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Hidden Hearing Loss? Effects of Recreational Sound Exposure on Auditory Function

机译:隐藏的听力损失?娱乐性声音暴露对听觉功能的影响

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Our recent studies assessing young-adult college student cohorts from diverse geographic regions have failed to detect statistically significant relationships between various audiometric measures and self-reported recreational noise exposure history. All studies collected retrospective cross-sectional data; in addition, a subset of subjects were followed prospectively to assess potential auditory effects of new loud recreational activities. Testing has included tympanometry, pure-tone detection thresholds, word-in-noise identification tests, distortion product otoacoustic emission (DPOAE) amplitude, and auditory brainstem response (ABR) amplitude measurements. There have been no reliable relationships between self-reported recreational noise history and auditory function in young adult populations from Nashville (Tennessee), Gainesville (Florida), and Dallas (Texas). In a single study assessing changes in function following loud recreational event exposures, temporary word-in-noise deficits were detected as a function of increasing noise exposure dose, but ABR amplitude was unchanged. Taken together, temporary changes in function have largely been restricted to changes on the word-in-noise test and no permanent deficits have been observed in association with recreational sound exposure. These data contrast with other reports including musicians and firearm users as subjects. A major ongoing challenge to the field is the lack of consensus on specific functional tests.
机译:我们最近的评估来自不同地理区域的青年大学生群体的研究未能检测到各种测听测度与自我报告的娱乐性噪声暴露历史之间的统计学显着关系。所有研究均收集了回顾性横断面数据。此外,前瞻性地跟踪了一部分受试者,以评估新的大声娱乐活动的潜在听觉效果。测试包括鼓室测压,纯音检测阈值,噪音词识别测试,失真产物耳声发射(DPOAE)幅度和听觉脑干反应(ABR)幅度测量。在纳什维尔(田纳西州),盖恩斯维尔(佛罗里达州)和达拉斯(德克萨斯州)的年轻成年人口中,自我报告的娱乐噪音历史与听觉功能之间没有可靠的关系。在一项评估大声娱乐事件暴露后功能变化的研究中,检测到暂时性的单词噪声不足与噪声暴露剂量的增加有关,但ABR幅度没有变化。总体而言,暂时的功能变化在很大程度上仅限于噪声测试中的变化,并且未发现与娱乐性声音暴露相关的永久缺陷。这些数据与其他报告形成对比,其中包括音乐家和枪支使用者。对该领域的主要挑战是缺乏对特定功能测试的共识。

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