Abstract

Noise-induced permanent threshold shifts (NIPTS) were computed from retrospective audiometric analyses by subtracting aging effects on hearing sensitivity in sixty-eight patients with bilateral sensorineural hearing loss who reported significant occupational noise exposure histories. There were significant effects of age on NIPTS but no significant gender- or ear- differences in terms of NIPTS. The NIPTS at 2,000 Hz was found to be significantly greater than NIPTS at frequencies 500 Hz, 1,000 Hz, 4,000 Hz, and 8,000 Hz. Defined noise notches were seen in the audiograms of 38/136 (27%) ears with SNHL. Results support models that suggest interactive effects of aging and noise on sensorineural hearing loss in ears with occupational noise exposure.

Highlights

  • Occupational noise-induced hearing loss (NIHL) is defined as bilateral sensorineural hearing loss that develops slowly over a period of several years as the result of exposure to continuous or intermittent loud noise in the workplace

  • Age- and gender- corrected Noise-induced permanent threshold shifts (NIPTS) data obtained at audiometric frequencies on both ears of all subjects above were statistically analyzed to study the effects of age, gender, ear, and audiometric frequency

  • Multivariate analyses of variance (MANOVA) were conducted on NIPTS data obtained above to evaluate the effects of various factors with repeated measures on the audiometric frequency factor

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Summary

Introduction

Occupational noise-induced hearing loss (NIHL) is defined as bilateral sensorineural hearing loss that develops slowly over a period of several years as the result of exposure to continuous or intermittent loud noise in the workplace. Tinnitus and NIHL have been commonly reported in military personnel who are routinely exposed to occupational noise [1]. Estimates suggest that large numbers (approximating between 5 and 30 million) Americans are exposed to hazardous noise levels in the workplace [2]. About one out of every four workers will develop permanent hearing loss [3]. Occupational noise-induced hearing loss can significantly influence worker. The first sign of hearing loss from noise exposure is a notching of the audiogram at 3,000, 4,000, or 6,000

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