and setting max by thinking about bone-conduction coming in a little better than your best guess) – then this rule does not work.
Calculate Signal level – 60 (for insert earphones or 50 for TDH earphones). If that is at or above the NTE BC thresholds for one or more frequency in the 500 to 8k Hz range, then cross hearing may influence your results and masking is warranted.
Minimum Masking Level:
Predicted SPONDEE THRESHOLD + 10 dB in case the SPONDEE THRESHOLD is a bit higher than the PTA predicts – IA + largest significant NTE ABG + 10 dB pad
(which gives us)
For insert earphones:
TE estimated SPONDEE THRESHOLD – 40 dB + Largest NTE ABG (500 to 8k Hz)
For supra-aural phones:
TE estimated SPONDEE THRESHOLD – 30 dB + NTE ABG
Minimum Masking Level:
Presentation level – IA + 10 dB pad
For insert earphones:
TE signal level – 50 dB + Largest NTE ABG (500 to 8k Hz)
For supra-aural phones:
TE signal level – 30 dB + NTE ABG
Maximum Masking Level:
For both spondee threshold and word recognition testing: Best TE BC threshold in the 500-8k Hz range + IA – 5
(which is)
For insert earphones:
Best TE 500-8k Hz + 55 dB
For supra-aural phones:
BC TE + 45 dB
Down 20 Rule:
Estimated spondee threshold or word recognition test level – 20 dB.
Speech Noise Crossback May Not Alter Results