Kumar Poornima, Upadhyay Prabhakar, Kumar Ashok, Kumar Sunil, Singh Gautam Bir
Department of Otorhinolaryngology-Head & Neck Surgery, Lady Hardinge Medical College & Associated Hospitals, New Delhi, India.
Department of Otorhinolaryngology-Head & Neck Surgery, Lady Hardinge Medical College & Associated Hospitals, New Delhi, India.
Am J Otolaryngol. 2017 Mar-Apr;38(2):163-167. doi: 10.1016/j.amjoto.2016.12.002. Epub 2016 Dec 8.
Noise exposure leads to high frequency hearing loss. Use of Personal Listening Devices may lead to decline in high frequency hearing sensitivity because of prolonged exposure to these devices at high volume. This study explores the changes in hearing thresholds by Extended High Frequency audiometry in users of personal listening devices.
A descriptive, hospital based observational study was performed with total 100 subjects in age group of 15-30years. Subjects were divided in two groups consisting of 30 subjects (Group A) with no history of Personal Listening Devices use and (Group B) having 70 subjects with history of use of Personal Listening Devices. Conventional pure tone audiometry with extended high frequency audiometry was performed in all the subjects.
Significant differences in hearing thresholds of Personal Listening Device users were seen at high frequencies (3kHz, 4kHz and 6kHz) and extended high frequencies (9kHz, 10kHz, 11kHz, 13kHz, 14kHz, 15kHz and 16kHz) with p value <0.05. Elevated hearing thresholds were observed in personal listening devices users which were directly proportional to volume and duration of usage.
In present study no significant changes were noted in hearing thresholds in PLD users before 5years of PLD use. However, hearing thresholds were significantly increased at 3kHz, 10kHz, 13kHz in PLD users having >5years usage at high volume. Thus, it can be reasonably concluded that extended high frequencies can be used for early detection of NIHL in PLD users.
噪声暴露会导致高频听力损失。由于长时间高音量使用个人听力设备,可能会导致高频听力敏感度下降。本研究通过扩展高频听力测定法探讨个人听力设备使用者的听力阈值变化。
进行了一项基于医院的描述性观察性研究,共纳入100名年龄在15至30岁之间的受试者。受试者分为两组,其中30名受试者(A组)无个人听力设备使用史,70名受试者(B组)有个人听力设备使用史。对所有受试者进行了常规纯音听力测定和扩展高频听力测定。
个人听力设备使用者在高频(3kHz、4kHz和6kHz)和扩展高频(9kHz、10kHz、11kHz、13kHz、14kHz、15kHz和16kHz)的听力阈值存在显著差异,p值<0.05。个人听力设备使用者的听力阈值升高,且与音量和使用时长成正比。
在本研究中,个人听力设备使用5年以内的使用者听力阈值无显著变化。然而,使用个人听力设备超过5年且高音量使用的使用者,其在3kHz、10kHz、13kHz的听力阈值显著升高。因此,可以合理地得出结论,扩展高频可用于早期检测个人听力设备使用者的噪声性听力损失。