Fonseca Vinicius Ribas, Zeigelboim Bianca Simone, Lacerda Adriana Bender Moreira, Ribas Angela, Spanhol Guilherme
Department of Otorhinolaryngology, Hospital da Cruz Vermelha, Curitiba, Paraná, Brazil; Otorhinolaryngology Course, Universidade Positivo, Universidade Tuiuti do Paraná, Curitiba, Paraná, Brazil.
Communication Disorders, Universidade Tuiuti do Paraná, Curitiba, Brazil.
Int Arch Otorhinolaryngol. 2016 Apr;20(2):105-8. doi: 10.1055/s-0035-1549448. Epub 2015 May 7.
Introduction Agricultural aviation pilots, exposed daily to intense vibration and noise, are likely to develop noise-induced hearing loss (NIHL). Objectives The aim of this study was to investigate the presence of audiograms consistent with NIHL in agricultural aviation pilots who use earplugs and helmets. Methods We conducted a cross-sectional cohort and observational study. The data were taken from the medical records and audiograms of 94 pilots. Results NIHL was identified in 9.5% of individuals with hearing loss by audiograms at 3,000, 4,000, or 6,000 Hz. Normal audiograms were observed in 46.8% of pilots surveyed. Bilateral hearing loss was more frequent than unilateral hearing loss, occurring in 64.8% of cases. Conclusion Although there was a low incidence of audiograms compatible with NIHL in the records of the pilots examined, the disorder still occurs despite the doubled use of individual hearing protection equipment (helmets and earplugs) for agricultural aviation pilots. Nevertheless, even with the use of earplugs and helmets as noise protectors, the data showed that agricultural pilots suffer inner ear damage caused by occupational noise. Prevention and periodic audiologic evaluations must be conducted in noise-exposed occupational groups.
引言 农业航空飞行员每天暴露于强烈的振动和噪音中,很可能会患上噪声性听力损失(NIHL)。目的 本研究旨在调查使用耳塞和头盔的农业航空飞行员中与噪声性听力损失相符的听力图情况。方法 我们进行了一项横断面队列观察性研究。数据取自94名飞行员的病历和听力图。结果 通过听力图在3000、4000或6000Hz频率下检测出听力损失的个体中,9.5%被诊断为噪声性听力损失。在接受调查的飞行员中,46.8%的听力图正常。双侧听力损失比单侧听力损失更常见,占病例的64.8%。结论 尽管在所检查飞行员的记录中,与噪声性听力损失相符的听力图发生率较低,但尽管农业航空飞行员加倍使用了个人听力保护设备(头盔和耳塞),这种疾病仍会发生。然而,即使使用耳塞和头盔作为噪音防护装置,数据显示农业飞行员仍遭受职业噪音引起的内耳损伤。必须对暴露于噪音的职业群体进行预防和定期听力评估。