Nadri Hamed, Khavanin Ali, Kim In-Ju, Akbari Mehdi, Nadri Farshad
Department of Occupational Health Engineering, Shoushtar Faculty of Medical Sciences, Shoushtar, Iran.
Department of Occupational Health Engineering, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Iran J Public Health. 2023 Apr;52(4):683-694. doi: 10.18502/ijph.v52i4.12436.
Background: Because of functional and structural similarities between the cochlea and vestibular sensory receptors, vestibular dysfunction could be accompanied by noise-induced hearing loss (NIHL) due to occupational noise exposure. We aimed to evaluate the occurrence of vestibular dysfunction (VD) in individuals with NIHL and occupational noise exposure.
A systematic literature research was carried out within the databases of PubMed, Scopus, Science Direct, and Web of Science for published articles between 1980 and Jan 5, 2023 using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The methodological quality of the included systematic reviews was assessed with the Joanna Briggs Institute (JBI) checklist. Vestibular system dysfunction parameters were considered as primary outcomes in subjects with NIHL.
We reviewed the evidence (from 19 eligible articles) for VD from noise-induced damage to peripheral vestibular structures. VD can occur after occupational noise exposure or concomitantly with NIHL. Furthermore, this study showed that the saccular organ has a higher susceptibility to noise damage than the vestibular organs of the utricle and semicircular canals (SCCs).
Our results support the role of occupational noise exposure and NIHL as risk factors for developing VD. Further research is needed to investigate the association between the occurrence of VD due to occupational noise exposure or concomitantly with NIHL.
由于耳蜗与前庭感觉受体在功能和结构上存在相似性,职业噪声暴露导致的前庭功能障碍可能会伴有噪声性听力损失(NIHL)。我们旨在评估NIHL患者及职业噪声暴露人群中前庭功能障碍(VD)的发生率。
按照系统评价和Meta分析的首选报告项目指南,在PubMed、Scopus、Science Direct和Web of Science数据库中对1980年至2023年1月5日发表的文章进行系统文献检索。采用乔安娜·布里格斯研究所(JBI)清单评估纳入的系统评价的方法学质量。在前庭功能障碍患者中,将前庭系统功能障碍参数视为主要结局指标。
我们回顾了(来自19篇符合条件的文章)噪声诱导外周前庭结构损伤导致VD的证据。职业噪声暴露后或与NIHL同时可能发生VD。此外,本研究表明,球囊器官比椭圆囊和半规管(SCCs)的前庭器官对噪声损伤更敏感。
我们的结果支持职业噪声暴露和NIHL作为VD发生的危险因素的作用。需要进一步研究来调查职业噪声暴露或与NIHL同时发生导致VD的关联性。