Conventional Audiometry, Extended High-Frequency Audiometry, and DPOAE for Early Diagnosis of NIHL

Background: Noise most frequently affects hearing system, as it may typically cause a bilateral, progressive sensorineural hearing loss at high frequencies. Objectives: This study was designed to compare three different methods to evaluate noise-induced hearing loss (conventional audiometry, high-frequency audiometry, and distortion product otoacoustic emission). Material and Methods: This was a cross-sectional study. Data was analyzed by SPSS (ver. 19) using chi square, T test and repeated measures analysis. Study samples were workers from tile and ceramic industry. Results: We found that conventional audiometry, extended high-frequency audiometry, low-tone distortion product otoacoustic emission and high-tone distortion product otoacoustic emission had abnormal findings in 29 %, 69 %, 22 %, and 52 % of participants. Most frequently affected frequencies were 4000 and 6000Hz in conventional audiometry, and 14000 and 16000 in extended high-frequency audiometry. Conclusions: Extended high-frequency audiometry was the most sensitive test for detection of hearing loss in workers exposed to hazardous noise compared with conventional audiometry and distortion product otoacoustic.

[1]  D. Kemp.  Stimulated acoustic emissions from within the human auditory system. , 1978, The Journal of the Acoustical Society of America.

[2]  Gil Horovitz,et al.  Detection and Clinical Diagnosis of Noise-Induced Hearing Loss by Otoacoustic Emissions. , 2001, Noise & health.

[3]  J. Lauris,et al.  Occupational Hearing Loss: Tonal Audiometry X High Frequencies Audiometry , 2009 .

[4]  S. Varshney,et al.  Early detection of noise induced hearing loss by using ultra high frequency audiometry , 2008 .

[5]  E. A. D. Costa,et al.  Exposição ao ruído ocupacional: alterações no exame de emissões otoacústicas , 2006 .

[6]  Linda Rosenstock,et al.  Textbook of Clinical Occupational and Environmental Medicine , 1994 .

[7]  Leonardo Conrado Barbosa de Sá,et al.  Analisys of high frequency auditory thresholds in individuals aged between 18 and 29 years with no otological complaints. , 2007, Brazilian journal of otorhinolaryngology.

[8]  E. A. da Costa,et al.  Exposure to occupational noise: otoacoustic emissions test alterations , 2006, Brazilian journal of otorhinolaryngology.

[9]  A. Pietroiusti,et al.  Extended high-frequency audiometry and noise induced hearing loss in cement workers. , 2008, American journal of industrial medicine.

[10]  W. Dreschler,et al.  Noise induced hearing loss and other hearing complaints among musicians of symphony orchestras , 2009, International archives of occupational and environmental health.

[11]  Silvana Frota,et al.  Avaliação dos limiares de audibilidade das altas freqüências em indivíduos entre 18 e 29 anos sem queixas otológicas , 2007 .

[12]  R. Ramsden,et al.  Hearing Loss , 2017, Quick Reference Guide to Pediatric Care.

[13]  Guidelines for manual pure-tone threshold audiometry. , 1978, ASHA.

[14]  M. Mostaghaci,et al.  Amplitude changes in otoacoustic emissions after exposure to industrial noise. , 2012, Noise & health.

[15]  T. Sirimanna,et al.  Aminoglycoside antibiotics cochleotoxicity in paediatric cystic fibrosis (CF) patients: A study using extended high-frequency audiometry and distortion product otoacoustic emissions , 2011, International journal of audiology.

[16]  W Melnick,et al.  American National Standard specifications for audiometers. , 1971, ASHA.

[17]  G. Korres,et al.  Distortion product otoacoustic emissions in an industrial setting. , 2009, Noise & health.

[18]  J. May.  Occupational hearing loss. , 2000, American journal of industrial medicine.

[19]  R. Pääkkönen,et al.  Temporary threshold shift in military pilots measured using conventional and extended high-frequency audiometry after one flight: Medición de cambio temporal de umbral en pilotos militares después de un vuelo, por medio de la audiometría ampliada de altas frecuencias , 2003, International journal of audiology.

[20]  J. Lauris,et al.  [Audiometric evaluation in extended high frequencies of individuals exposed to occupational noise]. , 2004, Pro-fono : revista de atualizacao cientifica.

[21]  Y. Li,et al.  [Application of extended high frequency audiometry in the early diagnosis of noise--induced hearing loss]. , 2000, Zhonghua er bi yan hou ke za zhi.

[22]  H. L. Guida,et al.  Audiologic and Otoacoustic Emission Evaluation in Individuals Exposed to Noise and Plaguecides , 2009 .

[23]  M. Büchler,et al.  Extended Frequency Range Hearing Thresholds and Otoacoustic Emissions in Acute Acoustic Trauma , 2012, Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology.

[24]  L. Heller,et al.  Low-level otoacoustic emissions may predict susceptibility to noise-induced hearing loss. , 2006, The Journal of the Acoustical Society of America.

[25]  Avi Ravid,et al.  Otoacoustic Emissions in Early Noise-Induced Hearing Loss , 2007, Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology.

[26]  Mariola Sliwinska-Kowalska Piotr Kotylo.  Occupational exposure to noise decreases otoacoustic emission efferent suppression: La exposición laboral al ruido disminuye la supresión eferente otoacústica , 2002, International journal of audiology.

[27]  D. Haleem,et al.  Sub-chronic exposure to noise affects locomotor activity and produces anxiogenic and depressive like behavior in rats , 2012, Pharmacological reports : PR.

[28]  D. G. Balatsouras,et al.  Extended high‐frequency audiometry in patients with acoustic trauma , 2005, Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery.

[29]  W Hemmert,et al.  Monitoring noise susceptibility: sensitivity of otoacoustic emissions and subjective audiometry. , 1999, British journal of audiology.

[30]  K. Knight,et al.  Early changes in auditory function as a result of platinum chemotherapy: use of extended high-frequency audiometry and evoked distortion product otoacoustic emissions. , 2007, Journal of clinical oncology : official journal of the American Society of Clinical Oncology.

[31]  A. Oztürk,et al.  [Findings of standard and high-frequency audiometry in workers exposed to occupational noise for long durations]. , 2003, Kulak burun bogaz ihtisas dergisi : KBB = Journal of ear, nose, and throat.

[32]  J. Kei,et al.  High-Frequency Pure-Tone Audiometry in Children: A Test–Retest Reliability Study Relative to Ototoxic Criteria , 2012, Ear and hearing.

[33]  S. Mirmohammadi,et al.  High-frequency audiometry: a means for early diagnosis of noise-induced hearing loss. , 2011, Noise & health.

[34]  P. Van cauwenberge,et al.  Sensitivity of transient evoked and distortion product otoacoustic emissions to the direct effects of noise on the human cochlea. , 1999, Audiology : official organ of the International Society of Audiology.

[35]  A. Job,et al.  Otoacoustic detection of risk of early hearing loss in ears with normal audiograms: A 3-year follow-up study , 2009, Hearing Research.

[36]  H. Mostafa.  OCCUPATIONAL HEARING LOSS. , 1963, The Journal of the Egyptian Medical Association.