Archives of Acoustics, 40, 2, pp. 213–221, 2015
10.1515/aoa-2015-0024

Frequency of the Audiometric Notch Following Excessive Noise Exposure

Lidija RISTOVSKA
City General Hospital “8 September” Skopje, Republic of Macedonia
Macedonia, the former Yugoslav Republic of

Zora JACHOVA
University “Ss Cyril and Methodius”, Faculty of Philosophy, Institute of Special Education and Rehabilitation, Skopje, Republic of Macedonia
Macedonia, the former Yugoslav Republic of

Nikica ATANASOVA
City General Hospital “8 September” Skopje, Republic of Macedonia
Macedonia, the former Yugoslav Republic of

The aim of the study was to determine the configuration of pathologic audiograms in patients with excessive noise exposure, and to calculate the frequency of notches in the audiogram in patients with and without excessive noise exposure by avoiding the effect of age-related hearing loss. We have analyzed 514 audiograms of 257 patients aged between 20 to 50 years: 240 patients (mean age of 38.7 years) with excessive noise exposure and 17 patients (mean age of 41.2 years) with notches in the audiogram, but without a history of excessive noise exposure. For statistical data analysis we have used the Chi-square test and Fisher exact test with the level of significance p < 0.05. Pathologic audiograms were classified into five different types: Slope at 4000 Hz (0.8%), Slope at 2000 Hz (15.1%), Notch at 4000 Hz (67.4%), Notch at 2000 Hz (0.8%), Flat (8.9%), and 7% were out of this classification. A total of 190 (79.2%) patients with excessive noise exposure had a notch in the audiogram. Left ear notches were the most common. Among the patients with notched audiograms, 91.8% had a history of excessive noise exposure, either occupational or nonoccupational, and 8.2% did not report any excessive noise exposure.
Keywords: audiometric configuration; notch; noise exposure.
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References

Adjamian P., Sereda M., Zobay O., Hall D.A., Palmer A.R. (2012), Neuromagnetic indicators of tinnitus and tinnitus masking in patients with and without hearing loss, Journal of the Association for Research in Otolaryngology, 13, 715-731.

Agrawal Y., Platz E.A., Niparko J.K. (2008), Prevalence of hearing loss and differences by demographic characteristics among US adults, Archives of Internal Medicine, 168, 14, 1522-1530.

Ahmed H.O., Dennis J.H., Badran O., Ismail M., Ballal S.G., Ashoor A., Jerwood D. (2001), Occupational noise exposure and hearing loss of workers in two plants in Eastern Saudi Arabia, The Annals of Occupational Hygiene, 45, 5, 371-380.

Borchgrevink H.M. (2003), Does health promotion work in relation to noise, Noise & Health, 5, 18, 25-30.

Christie K.W., Sivan-Loukianova E., Smith W.C., Aldrich B.T., Schon M.A., Roy M., Lear B.C., Eberl D.F. (2013), Physiological, anatomical, and behavioral changes after acoustic trauma in Drosophila melanogaster, Proceedings of the National Academy of Sciences of the United States of America, 110, 38, 15449-15454.

Coles R.R.A., Lutman M.E., Buffin J.T. (2000), Guidelines on the diagnosis of noise-induced hearing loss for medicolegal purposes, Clinical Otolaryngology, 25, 264-273.

Delecrode C.R., de Freitas T.D., Frizzo A.C.F., Cardoso A.C.V. (2012), Prevalence of tinnitus in workers exposed to noise and organophosphates, International Archives of Otorhinolaryngology, 16, 3, 328-334.

do Socorro Oliveira Soares M., Moraes Crispim K.G., Ferreira A.P. (2013), Assessment of traffic noise pollution in traffic agents, Health Care, 1, 3, 87-93.

Dudarewicz A, Toppila E, Pawlaczyk-Luszczynska M, Sliwinska-Kowalska M. (2010), The influence of selected risk factors on the hearing thresholds level of noise exposed employees, Archives of Acoustics, 35, 3, 371-382.

Fausti S.A., Wilmington D.J., Gallun F.J., Myers P.J., Henry J.A. (2009), Auditory and vestibular dysfunction associated with blast-related traumatic brain injury, Journal of Rehabilitation Research & Development, 46, 6, 797-810.

Haboosheh R., Brown S. (2012), Workplace hearing loss, British Columbia Medical Journal, 54, 4, 175.

Harada H., Ichikawa D., Imamura A. (2008), Course of hearing recovery according to frequency in patients with acute acoustic sensorineural hearing loss, International Tinnitus Journal, 14, 1, 83-87.

Job A., Pons Y., Lamalle L., Jaillard A., Buck K., Segebarth C., Delon-Martin C. (2012), Abnormal cortical sensorimotor activity during “Target” sound detection in subjects with acute acoustic trauma sequelae: an fMRI study, Brain and Behavior, 2, 2, 187-199.

Kim J., Park H., Ha E., Jung T., Paik N., Yang S. (2005), Combined effects of noise and mixed solvents exposure on the hearing function among workers in the aviation industry, Industrial Health, 43, 567-573.

Kim K.S. (2010), Occupational hearing loss in Korea, Journal of Korean Medical Science, 25, S62-69.

Kirchner D.B., Evenson E., Dobie R.A., Rabinowitz P., Crawford J., Kopke R., Hudson T.W. (2012), Occupational noise-induced hearing loss: ACOEM Task Force on occupational hearing loss, Journal of Occupational and Environmental Medicine, 54, 1, 106-108.

Kujawa S.G., Liberman M.C. (2006), Acceleration of age-related hearing loss by early noise exposure: evidence of a misspent youth, The Journal of Neuroscience, 26, 7, 2115-2123.

Mahboubi H., Zardouz S., Oliaei S., Pan D., Bazargan M., Djalilian H.R. (2013), Noise-induced threshold shift among U.S. adults and implications for noise-induced hearing loss: National health and nutrition examination surveys, European Archives of Oto-Rhino-Laryngology, 270, 2, 461-467.

May J.J. (2000), Occupational hearing loss, American Journal of Industrial Medicine, 37, 112-120.

McBride D.I., Williams S. (2001), Audiometric notch as a sign of noise induced hearing loss, Occupational and Environmental Medicine, 58, 46-51.

McBride D.I. (2004), Noise-induced hearing loss and hearing conservation in mining, Occupational Medicine, 54, 5, 290-296.

Neitzel R., Seixas N., Goldman B., Daniell W. (2004), Contributions of non-occupational activities to total noise exposure of construction workers, The Annals of Occupational Hygiene, 48, 5, 463-473.

Nelson D.I., Nelson R.Y., Concha-Barrientos M., Fingerhut M. (2005), The global burden of occupational noise-induced hearing loss, American Journal of Industrial Medicine, 48, 6, 446-458.

Nondahl D.M., Shi X., Cruickshanks K.J., Dalton D.S., Tweed T.S., Wiley T.L., Carmichael L.L. (2009), Notched audiograms and noise exposure history in older adults, Ear and Hearing, 30, 6, 696-703.

Oishi N., Schacht J. (2011), Emerging treatments for noise-induced hearing loss, Expert Opinion in Emerging Drugs, 16, 2, 235-245.

Pawlaczyk-Luszczynska M., Dudarewicz A., Zaborowski K., Zamojska M., Sliwinska-Kowalska M. (2013), Noise induced hearing loss: Research in central, eastern and south-eastern Europe and newly independent states, Noise & Health, 15, 62, 55-66.

Peppi M., Kujawa S.G., Sewell W.F. (2011), A corticosteroid-responsive transcription factor, promyelocytic leukemia zinc finger protein, mediates protection of the cochlea from acoustic trauma, The Journal of Neuroscience, 31, 2, 735-741.

Perez R., Gatt N., Cohen D. (2000), Audiometric configurations following exposure to explosions, Archives of Otolaryngology - Head & Neck Surgery, 126, 1249-1252.

Pittman A.L., Stelmachowicz P.G. (2003), Hearing loss in children and adults: Audiometric configuration, asymmetry and progression, Ear and Hearing, 24, 3, 198-205.

Psillas G., Pavlidis P., Karvelis I., Kekes G., Vital V., Constantinidis J. (2008), Potential efficacy of early treatment of acute acoustic trauma with steroids and piracetam after gunshot noise, European Archives of Oto-Rhino-Laryngology, 265, 1465-1469.

Rabinowitz P.M. (2000), Noise-induced hearing loss, American Family Physician, 61, 9, 2749-2756.

Rezaee M., Mojtahed M., Ghasemi M., Saedi B. (2011), Assessment of impulse noise level and acoustic trauma in military personnel, Trauma Monthly, 16, 4, 182-187.

Spremo S., Stupar Z. (2008), Characteristics of sensorineural hearing loss secondary to inner ear acoustic trauma [in Serbian], Serbian Archive of Entire Medicine, 136, 3-4, 221-225.

Starck J., Toppila E., Pyykko I. (2003), Impulse noise and risk criteria, Noise & Health, 5, 20, 63-73.

Steinmetz L.G., Zeigelboim B.S., Lacerda A.B., Morata T.C., Marques J.M. (2009), The characteristics of tinnitus in workers exposed to noise, Brazilian Journal of Otorhinolaryngology, 75, 1, 7-14.

Sung J.H., Sim C.S., Lee C.-R., Yoo C.I., Lee H., Kim Y., Lee J. (2013), Relationship of cigarette smoking and hearing loss in workers exposed to occupational noise, Annals of Occupational and Environmental Medicine, 25, 8.

Twardella D., Perez-Alvarez C., Steffens T., Bolte G., Fromme H., Verdugo-Raab U. (2013), The prevalence of audiometric notches in adolescents in Germany: The Ohrkan-study, Noise & Health, 15, 67, 412-419.

Verbeek J.H., Kateman E., Morata T.C., Dreschler W.A., Mischke C. (2012), Interventions to prevent occupational noise-induced hearing loss (Review), Cochrane Database of Systematic Reviews, 10, Art. No.:CD006396.

Wilson R.H. (2011), Some observations on the nature of the audiometric 4000 Hz notch: data from 3430 veterans, Journal of the American Academy of Audiology, 22, 1, 23-33.

Wilson R.H., McArdle R. (2013), Characteristics of the audiometric 4000 Hz notch (744553 veterans) and the 3000, 4000 and 6000 Hz notches (539932 veterans), Journal of Rehabilitation Research & Development, 50, 1, 111-132.




DOI: 10.1515/aoa-2015-0024

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