Adverse Effect of Mobile Phone on Hearing in Healthy Individuals: A Clinical Study

Inner Ear Function Evaluation in Mobile Phone Users: A Cross-Sectional Study From a Tertiary Care Centre in North India

Background India has approximately 1.02 billion mobile phone users. The electromagnetic radiations emitted by telecommunication systems are absorbed by the recipient's body, leading to changes in brain electrical activity, sensations of warmth or burning around the ear, and alterations in the blood-brain barrier. The inner ear, being the closest organ during mobile phone use, directly receives these electromagnetic radiations. This study aims to assess the inner ear function among mobile phone users, investigate the impact of mobile phones on the hearing thresholds of volunteers through pure-tone audiometry (PTA), and delve into the same using otoacoustic emissions (OAE). Methodology A cross-sectional study was conducted at a single center in North India from September 2020 to March 2021. The sample size of around 100 was determined using G Power software (G Power, Aichach, Germany), including volunteers aged 18-25, using mobile phones for over a year with normal hearing. Exclusions involved various ear-related histories or chronic systemic illnesses. Dominant and non-dominant ear groups were formed based on mobile phone usage. The study involved comprehensive ENT examinations, pure-tone audiometry, and otoacoustic emissions. We performed statistical analyses using SPSS version 22.0 (IBM Corp., Armonk, NY), which presented descriptive statistics and employed tests for group comparisons. Results Most participants were in the 21-23 age group (56%), with a mean age of 22.16 ± 1.77 years. There were 45 males and 55 females. The mean mobile phone usage was 6.6 ± 1.98 years, with varying daily durations. The dominant ear for mobile phone usage was predominantly the right ear (75 participants). Pure-tone audiometry results showed no statistically significant differences between dominant and non-dominant ears. Among the 24 participants with absent OAE, no significant association was found with mobile phone usage duration. Notably, the highest incidence of absent OAE occurred in the 120-180-minute usage category. Conclusion Mobile phones have seamlessly integrated into the lives of individuals, witnessing an exponential increase in users over time. The inner ear, situated in proximity to mobile phone usage, is of particular concern. While there is existing evidence indicating potential adverse effects of mobile phones on the inner ear, further long-term studies involving larger populations are essential to comprehensively evaluating the impact on inner ear function among mobile phone users.

Association between mobile phone use and hearing impairment: a systematic review and meta-analysis

OBJECTIVES

To investigate whether a possible association of mobile phone use with hearing impairment was conducted a systematic review and meta-analysis.

CONTENT

This is a systematic review and meta-analysis. A comprehensive literature search was carried out based on the Meta-analysis of Observational Studies in Epidemiology (MOOSE) methodology using PubMed, Scopus, Web of Science, OVID, and Cochrane. The Robins-I tool was used for quality assessment and risk of bias. Two investigators independently reviewed all articles. Pooled effect size was calculated and meta-analysis was performed to compute an overall effect size.

SUMMARY

Overall, five relevant studies (two cross-sectional and three cohort studies) with 92,978 participants were included in the analysis. The studies were stratified by design, there was no significant association between mobile phone use and hearing impairment in cross-sectional studies (OR=0.94, 95% CI=0.57-1.31) and cohort studies (OR=1.09, 95% CI=0.93-1.25). In addition, the effect estimates did not differ significantly between cross-sectional and cohort studies (Q=0.50, p=0.48). Overall, the pooled odds ratio (OR) of hearing impairment was 1.07 (95% CI: 0.94-1.20), which indicates no significant association between mobile phone use and hearing impairment.

OUTLOOK

Our findings indicate no association between mobile phone use and hearing impairment. However, these findings must be interpreted with caution.

Effect of Mobile Phone use on Hearing in Young Adults: An Observational Study

There are concerns regarding the health effects of electromagnetic fields (EMFs) generated by mobile phones. There are apprehensions regarding the effect of these radiations on auditory system. The objective of this study was to find the effect of mobile phone on hearing in young adults. We studied 75 medical students who were mobile phone users for >1 year. Initial hearing status of subjects was assessed by Pure Tone Audiometry (PTA), Otoacoustic emissions (OAE) and Brainstem evoked response audiometry (BERA) at the time of enrollment in the study and repeat audiological assessment was conducted at 6 months and again at one year and comparison was done. The mean age of the population was 20.13 + 1.33 years. Right, left and no particular preference for any ear was seen in 74.7%, 16% and 9.3%, respectively. Mean PTA at baseline in right ear at baseline, 6 months and 1 year was 12.71 ± 3.51 dB, 13.73 ± 3.69 dB and 14.07 ± 3.25 dB (p value=0.120), respectively and the same values for left ear were 13.28±3.57, 14.32±3.10 and 14.24±3.20 (p = 0.170) at baseline, 6 months and 1 year. No statistically significant difference in hearing thresholds was seen at baseline and at subsequent follow-ups and between dominant ear and non-dominant ear on BERA and OAE. We did not find any short term effect of mobile phones on the hearing in young adults, however, long term effect on hearing with progressing age cannot be ruled out.