Noise-Induced Hearing Loss in Professional Orchestral Musicians

2013 ◽  
Vol 38 (2) ◽  
pp. 223-234 ◽  
Author(s):  
Małgorzata Pawlaczyk-Łuszczyńska ◽  
Małgorzata Zamojska ◽  
Adam Dudarewicz ◽  
Kamil Zaborowski
Keyword(s):  
Hearing Loss ◽  
High Frequency ◽  
Noise Exposure ◽  
Hearing Threshold ◽  
Noise Induced Hearing Loss ◽  
Occupational Risk Factors ◽  
Threshold Levels ◽  
Exposed Population ◽  
Orchestral Musicians ◽  
The Impact

Abstract The overall purpose of this study was to assess hearing status in professional orchestral musicians. Standard pure-tone audiometry (PTA) and transient-evoked otoacoustic emissions (TEOAEs) were per- formed in 126 orchestral musicians. Occupational and non-occupational risk factors for noise-induced hearing loss (NIHL) were identified in questionnaire inquiry. Data on sound pressure levels produced by various groups of instruments were also collected and analyzed. Measured hearing threshold levels (HTLs) were compared with the theoretical predictions calculated according to ISO 1999 (1990). Musicians were exposed to excessive sound at weekly noise exposure levels of for 81-100 dB (mean: 86.6±4.0 dB) for 5-48 years (mean: 24.0±10.7 years). Most of them (95%) had hearing corresponds to grade 0 of hearing impairment (mean hearing threshold level at 500, 1000, 2000 and 4000 Hz lower than 25 dB). However, high frequency notched audiograms typical for noise-induced hearing loss were found in 35% of cases. Simultaneously, about 35% of audiograms showed typical for NIHL high frequency notches (mainly occurring at 6000 Hz). When analyzing the impact of age, gender and noise exposure on hearing test results both PTA and TEOAE consistently showed better hearing in females vs. males, younger vs. older musicians. But higher exposure to orchestral noise was not associated with poorer hearing tests results. The musician’s audiometric hearing threshold levels were poorer than equivalent non-noise-exposed population and better (at 3000 and 4000 Hz) than expected for noise-exposed population according to ISO 1999 (1990). Thus, music impairs hearing of orchestral musicians, but less than expected from noise exposure.

Noise Exposure and Hearing Disorders

2017 ◽  
Author(s):  
David C. Byrne ◽  
Thais C. Morata
Keyword(s):  
Hearing Loss ◽  
Noise Exposure ◽  
Hearing Protection ◽  
Noise Induced Hearing Loss ◽  
Hearing Disorders ◽  
Industrial Noise ◽  
Significant Impairment ◽  
Protection Devices ◽  
The Impact ◽  
Occupational Hearing Loss

Exposure to industrial noise and the resulting effect of occupational hearing loss is a common problem in nearly all industries. This chapter describes industrial noise exposure, its assessment, and hearing disorders that result from overexposure to noise. Beginning with the properties of sound, noise-induced hearing loss and other effects of noise exposure are discussed. The impact of hearing disorders and the influence of other factors on hearing loss are described. Typically, noise-induced hearing loss develops slowly, and usually goes unnoticed until a significant impairment has occurred. Fortunately, occupational hearing loss is nearly always preventable. Therefore, this chapter gives particular attention to recommendations for measures to prevent occupational hearing loss such as engineering noise controls and hearing protection devices.

Hearing loss associated with weapons noise exposure: when to investigate an asymmetrical loss

1995 ◽  
Vol 109 (4) ◽  
pp. 291-295 ◽  
Author(s):  
H. J. Cox ◽  
G. R. Ford
Keyword(s):  
Hearing Loss ◽  
Noise Exposure ◽  
Hearing Threshold ◽  
Routine Testing ◽  
Threshold Levels ◽  
Average Loss ◽  
The Right ◽  
Air Conduction ◽  
Selection Of

AbstractThe air conduction thresholds in the right and left ears, and the interaural asymmetry of thresholds at 0.5, 1, 2, 3, 4 and 6 kHz were measured in a group of 225 soldiers exposed to a variety of weapon noise who were referred for assessment because of a deterioration in hearing on routine testing. At 0.5 and I kHz the threshold levels rarely exceeded 25 dB and the interaural asymmetry was 10 dB or less in 90 per cent of cases. The degree of hearing loss and interaural asymmetry increased as the frequency increased, with the average loss being significantly greater in the left ear at 2, 3, 4 and 6 kHz.Recommendations are made for the selection of cases of asymmetrical hearing loss exposed to weapon noise which require further investigation to exclude a retrocochlear cause or to define spurious hearing threshold levels.

scholarly journals Prevalence of Hearing Loss in Military Aviators: The Audiometry and Risk Factors Analysis

2014 ◽  
Vol 9 (1) ◽  
pp. 19-24
Author(s):  
MR Alam ◽  
MA Wahab ◽  
MM Rahman ◽  
AKM Asaduzzaman ◽  
MAS Al-Azad ◽  
...  
Keyword(s):  
Risk Factors ◽  
Hearing Loss ◽  
Noise Exposure ◽  
Health Hazard ◽  
Hearing Threshold ◽  
Armed Forces ◽  
Cross Sectional Study ◽  
Noise Induced Hearing Loss ◽  
Cross Sectional ◽  
Medical Checkup

Introduction: Noise Induced Hearing Loss (NIHL) is an occupational health hazard linked with noise exposure of more than 85 dB. Aircraft noise and other occupational noise exposure cause military aviators more susceptible to NIHL than commercial jet pilots. Aim: To find out the prevalence of noise induced hearing loss among different military aircrew population with special emphasis on identifying the associated risk factors. Materials and Methods: This cross sectional study was conducted on Kuwait Air force pilots those who came for annual medical checkup from July 2010 to July 2012. Audiometry of all subjects was done by ENT specialist and necessary data were collected by structured questionnaires. All data were analyzed by SPSS (Statistical Package for the Social Sciences) version 17.0 Results: Out of 221 aircrew 32 (14.48%) developed NIHL. Hearing loss was mild to moderate and predominately at high frequencies. Most affected group was helicopter pilots. Pilots of more than 40 years of age and those who had more than 1000 flying hours had mean hearing threshold more than other groups. The right ear was affected in majority of cases than left ear. Conclusion: Noise exposure to aircrew is inevitable so hearing loss prevention strategies might play a pivotal role to save aircrew hearing. Active surveillance of hearing protection practices might have beneficiary effect. Steps can be taken for early detection of NIHL and hearing conservation program. DOI: http://dx.doi.org/10.3329/jafmc.v9i1.18721 Journal of Armed Forces Medical College Bangladesh Vol.9(1) 2013: 19-24

scholarly journals Investigation of Tinnitus Patients in Italy: Clinical and Audiological Characteristics

2010 ◽  
Vol 2010 ◽  
pp. 1-8 ◽  
Author(s):  
Francesco Martines ◽  
Daniela Bentivegna ◽  
Fabiola Di Piazza ◽  
Enrico Martines ◽  
Vincenzo Sciacca ◽  
...  
Keyword(s):  
Hearing Loss ◽  
High Frequency ◽  
Pure Tone ◽  
Hearing Threshold ◽  
Related Factors ◽  
High Frequencies ◽  
Tinnitus Severity ◽  
Hearing Status ◽  
Neural Connection ◽  
The Impact

Objective. 312 tinnitus sufferers were studied in order to analyze: the clinical characteristics of tinnitus; the presence of tinnitus-age correlation and tinnitus-hearing loss correlation; the impact of tinnitus on subjects' life and where possible the etiological/predisposing factors of tinnitus.Results. There is a slight predominance of males. The highest percentage of tinnitus results in the decades 61–70. Of the tinnitus sufferers, 197 (63.14%) have a hearing deficit (light hearing loss in 37.18% of cases). The hearing impairment results of sensorineural type in 74.62% and limited to the high frequencies in 58.50%. The tinnitus is referred as unilateral in 59.93%, a pure tone in 66.99% and 10 dB above the hearing threshold in 37.7%. It is limited to high frequencies in 72.10% of the patients with sensorineural hearing loss (SNHL) while the 88.37% of the patients with high-frequency SNHL have a high-pitched tinnitus ( ).Conclusion. Hearing status and age represent the principal tinnitus related factors; there is a statistically significant association between high-pitched tinnitus and high-frequency SNHL. There is no significant correlation between tinnitus severity and tinnitus loudness confirming the possibility that neural connection involved in evoking tinnitus-related negative reactions are governed by conditioned reflexes.

scholarly journals Noise Exposure and Hearing Threshold Profile among Zumba Fitness Regulars in Kuantan, Pahang, Malaysia

2020 ◽  
Vol 19 (2) ◽  
Author(s):  
Razali A ◽  
Othman MS ◽  
Rahman MS ◽  
Misaridin NFI
Keyword(s):  
Hearing Loss ◽  
Noise Exposure ◽  
Hearing Threshold ◽  
Sound Level ◽  
Hearing Level ◽  
Noise Induced Hearing Loss ◽  
Loud Noise ◽  
Abnormal Pattern ◽  
Level Meter ◽  
Hearing System

INTRODUCTION: Recreational noise exposure has become a major threat to the hearing system, and this includes exposure to loud noise during group exercises such as Zumba Fitness, where loud music plays an important role. This study aimed to assess the noise exposure and hearing threshold profile among Zumba Fitness regulars in Kuantan, Malaysia. MATERIALS AND METHODS: Noise exposure and hearing profile threshold were measured during Zumba Fitness sessions at a fitness studio in Kuantan, Malaysia from 24th June 2014 to 12th August 2014. Noise exposure was measured using a noise dosimeter for one hour of Zumba Fitness session with a total of nine sessions run by three different instructors while sound level pressure was taken using a sound level meter during ambient, peak session and during cooling down. Thirty participants answered questionnaires and underwent pure tone diagnostic audiometry test at a local clinic for hearing threshold documentation. RESULTS: Some areas of the hall posed higher risks of causing noise-induced hearing loss especially near the amplifiers. There were periods when the hearing level exceeded 115 dBA. Early abnormal pattern could be observed in the hearing profiles of some of the participants to suggest preliminary hearing problems. CONCLUSION: Zumba Fitness regulars have a risk of developing noise-induced hearing loss and preventive steps should be properly addressed as NIHL is permanent and irreversible.

scholarly journals Personal Music Players Use and Other Noise Hazards among Children 11 to 12 Years Old

2020 ◽  
Vol 17 (18) ◽  
pp. 6934
Author(s):  
Weronika Swierniak ◽  
Elzbieta Gos ◽  
Piotr Henryk Skarzynski ◽  
Natalia Czajka ◽  
Henryk Skarzynski
Keyword(s):  
Risk Factors ◽  
Hearing Loss ◽  
Young Children ◽  
Computer Games ◽  
Noise Exposure ◽  
Leisure Activities ◽  
Convincing Evidence ◽  
Noise Induced Hearing Loss ◽  
Hearing Thresholds ◽  
The Impact

Exposure to loud music—due to widespread personal music players (PMPs) and noisy leisure activities—are major risk factors for noise induced hearing loss (NIHL) in adolescents. However, there is little evidence of the impact of noise on the hearing of younger children. This study aimed to explore an association between PMP use and hearing, and to identify other sources of noise among children. The study sample consisted of 1032 children aged 11–12 years old. Hearing thresholds were determined from 0.5 to 8 kHz. PMP use and other noise exposures were evaluated using a survey. We found that 82% of the children had a PMP, and 78% were exposed to noise when playing computer games. An audiometric notch was documented in 1.3% of the children. Only 11.5% of the children ever used hearing protection while engaged in noisy activities. We found no convincing evidence of an association between PMP use and hearing thresholds, although our results suggest that tinnitus may be an early sign of NIHL in young children. The study shows a need to provide children, their parents, and educators with knowledge of how to take care of hearing, including how to avoid and minimize noise exposure.

scholarly journals Prevalance of Noise Induced Hearing Loss among Traffic Police Personnel of Kathmandu Metropolitan City

2012 ◽  
Vol 9 (4) ◽  
pp. 274-278 ◽  
Author(s):  
I Shrestha ◽  
B L Shrestha ◽  
M Pokharel ◽  
R C M Amatya ◽  
D R Karki
Keyword(s):  
Hearing Loss ◽  
Noise Exposure ◽  
Positive Impact ◽  
Hearing Threshold ◽  
Pure Tone Audiometry ◽  
University Hospital ◽  
P Value ◽  
Noise Induced Hearing Loss ◽  
Traffic Police ◽  
Police Personnel

Background Noise induced hearing loss (NIHL) is a major preventable occupational health hazard. Objective To measure permanent threshold shift in traffic police personnel due to noise exposure and to examine whether it was associated with duration of noise exposure, years of work and risk factors. Methods Cross sectional, descriptive study conducted at Dhulikhel hospital, Kathmandu University Hospital in 110 responding traffic police personnel. Detailed history and clinical examination of ear, impedence audiometry and pure tone audiometry was performed. Results Mean age group was 29.82 years; 82(74.5%) were males and 28 (25.5%) were females. Mean duration of service is 11.86 years. Twenty six (23.6%) had tinnitus and 39(35.5%) had blocked sensation in ear. Sixty five (59.1%) worked between 10-19 years. Alcohol and smoking shows positive impact on NIHL (p value =0.00). Odds ratio with 95% confidence interval were 4.481 (1.925-10.432) and 6.578 (2.306-18.764) respectively. Among 73(66.4%) noise induced hearing loss positive cases, bilateral involvement was seen in 45 (40.9%) and unilateral in 28(25.4 %) cases. Among unilateral cases most were left sided. Hearing threshold at 4 kHz increased according to age and duration of service. Conclusion Traffic police personnel are in constant risk of noise induced hearing loss. Screening for hearing loss is recommended for people exposed to noise.DOI: http://dx.doi.org/10.3126/kumj.v9i4.6343 Kathmandu Univ Med J 2011;9(4):274-8

scholarly journals Effect of Workplace Noise on Hearing Ability in Tile and Ceramic Industry Workers in Iran: A 2-Year Follow-Up Study

2013 ◽  
Vol 2013 ◽  
pp. 1-7 ◽  
Author(s):  
Mehrdad Mostaghaci ◽  
Seyyed Jalil Mirmohammadi ◽  
Amir Houshang Mehrparvar ◽  
Maryam Bahaloo ◽  
Abolfazl Mollasadeghi ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Noise Exposure ◽  
Hearing Threshold ◽  
Threshold Shift ◽  
Noise Induced Hearing Loss ◽  
Follow Up Study ◽  
Hearing Ability ◽  
The Right ◽  
Ceramic Workers

Introduction. Noise as a common physical hazard may lead to noise-induced hearing loss, an irreversible but preventable disorder. Annual audiometric evaluations help detect changes in hearing status before clinically significant hearing loss develops. This study was designed to track hearing threshold changes during 2-year follow-up among tile and ceramic workers.Methods. This follow-up study was conducted on 555 workers (totally 1110 ears). Subjects were divided into four groups according to the level of noise exposure. Hearing threshold in conventional audiometric frequencies was measured and standard threshold shift was calculated for each ear.Results. Hearing threshold was increased during 2 years of follow-up. Increased hearing threshold was most frequently observed at 4000, 6000, and 3000 Hz. Standard threshold shift was observed in 13 (2.34%), 49 (8.83%), 22 (3.96%), and 63 (11.35%) subjects in the first and second years of follow-up in the right and left ears, respectively.Conclusions. This study has documented a high incidence of noise-induced hearing loss in tile and ceramic workers that would put stress on the importance of using hearing protection devices.

scholarly journals Hearing Loss in Agricultural Workers Exposed to Pesticides and Noise

2019 ◽  
Vol 63 (7) ◽  
pp. 707-718 ◽  
Author(s):  
Nattagorn Choochouy ◽  
Pornpimol Kongtip ◽  
Suttinun Chantanakul ◽  
Noppanun Nankongnab ◽  
Dusit Sujirarat ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Frequency Band ◽  
High Frequency ◽  
Noise Exposure ◽  
Hearing Threshold ◽  
Agricultural Workers ◽  
Agricultural Machinery ◽  
High Frequency Band ◽  
Full Cohort ◽  
Increased Risk

AbstractAgricultural workers who have concurrent exposure to pesticides and noise are at increased risk of hearing loss. We recruited 163 Thai conventional and 172 organic farmers to answer our questionnaires about personal demographics, agricultural activities, and pesticide and agricultural machinery use. This information was used to calculate the years of conventional (pesticide use) farming and the years of agricultural noise exposure, and to estimate semiquantitative metrics for pesticide exposure (cumulative intensity score-years) and cumulative noise exposure (dB(A)-years) for each conventional farmer. All participants underwent pure tone audiometric testing. The mean hearing threshold in the low-frequency band (0.5–2 kHz) and high-frequency band (3–6 kHz) were used for analysis. Years involved in conventional farming and years using agricultural machinery were associated with an increase in the average hearing threshold for the high-frequency band after controlling for age, ever exposed to industrial noise and cigarette smoking. The highest category of cumulative insecticide exposure (score-years), cumulative organophosphates exposure (score-years) and cumulative noise exposure (dB(A)-years) were also associated with an increased high-frequency band hearing threshold among conventional farmers. Results from the full cohort and the subcohort of conventional farmers support each other and the hypothesis that pesticide and noise have an additive effect on hearing, since no model interactions were significant.

Vestibular-evoked myogenic potentials in chronic noise-induced hearing loss

2007 ◽  
Vol 137 (4) ◽  
pp. 607-611 ◽  
Author(s):  
Yen-Pin Wang ◽  
Yi-Ho Young
Keyword(s):  
Hearing Loss ◽  
Prospective Study ◽  
Noise Exposure ◽  
Hearing Threshold ◽  
Vestibular Evoked Myogenic Potentials ◽  
Noise Induced Hearing Loss ◽  
Vestibular Evoked Myogenic Potential ◽  
Myogenic Potential ◽  
Abnormal Rate ◽  
Sacculocollic Reflex

Objective To investigate the effect of chronic noise exposure on vestibular-evoked myogenic potentials. Study Design Prospective study. Subjects and Methods Twenty patients with chronic noise-induced hearing loss, presenting as bilateral notched audiogram at 4 kHz, underwent audiometry, caloric, and vestibular-evoked myogenic potential tests. Results Caloric and vestibular-evoked myogenic potential tests revealed abnormal responses in nine (45%) and 10 (50%) patients, respectively. However, when both results were considered together, the abnormal rate reached 70% (14 of 20). The hearing threshold of 4 kHz significantly associated with vestibular-evoked myogenic potential results (ie, vestibular-evoked myogenic potential was abnormal in patients with greater degrees of hearing loss), but not with caloric responses. Conclusion Patients with bilateral 4-kHz notched audiogram and hearing threshold of 4 kHz >40 dB may show abnormal (absent or delayed) vestibular-evoked myogenic potentials, indicating that the vestibular part, especially the sacculocollic reflex pathway, has also been damaged.

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