| Noise induced hearing loss and other hearing complaints among musicians of symphony orchestras. | |
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MedLine Citation:
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PMID: 18404276 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: An investigation of the hearing status of musicians of professional symphony orchestras. Main questions are: (1) Should musicians be treated as a special group with regard to hearing, noise, and noise related hearing problems (2) Do patterns of hearing damage differ for different instrument types (3) Do OAE have an added value in the diagnosis of noise induced hearing loss (NIHL) in musicians. METHODS: 241 professional musicians, aged between 23-64 participated. A brief medical history and the subjective judgment of their hearing and hearing problems were assessed. Musicians were subjected to an extensive audiological test battery, which contained testing of audiometric thresholds, loudness perception, diplacusis, tinnitus, speech perception in noise, and otoacoustic emissions. RESULTS: Most musicians could be categorized as normal hearing, but their audiograms show notches at 6 kHz, a frequency that is associated with NIHL. Musicians often complained about tinnitus and hyperacusis, while diplacusis was generally not reported as a problem. Tinnitus was most often localized utmost left and this could not be related to the instrument. It was usually perceived in high frequency areas, associated with NIHL. In general, musicians scored very well on the speech-in-noise test. The results of the loudness perception test were within normal limits. Otoacoustic emissions were more intense with better pure-tone thresholds, but due to large individual differences it can still not be used as an objective test for early detection of NIHL. CONCLUSIONS: Musicians show more noise induced hearing loss than could be expected on the basis of age and gender. Other indicators, such as complaints and prevalence of tinnitus, complaints about hyperacusis and prevalence of diplacusis suggest that musicians' ears are at risk. Continuing education about the risks of intensive sound exposure to musicians, with the emphasis on the possible development of tinnitus and hyperacusis and the need for good hearing protection is warranted. |
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Authors:
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E J M Jansen; H W Helleman; W A Dreschler; J A P M de Laat |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2008-04-11 |
Journal Detail:
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Title: International archives of occupational and environmental health Volume: 82 ISSN: 1432-1246 ISO Abbreviation: Int Arch Occup Environ Health Publication Date: 2009 Jan |
Date Detail:
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Created Date: 2009-01-09 Completed Date: 2009-05-05 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7512134 Medline TA: Int Arch Occup Environ Health Country: Germany |
Other Details:
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Languages: eng Pagination: 153-64 Citation Subset: IM |
Affiliation:
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ENT-Audiology, Academic Medical Center Amsterdam, Amsterdam, AZ, Netherlands. noor.jansen@amc.nl |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Audiometry, Pure-Tone / methods Auditory Threshold / classification, physiology Female Hearing Loss, Noise-Induced / diagnosis, etiology*, physiopathology Humans Hyperacusis / diagnosis, etiology*, physiopathology Male Middle Aged Music Noise / adverse effects* Occupational Diseases / diagnosis, etiology*, physiopathology Questionnaires Tinnitus / diagnosis, etiology*, physiopathology Young Adult |
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