Gonçalves Claudia Giglio de Oliveira, Santos Luciana, Lobato Diolen, Ribas Angela, Lacerda Adriana Bender Moreira, Marques Jair
Post-Graduation Program in Communication Disorders, Universidade Tuiuti do Paraná, Curitiba, Paraná, Brazil.
Post-Graduation Program in Communication Disorders, Universidade Tuiuti do Paraná, Curitiba, Paraná, Brazil ; Department of Audiology, Universidade Tuiuti do Paraná, Curitiba, Brazil.
Int Arch Otorhinolaryngol. 2015 Apr;19(2):156-60. doi: 10.1055/s-0034-1390138. Epub 2014 Nov 28.
Introduction High-level noise exposure in dentists' workplaces may cause damages to the auditory systems. High-frequency audiometry is an important tool in the investigation in the early diagnosis of hearing loss. Objectives To analyze the auditory thresholds at frequencies from 500 to 16,000 Hz of dentists in the city of Curitiba. Methods This historic cohort study retrospectively tested hearing thresholds from 500 to 16,000 Hz with a group of dentists from Curitiba, in the state of Paraná, Brazil. Eighty subjects participated in the study, separated into a dentist group and a control group, with the same age range and gender across groups but with no history of occupational exposure to high levels of sound pressure in the control group. Subjects were tested with conventional audiometry and high-frequency audiometry and answered a questionnaire about exposure to noise. Results Results showed that 81% of dentists did not receive any information regarding noise at university; 6 (15%) dentists had sensorineural hearing impairment; significant differences were observed between the groups only at frequencies of 500 Hz and 1,000, 6,000 and 8,000 Hz in the right ear. There was no significant difference between the groups after analysis of mean hearing thresholds of high frequencies with the average hearing thresholds in conventional frequencies; subjects who had been working as dentists for longer than 10 years had worse tonal hearing thresholds at high frequencies. Conclusions In this study, we observed that dentists are at risk for the development of sensorineural hearing loss especially after 10 years of service.
牙医工作场所的高强度噪声暴露可能会对听觉系统造成损害。高频听力测定是听力损失早期诊断调查中的一项重要工具。
分析库里蒂巴市牙医在500至16000赫兹频率下的听觉阈值。
这项历史性队列研究对来自巴西巴拉那州库里蒂巴市的一组牙医进行了回顾性测试,测试其在500至16000赫兹频率下的听力阈值。80名受试者参与了该研究,分为牙医组和对照组,两组年龄范围和性别相同,但对照组无职业性暴露于高声压的病史。受试者接受了传统听力测定和高频听力测定,并回答了一份关于噪声暴露的问卷。
结果显示,81%的牙医在大学期间未接受任何有关噪声的信息;6名(15%)牙医患有感音神经性听力障碍;仅在右耳的500赫兹以及1000、6000和8000赫兹频率下,两组之间观察到显著差异。在将高频平均听力阈值与传统频率平均听力阈值进行分析后,两组之间无显著差异;从事牙医工作超过10年的受试者在高频下的音调听力阈值更差。
在本研究中,我们观察到牙医有患感音神经性听力损失的风险,尤其是在服务10年后。