Gajendran Aishwarya, Devi Rajendiran Gayathri, Prateep Aishwarya, Satindra Harshith, Rajendran Rashmika
Department of Otorhinolaryngology, Head and Neck Surgery, Pinderfields Hospital, Wakefield WF1 4DG, UK.
Department of ENT, ACS Medical College and Hospital, Chennai 600077, Tamil Nadu, India.
J Clin Med. 2024 Dec 26;14(1):49. doi: 10.3390/jcm14010049.
The misuse of personalized listening devices (PLDs) resulting in noise-induced hearing loss (NIHL) has become a public health concern, especially among youths, including medical students. The occupational use of PLDs that produce high-intensity sounds amplifies the danger of cochlear deterioration and high-frequency NIHL especially when used in noisy environments. This study aims to evaluate the incidence and trends of NIHL among medical students using PLDs. : The purpose of this study is to assess the prevalence of high-frequency NIHL among PLD-using medical students. : A semi-structured questionnaire covering details on PLD usage, exposure to noisy environments, and hearing difficulties was used to gather the data required. Conventional pure-tone audiometry with extended high-frequency audiometry was preceded by routine clinical evaluation using tuning fork tests and otoscopic examination for hearing loss assessment and to rule out middle-ear pathology. Hearing impairment was determined and categorized according to the Goodman and Clark classification system (250 Hz to 8000 kHz). SPSS version 21 was used in the analysis of the frequency data collected. : Out of 100 participants, using conventional PTA, 33% were found to have hearing loss, with 42.9% of males and 23.5% of females affected. Bilateral hearing loss was seen in 36.4% of the cases. Left-sided hearing loss was found to be more common (28%). The duration of usage of PLD had a significant correlation with hearing loss with a -value < 0.0001. Hearing thresholds were significantly elevated at 16 kHz and 18 kHz in both the right and left ear. : The high prevalence of PLD misuse among medical students is a major risk factor for NIHL. To help combat chronic hearing loss, students need to be educated about safe listening levels that can prevent further damage to the cochlea and auditory system.
个性化听力设备(PLD)的滥用导致噪声性听力损失(NIHL)已成为一个公共卫生问题,尤其是在年轻人中,包括医学生。职业性使用产生高强度声音的PLD会加剧耳蜗退化和高频NIHL的危险,特别是在嘈杂环境中使用时。本研究旨在评估使用PLD的医学生中NIHL的发生率和趋势。:本研究的目的是评估使用PLD的医学生中高频NIHL的患病率。:使用一份半结构化问卷收集所需数据,该问卷涵盖了PLD使用情况、暴露于嘈杂环境以及听力困难等细节。在进行常规纯音听力测定及扩展高频听力测定之前,先使用音叉试验和耳镜检查进行常规临床评估,以评估听力损失并排除中耳病变。根据古德曼和克拉克分类系统(250Hz至8000kHz)确定并分类听力障碍。使用SPSS 21版对收集到的频率数据进行分析。:在100名参与者中,使用传统纯音听力测定法发现33%的人有听力损失,其中男性受影响的比例为42.9%,女性为23.5%。36.4%的病例出现双侧听力损失。发现左侧听力损失更为常见(28%)。PLD的使用时长与听力损失有显著相关性,P值<0.0001。双耳在16kHz和18kHz处的听力阈值均显著升高。:医学生中PLD滥用的高发生率是NIHL的一个主要危险因素。为帮助对抗慢性听力损失,需要对学生进行安全听力水平的教育,以防止对耳蜗和听觉系统造成进一步损害。