# A Novel Water Method for Reducing Air Conduction in Soft Tissue Conduction

## TL;DR

A new water-based method reduces air conduction interference, enabling clearer study of hearing via soft tissue vibrations at distant body sites.

## Contribution

A novel water-immersion technique is introduced to minimize air conduction contamination during soft tissue conduction hearing studies.

## Key findings

- STC hearing was achieved at lower intensities using the water-immersion method compared to control conditions.
- Finger sites showed lower STC thresholds than foot sites.
- The method allows studying STC at body sites distant from the ear without AC contamination.

## Abstract

Background: Bone vibrator (BV) stimulation applied to skin sites on the body elicits hearing by soft tissue conduction (STC). However, BV stimulation to sites far from the ear requires the delivery of higher-intensity stimulus vibrations to achieve threshold, which can then induce hearing by air conduction (AC) contamination. This problem limits the study of STC thresholds at sites more distant from the ear. Objective: To overcome this problem, we evaluated the possibility of delivering STC vibratory stimuli to body sites in a water bath, based on the different acoustic impedances between air and water, which produces a 30 dB reduction in transmission from water to air. Methods: A standard clinical BV delivered vibration stimuli (tonal and speech stimuli) applied directly to two body sites: finger and foot. BV and body sites were immersed in a water bath. One control involved both stimulation site and BV both in water, but not in contact. In an additional control, the BV was in the bath, while the stimulation site was out of the bath. Results: STC hearing of both pure tones and speech could be elicited at stimulus intensities below those induced by control stimulation (body site and BV both in water, but not in contact; BV in bath, stimulation site out of bath). STC thresholds at the finger site were lower than those at the foot. Conclusions: The current results suggest that water-immersion method enables study of STC hearing in response to higher-intensity vibrational stimuli, and at body sites more distant from the ear, without contamination by AC hearing.