Research

RESEARCH PUBLICATIONS

2026

Aryal, S., Cheng, F. Y., Mishra, S. K., & Smith, S. (2026). Brainstem encoding of speech in the extended high frequencies and its behavioral correlates. Journal of Neurophysiology, 135(1), 190-201.https://doi.org/10.1152/jn.00464.2025

Bhandari, P., & Aryal, S. (2026). Prevalence of hearing loss across age groups in Nepal: a systematic review and meta-analysis protocol. BMJ open, 16(1), e109331 (Role: Editing and revising the manuscript, Statistical analysis).

2025

Aryal, S., & Mishra, S. K. (2025). On the Sharpness of Auditory Filters: Considering Subclinical Deficits Reveals Sharper Otoacoustic Emission Estimates of Frequency Selectivity in Humans. Journal of the Association for Research in Otolaryngology. https://doi.org/10.1007/s10162-025-01018-8

Aryal, S., & Mishra, S. K. (2025). Probing cochlear compressive nonlinearity using signal-to-noise ratio–optimized distortion product otoacoustic emission input/output functions. The Journal of the Acoustical Society of America, 158(6), 4335-4347. https://doi.org/10.1121/10.0041765

Aryal, S., Trevino, M., Rodrigo, H., & Mishra, S. (2025). Is Noise Exposure Associated With Impaired Extended High Frequency Hearing Despite a Normal Audiogram? A Systematic Review and Meta-Analysis. Trends in Hearing, 29, 23312165251343757.

Aryal, S., Moskovich, A., Prabhu, P., & Rosenthal, M. Z. (2025). Examining the Relationship between Difficulties with Emotion Regulation and Misophonia and Hyperacusis Symptom Severity in Adults with Clinically Significant Misophonia. Hearing Research, 109457.

Mishra, S. K., Aryal, S., Patro, C., & Fu, Q.-J. (2025). Extended High-Frequency Hearing Loss and Suprathreshold Auditory Processing: The Moderating Role of Auditory Working Memory. Ear and Hearing, 46(5), 1369-1378 (Role: Data collection, editing and revising the manuscript).

Nair A , Mishra, S. K.,  Aryal, S , Qian-jie Fu, John J. GalvinIII. (2025). On the Cocktail-Party Problem: Do Children Use Their Exquisite Hearing at Frequencies Above 8 kHz? Hearing Research, 109327 (Role: Data collection, statistical analysis, editing and revising the manuscript).

Prabhu, P., Aryal, S., Rajan, A., & Kavassery Venkateswaran, N. (2025). Exploring the Impact of Misophonia Through the Lens of the World Health Organization's International Classification of Functioning, Disability and Health Framework. J Am Acad Audiol, 36(4), 321-333 (Role: Writing and editing the manuscript, statistical analysis)

Shankar, S., Aryal, S., & Prabhu, P. (2025). Binaural Processing and Auditory Working Memory in Individuals With Stuttering. Journal of Health & Allied Sciences NU, 15(3) (Role: editing the manuscript, statistical analysis)

2024

Aryal, S., & Prabhu, P. (2024). Loudness tolerance level among individuals with misophonia: A psychoacoustic assessment. Hearing Balance and Communication, 22(4), 115-121.

Aryal, S., & Prabhu, P. (2024). Auditory cortical functioning in individuals with misophonia: an electrophysiological investigation. European Archives of Oto-Rhino-Laryngology, 281(5), 2259-2273.

Aryal, S., & Prabhu, P. (2024). Auditory efferent pathway functioning in individuals with misophonia. Auditory and Vestibular Research.

Bhattarai, A., Aryal, S., Bhattarai, P., & Ghimire, A. (2024). Examining the Quality of Life of Hearing-Impaired Children in Nepal with Cochlear Implants: Perspectives From Parents. Indian Journal of Otolaryngology and Head & Neck Surgery, 76(4), 3114-3121 (Role: editing and revising the manuscript).

Yadav, N., Aryal, S., Gupta, D. K., Kaushik, C., & Prabhu, P. (2024). Prevalence of misophonia and its characteristics among Amity University students in India. Indian Journal of Otology, 30(2), 90-95.(Role: editing and revising the manuscript, statistical analysis).

Prabhu, P., Kannancheeri, A., Aryal, S., & Nisha, K. V. (2024). Profiling the Impact of Tinnitus in Indian Population Using International Classification of Functioning Classification System: A Cross-Sectional Study. Auditory and Vestibular Research (Role: editing and revising the manuscript).

2023

Raza, A. F., Aryal, S., & Prabhu, P. (2023). Indicators for cochlear implantation in children with auditory neuropathy spectrum disorder: A systematic review. International Journal of Pediatric Otorhinolaryngology, 174, 111737. (Role: Writing and editing the manuscript)

Aryal, S., & Prabhu, P. (2023). Understanding misophonia from an audiological perspective: a systematic review. European Archives of Oto-Rhino-Laryngology, 280(4), 1529-1545.

Aryal, S., & Prabhu, P. (2023). Auditory brainstem functioning in individuals with misophonia. Journal of Otology, 18(3), 139-145.

Aryal, S., Sharma, Y., & Prabhu, P. (2023). A systematic review of the efficacy of cochlear implantation in adults with auditory neuropathy spectrum disorders. The Egyptian Journal of Otolaryngology, 39(1), 177.

Sanjay, S., Aryal, S., KVenkateswaran, N., & Prabhu, P. (2023). Binaural Processing and Auditory Working Memory in Individuals with Tinnitus Having Normal Hearing Sensitivity. The Journal of International Advanced Otology, 19(3), 175 (Role: Writing and editing the manuscript, statistical analysis)

Aryal, S., & Prabhu, P. (2023). Awareness and perspectives of audiologists on assessment and management of misophonia in India. Journal of Otology, 18(2), 104-110 

2022

Aryal, S., Bhattarai, B., Prabhu, P., & Bhattarai, B. (2022). Impact of hearing loss on the quality of life in adults with hearing impairment. Nepalese Medical Journal, 5(2), 597-601.

Aryal, S., Bhattarai, B., & Prabhu, P. (2022). Development and Standardization of Hearing Handicap Inventory for Adult (Screening Version) in Nepali Language. Indian Journal of Otolaryngology and Head & Neck Surgery, 74(Suppl 3), 4409-4414.

Aryal, S., Bhattarai, B., & Prabhu, P. (2022). Development and standardization of Morningness-Eveningness questionnaire (MEQ) in the Nepali language. Biological Rhythm Research, 53(11), 1692-1701.

Aryal, S., & Prabhu, P. (2022). Misophonia: prevalence, impact and co-morbidity among Mysore University students in India-a survey. Neuroscience Research Notes, 5(4), 161-161.

Aryal, S., Bhatarai, P., & Prabhu, P. (2022). Awareness and experience of tinnitus in Nepalese young adult population. Annals of Otology and Neurotology, 5(01), 036-043.

Aryal, S., Sharma, Y., & Prabhu, P. (2022). Prevalence of tinnitus and its characteristics among Indian adult population. Annals of Otology and Neurotology, 5(01), 015-020.

2021

Aryal, S., & Prabhu, P. (2021). Audiological manifestations of Ramsay hunt syndrome type II with multicranial nerve involvement. Indian Journal of Otology, 27(4), 241-244.

Full list of publication: Google scholar

CONFERENCE PRESENTATION

2026

Aryal, S & Mishra, SK (2026). Low-Frequency Cochlear Compressive Nonlinearity Altered by Extended High-Frequency Hearing Loss. American Auditory Society. Feb 26-28 (Podium accepted)

Nair A, Alba P, Aryal S & Mishra SK (2026). Subcortical Encoding of Temporal Envelopes Facilitates Speech Stream Segregation. American Auditory Society. Feb 26-28 (Podium accepted)

Garinis A, Aryal S, Mishra SK, Putterman D, Vachhani J, & Sonstroem A (2026). DPOAE Input-Output Functions in Preterm Neonates. American Auditory Society. Feb 26-28 (Podium accepted)

Aryal, S & Mishra, SK (2026). Extended High-Frequency Hearing Loss and Cochlear Compression in Normal-Hearing Young Adults: Evidence Beyond the Audiogram (Student Research Award Platform Session). National Hearing Conservation Association. Feb 5-7

Aryal S, Cheng FY, Mishra SK & Smith S (2026). Extended High-Frequency Hearing Loss Disrupts Neural Encoding of Speech at the Brainstem. American Academy of Audiology. April 22-25, 2026 (Accepted, Student Research Forum award)

Alba P, Nair A, Aryal S & Mishra SK (2026). From Compression to Periodicity: Cochlear Influences on
Suprathreshold Neural Encoding. Association for Research in Otolaryngology, February 7–11 (Accepted)

Aryal S, Cheng FY, Mishra SK & Smith S (2026). Extended High-Frequency Hearing Loss Disrupts Neural Encoding of Speech at the Brainstem. World Congress of Audiology. May 24-28, 2026 (Oral presentation Accepted, ISA Student Scholarship Awardee)

2025

Aryal, S & Mishra SK (2025). Cochlear Damage Beyond the Audiogram: Extended High-Frequency Hearing Loss and Altered Cochlear Compression in Normal-Hearing Young Adults. Acoustical Society of America. Dec 1-5

Smith S, Aryal, S & Cheng FY (2025). Extended High Frequency Hearing Predicts Neural Encoding and Perception of Speech in the Standard Frequency Range. Acoustical Society of America. Dec 1-5

Aryal S, Cheng FY, Mishra SK & Smith S (2025). Beyond the Audiogram: Brainstem Encoding and Behavioral Correlates of EHF Speech. International Evoked Response Audiometry Study Group, June 14–18 (Travel awardee, Oral presentation)

Mishra SK, & Aryal, S (2025) Individual differences in cochlear compressive nonlinearity: Relation to extended high frequency hearing and implications for suprathreshold auditory processing. International Symposium on Hearing (Student awardee). June 1-6

Aryal S, Cheng FY & Smith S (2025). Extended High-Frequency Hearing Sensitivity Predicts Neural Speech Encoding and Speech-in-Noise Perception in the Standard Frequency Range. End of year talk, Speech, Language and Hearing Science department, UT

 Aryal S, Cheng FY & Smith S (2025). Neural Encoding of Extended High-Frequency Stimuli: Implications for Speech Perception. American Auditory Society Conference, February 13–15

Aryal S, Cheng FY & Smith S (2025). Impacts of Extended High-Frequency Hearing Loss on Neural Encoding and Perception of Speech. Association for Research in Otolaryngology, February 21–26

Aryal S, Chawla A & Mishra SK (2025). Cochlear Frequency Selectivity and Extended High-Frequency Hearing in Listeners with Normal Audiograms. Association for Research in Otolaryngology, February 21–26 (Travel awardee)

2024

Aryal, S & Mishra SK (2024). Little Ears, Big Challenge: Do Children Hear Each Other Better? World Congress of Audiology. September 19-22

Aryal, S, Chawla A & Mishra SK (2024). Cochlear frequency selectivity and extended high frequency hearing in individuals with normal audiograms. International Symposium on Hearing.

Aryal, S & Mishra SK (2024). Cochlear Frequency Selectivity and Extended High-frequency Hearing in Listeners with Normal Audiograms. End of year talk, Speech, Language and Hearing Science department, UT

Aryal, S & Mishra SK (2024). Cochlear Frequency Selectivity and Extended High-frequency Hearing in Listeners with Normal Audiograms. American Auditory Society Conference. February 15th -17th

2023

Aryal, S & Prabhu, P. (2023). Test batteries for Assessment of Misophonia from audiological perspectives. Misophonia Convention (oral virtual presentation, November 4th)

2022

Aryal, S & Prabhu, P. (2022). Awareness and perspectives of audiologists in assessment and management of misophonia in India. IALP Audiology Conference, August 25-27

Aryal, S & Prabhu, P. (2022). Auditory cortical functioning in individuals with misophonia: An electrophysiological investigation. IALP Audiology Conference, August 25-27

2021

Aryal S., Ghimire S., Kumar S., (2021). Auditory gating in hearing loss. Journal club; All- India Institute of Speech and Hearing.

2018

Aryal, S., Bhattarai, B., & Bhattarai, B. (2018). Impact of hearing loss on quality of life among adults. Speech and Hearing Association of Nepal Conference, Kathmandu, Nepal