Early detection of noise induced hearing loss by using ultra high frequency audiometry

10.5580/3f4 ◽  
2009 ◽  
Vol 10 (2) ◽  
1988 ◽  
Vol 97 (2) ◽  
pp. 133-137 ◽  
Author(s):  
R. J. A. M. van der Hulst ◽  
W. A. Dreschler ◽  
N. A. M. Urbanus

The results of clinical use of routine high frequency audiometry in monitoring the ototoxic side effects of platinum and its derivatives are described in this prospective study. After demonstrating the reproducibility of the technique, we discuss the first results of an analysis of ototoxic side effects in 75 patients (150 ears). Significant differences in the pattern of hearing loss were registered for the different platinum treatment groups (cisplatin 20 mg/m2, cisplatin 50 mg/m2, and carboplatin 350 mg/m2). In the groups receiving cisplatin 50 mg/m2 and carboplatin 350 mg/m2, 42% and 25%, respectively, of the investigated ears proved to be undamaged, versus 9% undamaged in the group receiving cisplatin 20 mg/m2 (p< .01). Ototoxic hearing loss started mainly (46% to 70%) in the higher frequencies (10,000 to 18,000 Hz) and developed into a broader-range hearing loss (1,000 to 18,000 Hz) during treatment in 13% to 43% (p< .01). The onset of hearing damage was influenced by the patient's age (p< .001) and the existence of a troubled otologic history (p< .05). The study demonstrates the important role of high frequency audiometry in early detection and monitoring of ototoxic damage.


2008 ◽  
Vol 51 (6) ◽  
pp. 452-462 ◽  
Author(s):  
Giuseppina Somma ◽  
Antonio Pietroiusti ◽  
Andrea Magrini ◽  
Luca Coppeta ◽  
Carla Ancona ◽  
...  

2017 ◽  
Vol 36 (10) ◽  
pp. 2237-2241 ◽  
Author(s):  
José Luis Treviño González ◽  
Janett Riega Torres ◽  
Yolisa Hinojosa Ríos ◽  
Mario Jesús Villegas González ◽  
Marco A. Mendez Saenz ◽  
...  

Author(s):  
Himanshu Joshi ◽  
Avinash Das

<p class="abstract"><strong>Background:</strong> There has been no study on Indian population which has tested ears prone for “noise induced hearing loss”. Also, no study on recruits of Indian origin could be found in the literature, so an attempt has been made to screen the individuals to prevent noise induced hearing loss.</p><p class="abstract"><strong>Methods:</strong> Otoacoustic emission (OAE) screening is done over recruits before and after first exposure to loud noise of rifle firing in our study. Recruits were followed up at 04 hours, 24 hours, 01 month and 06 months after exposure. Individuals showing variation in OAE at 24 hours were also subjected to pure tone audiometry (PTA) at 01 month and 06 months.  </p><p class="abstract"><strong>Results:</strong> 98 recruits developed ‘refer’ in OAE at initial 4 hours out of which 67 recruits recovered in 24 hours. Remaining 31 recruits (45 ears) when followed up and screened at 01 month shows ‘refer’ in OAE in 22 recruits (37 ears) and high frequency loss on PTA in 17 recruits (31 ears). At 06 months 16 recruits (28 ears) shows ‘refer’ in OAE and 12 recruits (22 ears) shows dip in high frequency in PTA.</p><p class="abstract"><strong>Conclusions:</strong> OAE is more sensitive tool for early detection of noise induced hearing loss. This study also correlates time and frequency involved in OAE in detecting early hearing loss as the individuals who show refer in OAE at both 04 hours and 24 hours with both 3 kHz and 4 kHz involved are more prone for noise induced hearing loss in future.</p>


2011 ◽  
Vol 13 (55) ◽  
pp. 402 ◽  
Author(s):  
AmirH Mehrparvar ◽  
Abbas Ghoreyshi ◽  
Ziba Loukzadeh ◽  
SeyyedJ Mirmohammadi ◽  
Abolfazl Mollasadeghi

Author(s):  
Michaela Škerková ◽  
Martina Kovalová ◽  
Eva Mrázková

The WHO considers hearing loss to be a major global problem. A literature search was conducted to see whether high-frequency audiometry (HFA) could be used for the early detection of hearing loss. A further aim was to see whether any differences exist in the hearing threshold using conventional audiometry (CA) and HFA in workers of different age groups exposed to workplace noise. Our search of electronic databases yielded a total of 5938 scientific papers. The inclusion criteria were the keywords “high frequency” and “audiometry” appearing anywhere in the article and the participation of unexposed people or a group exposed to workplace noise. Fifteen studies met these conditions; the sample size varied (51–645 people), and the age range of the people studied was 5–90 years. Commercial high-frequency audiometers and high-frequency headphones were used. In populations unexposed to workplace noise, significantly higher thresholds of 14–16 kHz were found. In populations with exposure to workplace noise, significantly higher statistical thresholds were found for the exposed group (EG) compared with the control group (CG) at frequencies of 9–18 kHz, especially at 16 kHz. The studies also showed higher hearing thresholds of 10–16 kHz in respondents aged under 31 years following the use of personal listening devices (PLDs) for longer than 5 years. The effect of noise-induced hearing loss (NIHL) first became apparent for HFA rather than CA. However, normative data have not yet been collected. Therefore, it is necessary to establish a uniform evaluation protocol accounting for age, sex, comorbidities and exposures, as well as for younger respondents using PLDs.


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