Ear Health Research Articles

“I have a sis in the profession for life, that’s who my mentor is”: evaluating a pilot mentoring programme for Aboriginal and Torres Strait Islander speech pathology students and professionals

Aboriginal and Torres Strait Islander peoples face significant challenges in accessing mainstream health services due to the ongoing impacts of racism, colonisation, and intergenerational trauma. To address health inequalities, it is important to build Aboriginal and Torres Strait Islander workforce capacity in the health professions where there is significant under-representation. A pilot mentoring programme was developed to support Aboriginal and Torres Strait Islander ear and hearing health professionals and students, which aimed to understand their expectations and experiences. Six participants enrolled in the study, two mentors and four mentees, all from a speech pathology background. The study found that maintaining relationships with other Aboriginal speech pathologists was vital for longevity in the profession. The study stresses the importance of workplaces and universities ensuring that individuals are not thrown into culturally unsafe situations and that they are culturally safe and responsive.

Telemedicine-Enabled Otoscopes as Catalysts for Accessible and Preventive Ear Health Care: Systematic Review and Meta-analysis

Background: Maintaining optimal hearing health and preventing ear infections is crucial across all life stages, spanning from before birth and infancy to middle age and beyond. The primary aim of the research was to evaluate and compare the effectiveness of the telemedicine-enabled otoscope (TEO) in diagnosing ear diseases with that of the conventional otoscope. Materials and Methods: The databases PubMed, Cochrane, and Embase were thoroughly searched to find original studies on TEO at the community as well as hospital levels along with meta-analysis for comparison with standard diagnostic methods using traditional otoscopes. Results: The telemedicine-equipped otoscope displays a sensitivity of 82% (confidence interval 0.78–0.95) and a specificity of 95% (confidence interval 0.93–0.96). When employed by physicians, the combined sensitivity and specificity become 84% (confidence interval 0.79–0.88) and 91% (confidence interval 0.87–0.94), respectively. Community Health Workers (CHWs) using telemedicine-enabled otoscopes exhibit a collective sensitivity of 80% (confidence interval 0.72–0.87) and a collective specificity of 97% (confidence interval 0.95–0.98). Snapping multiple photographs and removal of cerumen where necessary in increasing the quality of the photographs for diagnosis. Conclusions: The TEO holds the promise of substantially enhancing the accessibility of audiology services, encompassing evaluation, public outreach, and fundamental care. Its implementation has the potential to fortify primary health care environments, contributing to the prevention of ear diseases and assisting in mitigating the shortage of skilled ear care professionals.

EarMonitor: Non-clinical Assessment of Ear Health Conditions Using a Low-cost Endoscope Camera on Smartphones

Hearing loss affects 20% of the global population, a rate that is increasing dramatically as the world's population ages. Early prevention and identification of ear diseases can significantly reduce the risk of becoming disabled with hearing impairment. We propose EarMonitor, an interactive, vision-based ear health monitoring system that enables users to examine their ear conditions with a low-cost hand-held endoscope. EarMonitor can detect six ear health conditions suitable for self-assessment. It can particularly recognize complications from ear diseases, helping users better understand the results. In the wild, our computer vision algorithm achieves a detection sensitivity of 0.949 for earwax buildup and blockage in 100 external auditory canal photos; our deep learning model achieves an average detection sensitivity of 0.861 for the other five conditions considering complications in 350 tympanic membrane photos. We validated EarMonitor 's effectiveness through a user study involving 17 participants and two experts, leading to valuable insights regarding the design and interpretation of non-clinical assessment devices.

Prevalence and Pattern of Ear Disease Among Primary School Students in Samoa: Preliminary Results from ENT Clinic Outreach to Urban, Rural and Remote Settings.

Objectives: To assess the prevalence and pattern of ear disease among students attending primary school in urban, rural, and remote regions of Samoa in order to develop an evidence-based national school ear and hearing health program. Methods: Retrospective clinical data review of all primary school students seen by the Ear, Nose & Throat Clinic of Samoa during school-based outreach visits from March 2022 to April 2024. A purposefully designed spreadsheet was created to extract the following information from the clinical records: school location (urban, rural, remote), gender (male, female), age (years), age category (0-4, 5-9, 10-14, 15+ years), right ear diagnosis, left ear diagnosis. Data were entered into the SPSS statistical software package for descriptive statistical analysis and association tests of significance. Results: A total of 1491 primary school students were seen for ear health examinations (51.1% male, 48.9% female), with a mean age of 9.1 years (SD = 2.3). Five primary schools were included, representing urban (n = 865), rural (n = 258), and remote (n = 368) settings. Overall, 682 (45.7%) students had normal ear examination results for both ears, 237 (15.9%) had an ear pathology in 1 ear only, and 568 (38.1%) had ear pathology in both ears. Bilateral ear pathology was significantly higher among students who were in the 5 to 9 age group (P < .00001), female (P = .035), and from rural settings (P = .0001). The most common pathology was impacted cerumen (36.8%), followed by otitis media with effusion (7.5%). Overall prevalence of chronic suppurative otitis media (CSOM) was 2.6% (n = 39 students). Following the school visits, no further intervention was required for 1180 students (79%), mostly due to successful cerumen and foreign body removals for 468 students (31.4%). Conclusion: Impacted cerumen is a significant issue among Samoan school-aged students, and future school-based ear health programs should include staff members trained in cerumen removal. CSOM prevalence suggests an avoidable burden of disease that must be addressed.

Uncovering the impact and mechanisms of air pollution on eye and ear health in China

Increasing air pollution could undermine human health, but the causal link between air pollution and eye and ear health has not been well-studied. Based on four-week-level records of eye and ear health over 1991-2015 provided by the China Health and Nutrition Survey, we estimate the causal effect of air pollution on eye and ear health. Using two-stage least squares estimation, we find that eye or ear disease possibility rises 1.48% for a 10μg/m3 increase in four-week average PM2.5 concentration. The impacts can last about 28weeks and will be insignificant afterward. Females, individuals aged 60 years and over, with high exposure environments, relatively poor economic foundations, and low knowledge levels are more vulnerable to such negative influences. Behavioral channels like more smoking activities and less sleeping activities could partly explain this detrimental effect. Our findings enlighten how to minimize the impact of air pollution and protect public health.

Long-Term Preclinical Evaluation of a Permanent Stent Developed for the Human Eustachian Tube.

The Eustachian tube (ET) is a bottleneck when it comes to middle ear (ME) health. If its function is impaired, this can lead to serious consequences for the patient, such as hearing problems or deafness. Therefore, this study investigated a tapered nitinol stent (3-5 mm × 14 mm) for the human ET as a potential new permanent treatment for chronic Eustachian tube dysfunction (ETD) and thus ME ventilation disorders. The self-expanding stent was inserted unilaterally into the ET of 24 sheep with observation periods of 3, 6, and 12 months. Local tissue effects and the safety of the stent insertion were analyzed based on regular endoscopic checks, weekly tympanometry measurements, final imaging, and histological examinations. The animals showed no stent-related health restrictions. However, the individual anatomy and stenting procedure had an influence on the results. The tissue reaction in the endoscopic examinations was mild even though no concomitant antibiotics were administered. After all three monitoring periods, stented ETs had a significantly larger ET lumen than the non-stented contralateral ETs. However, tissue growth was detected in the stent. Overall, the first long-term study on an ET stent showed that the tapered ET stent could be a promising treatment option for ETD.

Trajectories of Hearing From Childhood to Adulthood.

The Dunedin Multidisciplinary Health and Development Study provides a unique opportunity to document the progression of ear health and hearing ability within the same cohort of individuals from birth. This investigation draws on hearing data from 5 to 13 years and again at 45 years of age, to explore the associations between childhood hearing variables and hearing and listening ability at age 45. Multiple linear regression analyses were used to assess associations between childhood hearing (otological status and mid-frequency pure-tone average) and (a) age 45 peripheral hearing ability (mid-frequency pure-tone average and high-frequency pure-tone average), and (b) age 45 listening ability (listening in spatialized noise and subjective questionnaire on listening experiences). Sex, childhood socioeconomic status, and adult IQ were included in the model as covariates. Peripheral hearing and listening abilities at age 45 were consistently associated with childhood hearing acuity at mid-frequencies. Otological status was a moderate predicting factor for high-frequency hearing and utilization of spatial listening cues in adulthood. We aim to use these findings to develop a foundational model of hearing trajectories. This will form the basis for identifying precursors, to be investigated in a subsequent series of analyses, that may protect against or exacerbate hearing-associated cognitive decline in the Dunedin Study cohort as they progress from mid-life to older age.

The Current State of Proteomics and Metabolomics for Inner Ear Health and Disease.

Characterising inner ear disorders represents a significant challenge due to a lack of reliable experimental procedures and identified biomarkers. It is also difficult to access the complex microenvironments of the inner ear and investigate specific pathological indicators through conventional techniques. Omics technologies have the potential to play a vital role in revolutionising the diagnosis of ear disorders by providing a comprehensive understanding of biological systems at various molecular levels. These approaches reveal valuable information about biomolecular signatures within the cochlear tissue or fluids such as the perilymphatic and endolymphatic fluid. Proteomics identifies changes in protein abundance, while metabolomics explores metabolic products and pathways, aiding the characterisation and early diagnosis of diseases. Although there are different methods for identifying and quantifying biomolecules, mass spectrometry, as part of proteomics and metabolomics analysis, could be utilised as an effective instrument for understanding different inner ear disorders. This study aims to review the literature on the application of proteomic and metabolomic approaches by specifically focusing on Meniere's disease, ototoxicity, noise-induced hearing loss, and vestibular schwannoma. Determining potential protein and metabolite biomarkers may be helpful for the diagnosis and treatment of inner ear problems.

Knowledge and Practice of Amran University Students toward Ear and Hearing Health

The World Health Organization (WHO) has detected an urgent need for action to prevent and manage ear diseases and hearing loss. However, the first step is to identify the areas of knowledge deficiency within the population. The aim of the study was to evaluate knowledge of university students' community in managing and preventing ear disease and hearing loss. This was a cross-sectional study conducted during February 2023 at Amran University using an online ontological questionnaire. Data was retrieved and processed in Excel spreadsheet and analyzed using SPSS version 29. A total of 330 participants responded to the online questionnaire, of whom 84.5% were male, with a mean age of 21.43 ± 1.77. Among them, 15.8% reported previous ear problems, while 41.2% had relatives with ear or hearing problems. Exposure to loud noise was reported by 37.6%, and 52.2% reported listening to headphones loudly. The overall correct response rate to the statements was 73.2%, indicating a lack of certain important knowledge. The study results showed a need for official campaigns to educate the Yemeni population. Moreover, they indicated the necessity of conducting a survey on a much wider scale to aid in the development of appropriate health communication strategies and the promotion of ear and hearing health.

Understanding Sthanika Upakrama in Karna Rogas: A Traditional Approach to Ear Disorders

This article delves into the traditional Ayurvedic approach of Sthanika Upakrama in managing Karnagata Rogas, or ear disorders, through localized treatments aimed at restoring Doshic balance and alleviating related symptoms. The study explores the methodology and results of employing Sthanika Upakrama as a holistic ear health approach, highlighting its potential benefits in modern healthcare practices. Ayurvedic scholars have outlined specialized methods, such as Karna pramarjana, Karna abhyanaga, Karna poorana, and Karna dhoopana etc, which hold promise for addressing auditory impairments. Amidst a substantial burden of auditory impairment in India, these ancient interventions offer potential solutions to contemporary challenges in auditory health. The integrated approach of Sthanika Upakrama presents a comprehensive strategy to prevent and manage ear-related ailments.

Kegiatan Pemeriksaan Fisik Kesehatan Telinga dalam Rangka Deteksi Dini Otitis Media Supuratif Kronik pada Populasi Lanjut Usia

Maintaining overall body health, including ear hygiene, is very important. The ear is an important organ in the human balance and hearing system. The human ear has self-cleaning capabilities, facilitated by cerumen, which occurs naturally to protect and keep the ear canal moist. However, too much or too little cerumen production can cause complaints such as decreased hearing, itching, and dry ear canals. Cleaning your ears yourself, which often involves inserting objects into the ear canal, can be dangerous. Improper use of cotton buds can push the cerumen deeper, causing blockages and increasing the risk of injury. This activity employs the PDCA (Plan-Do-Check-Act) method to conduct ear health screening for cerumen and tympanic membranes on 61 participants at the Hana Nursing Home. The physical examination results revealed that we could not assess 6 (9.8%) right tympanic membranes, 8 (13.1%) left tympanic membranes, 19 (31.1%) right ear canals, and 21 (34.4%) right ear canals. The participant's left has prop cerumen. Increased awareness and physical examination of the ear, as early detection can improve ear health and prevent ear injury.

Development of the national consensus statement on ear health and hearing check recommendations for Aboriginal and Torres Strait Islander children aged under 6 years attending primary care: systematic scoping review and e-Delphi

BackgroundEarly detection of long-term, often asymptomatic, middle ear infection in young Aboriginal and Torres Strait Islander children is more likely to be achieved when ear health and hearing checks are routinely undertaken in primary healthcare. Evidence consistently demonstrates the adverse impacts of this condition on the development and wellbeing of children and their families. We aimed to develop feasible, evidence- and consensus-based primary healthcare recommendations addressing the components and timing of ear health and hearing checks for Aboriginal and Torres Strait Islander children aged under 6 years, not already known to have, nor being actively managed for, ear and hearing problems.MethodsA 22-person working group comprising Aboriginal and Torres Strait Islander and non-Indigenous members from the primary healthcare, ear, hearing, and research sectors provided guidance of the project. A systematic scoping review addressed research questions relating to primary health ear health and hearing checks for Aboriginal and Torres Strait Islander and other populations at increased risk of persistent ear health problems. Twelve primary studies and eleven guidelines published between 1998 and 2020 were identified and reviewed. Quality and certainty of evidence and risk of bias ratings were completed for studies and guidelines. In the absence of certain and direct evidence, findings and draft recommendations were presented for consensus input to a 79-member expert panel using a modified e-Delphi process. Recommendations were finalised in consultation with working group members and presented to expert panel members for input on considerations relating to implementation.ResultsOverall, the quality, certainty, and directness of evidence in the studies and guidelines reviewed was low. However, the findings provided a basis and structure for the draft recommendations presented during the consensus-building process. After two e-Delphi rounds, seven goals and eight recommendations on the components and timing of Ear Health and Hearing Checks in primary healthcare for young Aboriginal and Torres Strait Islander children were developed.ConclusionsThe systematic scoping review and consensus-building process provided a pragmatic approach for producing strong recommendations within a reasonably short timeframe, despite the low quality and certainty of evidence, and paucity of studies pertaining to primary healthcare settings.

Identification of multiclass tympanic membranes by using deep feature transfer learning and hyperparameter optimization

Middle ear health is a process that generally depends on eardrum health. Middle ear disorders are more common during childhood. Permanent damage may occur in bacterial or viral infections in this region if an early diagnosis is not made. Infectious ear disease, especially known as Otitis Media, is one of the diseases. In this study, morphological features of images are obtained by using various feature extraction methods. Deep feature-based transfer learning and hyperparameter optimization methods were used to detect the presence and type of otitis media. While the EfficientNet convolutional neural network (CNN) model was used to extract deep features, KNN, SVM, and Ensemble classifiers were used as classifiers. Bayesian, Grid Search, and Random Search were used for hyperparameter optimization. As a result of the experiments carried out, it was observed that the classification performance was 99.1%.

Ear and hearing outcomes in Aboriginal infants living in an urban Australian area: the Djaalinj Waakinj birth cohort study

Objective Describe the ear and hearing outcomes in Aboriginal infants in an Australian urban area. Design Aboriginal infants enrolled in the Djaalinj Waakinj prospective cohort study had ear health screenings at ages 2-4, 6-8 and 12-18 months and audiological assessment at ∼12 months of age. Sociodemographic, environmental characteristics, otoscopy, otoacoustic emissions, tympanometry and visual reinforcement audiometry data were collected. Study Sample 125 infants were enrolled in the study; 67 completed audiological assessment, 62, 54, and 58 of whom attended ear screenings at 2-4, 6-8 and 12-18 months. Results Of the children that attended the audiological assessment, 36.5%, 50% and 64.3% of infants had otitis media (OM) at 2-4, 6-8 and 12-18 months. Using a 10 dB correction factor, 44.8% of infants had hearing loss (HL) (≥ 25 dB HL) at ∼ 12 months of age. More males (X2=5.4 (1df, p = 0.02)) and infants with OM at audiological assessment (X2=5.8 (1df, p = 0.02)) had HL. More infants that used a pacifier at 12-18 months of age had HL (X2=4.7 (1df, p = 0.03)). Conclusion Aboriginal infants in an urban area have high rates of HL and OM, which requires early surveillance and timely treatment to reduce the medical and developmental impacts of OM and HL.

Ayurvedic approach towards Karnagata Rogas

The Uttamanga or head occupies the first place among the vital organs of the body. It is due to its substratum of vital and sense organs which includes eyes, ears, nose, oral cavity and CNS. Shalakya Tantra one among the Astangas of Ayurveda deals with the anatomically, physiology, pathology and management pertaining to Jyanendriyas. The ears are one of the Jyanendriya. An ear is the organ that enables hearing and body balancing using the vestibular system. The organ of ear is situated deep below the body surface and inaccessible for inspection with naked eye or palpate. It can be facilitated with the help of modern aids like head mirrors, otoscope, various speculums, mirrors etc and the disorders can be understood on Ayurvedic line i.e., site, underlying Doshas, Dushyas, Lakshanas and should be treated with Ayurvedic line of management. Asatmyendriyartha Samyoga of Indriya i.e Ayoga, Atiyoga and Mithya Yoga of Srotrendriya causes Roga. Factors that affecting ear health are prolong usage of ear phones (particularly when the volume is set close to the maximum), exposure to loud noise/sounds (movie theatres, concerts, firecrackers etc), impacted ear wax, insertion of sharp or unclean particles into the ear, instillation of contaminated solutions, swimming in polluted water, recurrent upper respiratory tract infections, allergies, nutritional deficiency. Noise above 70 dB over a prolonged period of time may start to damage hearing. Loud noise above 120 dB can cause immediate harm to ears. In this article an attempt is made on the understanding Nidana, Samprapti, signs and symptoms and management of Karna Rogas mentioned by various Acharyas in Ayurveda.

Is vestibular function related to human hippocampal volume?

Recent studies implicate the effect of vestibular loss on cognitive decline, including hippocampal volume loss. As hippocampal atrophy is an important biomarker of Alzheimer's disease, exploring vestibular dysfunction as a risk factor for dementia and its role in hippocampal atrophy is of interest. To replicate previous literature on whole-brain and hippocampal volume in semicircular canal dysfunction (bilateral vestibulopathy; BV) and explore the association between otolith function and hippocampal volume. Hippocampal and whole-brain MRI volumes were compared in adults aged between 55 and 83 years. Participants with BV (n = 16) were compared to controls individually matched on age, sex, and hearing status (n = 16). Otolith influence on hippocampal volume in preserved semicircular canal function was evaluated (n = 34). Whole-brain and targeted hippocampal approaches using volumetric and surface-based measures yielded no significant differences when comparing BV to controls. Binary support vector machines were unable to classify inner ear health status above chance level. Otolith parameters were not associated with hippocampal volume in preserved semicircular canal function. No significant differences in whole-brain or hippocampal volume were found when comparing BV participants with healthy controls. Saccular parameters in subjects with preserved semicircular canal function were not associated with hippocampal volume changes.

Remote paediatric ear examination comparing video-otoscopy and still otoscopy clinician rated outcomes

ObjectiveTelemedicine, particularly real time video-otoscopy in rural and remote Australia holds great potential in assessing and managing otology conditions. There is good evidence of store and forward images for assessment, however limited evidence exists for the use of real-time video-otoscopy. The objective of this study was to assess the validity of using real time video-otoscopy, compared to standard store and forward still image otoscopy, in a paediatric population. MethodFifty-two paediatric tympanic membranes in 27 patients were examined and photographed by a telehealth facilitator with prior otoscope training. This occurred at two rural Western Australian health centre sites. These images were stored and forwarded to a tertiary paediatric hospital for otolaryngology department assessment on the day of real-time video-otoscopy consultation. During this consultation the same twenty-seven patients underwent real-time video-otoscopy assessment, which was recorded. Across six domains including, image quality, focus, light, cerumen amount, field of view and tympanic membrane landmarks, real-time video-otoscopy was compared against still image capture. The recording of each real-time video-otoscopy and still image tympanic membrane was assessed by two otology specialists for the ability to diagnose each as either normal or abnormal. An inter-rater reliability agreement was then calculated. ResultsThere was greater image adequacy across five of the six domains for real time video-otoscopy compared to standard store and forward otoscopy images. Substantial agreement in diagnosing each tympanic membrane as either normal or abnormal between each rater was evident. ConclusionThis study supports the use of real time video-otoscopy during telemedicine consultation. With greater image quality, focus, light, field of view and identification of tympanic membrane landmarks video-otoscopy compared to still images has broad clinical applications. This includes primary assessment of the tympanic membrane and post operative follow-up clinical settings. Video-otoscopy offers a promising new way to over-come barriers in delivering ear health care in rural populations.

The Australian Eye and Ear Health Survey (AEEHS): Study protocol for a population-based cross-sectional study.

Vision and hearing impairments are highly prevalent and have a significant impact on physical, psychological and social wellbeing. There is a need for accurate, contemporary national data on the prevalence, risk factors and impacts of vision and hearing loss in Australian adults. The Australian Eye and Ear Health Survey (AEEHS) aims to determine the prevalence, risk factors and impacts of vision and hearing loss in both Aboriginal and Torres Strait Islander and non-Indigenous older adults. The AEEHS is a population-based cross-sectional survey which will include 5,000 participants (3250 non-Indigenous aged 50 years or older and 1750 Aboriginal and Torres Strait Islander people aged 40 years or older) from 30 sites covering urban and rural/regional geographic areas, selected using a multi-stage, random cluster sampling strategy. Questionnaires will be administered to collect data on socio-demographic, medical, ocular and ontological history. The testing battery includes assessment of blood pressure, blood sugar, anthropometry, visual acuity (presenting, unaided, pinhole and best-corrected), refraction, tonometry, slit lamp and dilated eye examination, ocular imaging including optical coherence tomography (OCT), OCT-angiography and retinal photography, and automated visual fields. Audiometry, tympanometry and video otoscopy will also be performed. The primary outcomes are age-standardised prevalence of cause-specific vision and hearing impairment. Secondary outcomes are prevalence of non-blinding eye diseases (including dry eye disease), patterns in health service utilisation, universal health coverage metrics, risk factors for vision and hearing impairment, and impact on quality of life.

The Implementation of the K-Medoid Clustering for Grouping Hearing Loss Function on Excessive Smartphone Use

During the current pandemic, smartphones have become a means of learning for all students in Indonesia, including high school students. Students use smartphones to send assignments, learn via video calls, and conduct online exams. The prolonged use of smartphones, from the beginning of learning hours in the morning to study hours in the evening, has a terrible impact on the ear health of high school students in Padang. Excessive smartphone use caused a decrease in the student's hearing function. Therefore, this study aims to group the audiometry results of high school students in Padang who have a hearing loss function. The audiogram result is only performed as the result of a frequency test of the subject's hearing in both the left and right ear. Conventionally, an otolaryngologist concluded the final decision of hearing loss ability. This research proposed an automatic classification of audiometry results using machine learning methods. The K-Medoids clustering was selected to classify the audiometry data in this research. Of 210 audiometry data, 91 data is confirmed by an otolaryngologist as valid data. By using the K-Medoids clustering, 93 data is classified into Normal hearing, Mild Hearing loss, and Moderate Hearing loss. The proposed model successfully grouped the audiometry data into three categories. The confusion matrix is applied to measure the model performance, which has 28,3% accuracy, 64,3% precision, and 21,4% recall.

The Implementation of the K-Medoid Clustering for Grouping Hearing Loss Function on Excessive Smartphone Use

During the current pandemic, smartphones have become a means of learning for all students in Indonesia, including high school students. Students use smartphones to send assignments, learn via video calls, and conduct online exams. The prolonged use of smartphones, from the beginning of learning hours in the morning to study hours in the evening, has a terrible impact on the ear health of high school students in Padang. Excessive smartphone use caused a decrease in the student's hearing function. Therefore, this study aims to group the audiometry results of high school students in Padang who have a hearing loss function. The audiogram result is only performed as the result of a frequency test of the subject's hearing in both the left and right ear. Conventionally, an otolaryngologist concluded the final decision of hearing loss ability. This research proposed an automatic classification of audiometry results using machine learning methods. The K-Medoids clustering was selected to classify the audiometry data in this research. Of 210 audiometry data, 91 data is confirmed by an otolaryngologist as valid data. By using the K-Medoids clustering, 93 data is classified into Normal hearing, Mild Hearing loss, and Moderate Hearing loss. The proposed model successfully grouped the audiometry data into three categories. The confusion matrix is applied to measure the model performance, which has 28,3% accuracy, 64,3% precision, and 21,4% recall.