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Venet T, Thomas A, Merlen L, Boucard S, Wathier L, Martin Remy A, Pouyatos B. Parameters influencing auditory fatigue among professionals working in the amplified music sector: noise exposure and individual factors. Int J Audiol 2024; 63:686-694. [PMID: 37622173 DOI: 10.1080/14992027.2023.2240012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2022] [Revised: 07/13/2023] [Accepted: 07/18/2023] [Indexed: 08/26/2023]
Abstract
OBJECTIVE Hearing disorders are common among music professionals, as they are frequently exposed to sound levels exceeding 100 dB(A). By assessing auditory fatigue, situations that are deleterious for hearing could be identified, allowing the deployment of preventive measures before permanent impairment occurs. However, little is known about the factors contributing to auditory fatigue. The objective is to determine the exposure parameters most influencing auditory fatigue during occupational exposure to amplified music. DESIGN Auditory fatigue was defined as variations of both pure tone auditory (ΔPTA) and efferent reflex thresholds (ΔER) during the workday. Noise exposure was monitored and information on the volunteers was gathered using a questionnaire. STUDY SAMPLE The population consisted of 43 adult volunteers exposed to amplified music (sound, light or stage technicians, security agents, barmen) and 24 unexposed administrative agents. RESULTS ΔPTA and ΔER were positively correlated with the energy of noise exposure and its stability over time, i.e a steady noise tends to create more auditory fatigue. CONCLUSION In addition to a global decrease of music levels and a systematic use of hearing protection, our results advocate for the provision of quiet periods within noise exposures as they reduce auditory fatigue accumulation and long-term risks for hearing.
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Affiliation(s)
- Thomas Venet
- Institut National de Recherche et de Sécurité, Vandœuvre-lès-Nancy, France
- DevAH EA 3450 - Développement, Adaptation et Handicap, Régulations cardio-respiratoires et de la motricité-Université de Lorraine, Vandœuvre-lès-Nancy, France
| | - Aurélie Thomas
- Institut National de Recherche et de Sécurité, Vandœuvre-lès-Nancy, France
| | - Lise Merlen
- Institut National de Recherche et de Sécurité, Vandœuvre-lès-Nancy, France
| | - Stéphane Boucard
- Institut National de Recherche et de Sécurité, Vandœuvre-lès-Nancy, France
| | - Ludivine Wathier
- Institut National de Recherche et de Sécurité, Vandœuvre-lès-Nancy, France
| | | | - Benoit Pouyatos
- Institut National de Recherche et de Sécurité, Vandœuvre-lès-Nancy, France
- DevAH EA 3450 - Développement, Adaptation et Handicap, Régulations cardio-respiratoires et de la motricité-Université de Lorraine, Vandœuvre-lès-Nancy, France
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Chung L, Wong AOY, Leaver LA, He Y, Boothalingam S. An acoustical environment survey of student music practice. THE JOURNAL OF THE ACOUSTICAL SOCIETY OF AMERICA 2024; 155:1368-1378. [PMID: 38364041 DOI: 10.1121/10.0024862] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/08/2023] [Accepted: 01/26/2024] [Indexed: 02/18/2024]
Abstract
Chronic exposure to loud sound leads to noise-induced hearing loss. This is especially common in collegiate-level musicians. Existing methods for estimating exposure typically do not consider genre- or instrument-specific variability in soundscape/spectral characteristics. We measured sound exposure levels (SELs) across instruments, bands, and genres at a university music school. We found (1) considerable variability in SELs across instruments and bands, (2) that Jazz musicians are consistently exposed to the highest sound levels, and (3) that spectral features of music differ between instrument type and genre, and based on room size. These findings highlight the need for tailored guidelines that moderate the implementation of hearing conservation initiatives for collegiate musicians.
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Affiliation(s)
- Lauren Chung
- Waisman Center and Department of Communication Sciences and Disorders, University of Wisconsin-Madison, Madison, Wisconsin 53706, USA
- Department of Speech, Language, and Hearing Sciences, University of Colorado-Boulder, Boulder, Colorado 80309, USA
| | - Angel O Y Wong
- Department of Linguistics, Macquarie University, Sydney, New South Wales, 2109, Australia
| | - Lilly A Leaver
- Department of Linguistics, Macquarie University, Sydney, New South Wales, 2109, Australia
| | - Yuan He
- Waisman Center and Department of Communication Sciences and Disorders, University of Wisconsin-Madison, Madison, Wisconsin 53706, USA
- Department of Otolaryngology, University of Minnesota, Minneapolis, Minnesota 55455, USA
| | - Sriram Boothalingam
- Waisman Center and Department of Communication Sciences and Disorders, University of Wisconsin-Madison, Madison, Wisconsin 53706, USA
- Department of Linguistics, Macquarie University, Sydney, New South Wales, 2109, Australia
- National Acoustic Laboratories, Sydney, New South Wales, 2109, Australia
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Ricci G, Gambacorta V, Lapenna R, della Volpe A, La Mantia I, Ralli M, Di Stadio A. The effect of female hormone in otosclerosis. A comparative study and speculation about their effect on the ossicular chain based on the clinical results. Eur Arch Otorhinolaryngol 2022; 279:4831-4838. [PMID: 35187596 PMCID: PMC9474451 DOI: 10.1007/s00405-022-07295-w] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2021] [Accepted: 01/31/2022] [Indexed: 01/08/2023]
Abstract
Abstract
Purpose
This study aimed at identifying gender differences in the hearing thresholds in a sample of patients with otosclerosis before and after surgery to understand the impact of female hormones on auditory thresholds.
Methods
This retrospective study analyzed 184 patients (123 women and 61 men) affected by otosclerosis. All the patients were affected by conductive hearing loss and treated by stapedoplasty. Auditory thresholds at the baseline (T0) and one month after surgery (T30) were collected. Air and bone thresholds and Air Bone Gap (ABG) were compared between females and males using one-way ANOVA.
Results
Statistically significant differences were observed comparing the air threshold at T0 vs T30 both in women and men (p < 0.0001). No statistically significant differences were observed in the bone conduction thresholds before and after surgery. The comparison between females and males showed statistically significant differences both at T0 (p < 0.01) and T30 (p < 0.05) for air conduction thresholds and ABG at 4000 Hz.
Conclusion
Although stapedoplasty reduced the difference between females and males in the air conduction thresholds and ABG, women showed better recovery of their middle ear function with better auditory thresholds and ABG. The female hormones might positively impact the ligaments of the incudostapedial joint improving chain flexibility. This benefit might explain the statistically significant difference observed in women at 4000 Hz before and after surgery.
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Hearing Loss and Cognitive Impairment: Epidemiology, Common Pathophysiological Findings, and Treatment Considerations. Life (Basel) 2021; 11:life11101102. [PMID: 34685474 PMCID: PMC8538578 DOI: 10.3390/life11101102] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2021] [Revised: 10/04/2021] [Accepted: 10/15/2021] [Indexed: 12/04/2022] Open
Abstract
In recent years, there has been increasing research interest in the correlation between hearing impairment and cognitive decline, two conditions that have demonstrated a strong association. Hearing loss appears as a risk factor for cognitive impairment, especially among certain populations, notably nursing home residents. Furthermore, hearing loss has been identified as a modifiable age-related condition linked to dementia, and it has been estimated that midlife hearing loss, if eliminated, might decrease the risk of dementia in the general population. Several mechanisms have been suggested to explain the pathologic connections between hearing loss and dementia; however, clear evidence is missing, and the common pathophysiological basis is still unclear. In this review, we discussed current knowledge about the relationship between hearing loss and dementia, and future perspectives in terms of the effects of hearing rehabilitation for early prevention of cognitive decline.
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Vardonikolaki A, Kikidis D, Iliadou E, Markatos N, Pastiadis K, Bibas A. Audiological findings in professionals exposed to music and their relation with tinnitus. PROGRESS IN BRAIN RESEARCH 2020; 260:327-353. [PMID: 33637226 DOI: 10.1016/bs.pbr.2020.08.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Professional musicians are at high risk of developing tinnitus due to their over-exposure to music at both occupational and recreational level. This is a 5-year long prospective case series study performed in the Musicians/Performing Arts Medicine Clinic of the 1st Otorhinolaryngology Department of the National and Kapodistrian University of Athens. A total of 274 professional musicians underwent thorough medical history, history of music exposure, assessment of the impact their hearing status has on their professional life (Musicians Hearing Handicap Index), behavioral (Pure Tone Audiometry, standard and extended high frequency) and objective audiometric tests (TEOAE and DPOAE). Standard pure tone audiometry thresholds were correlated with the presence of tinnitus only at high frequencies. Musicians with tinnitus had a clinical and significant higher MHHI score and the incidence of tinnitus was significantly higher in participants suffering from musculoskeletal disease and those with abnormal PTA. Participants' hours of practice were similar in those with tinnitus and those without. The tinnitus group (and in order of descending effect size) had significantly worse thresholds in high frequency audiometry (≥3000Hz) as well as lower signal to noise ratios in DPOAE at almost all frequencies and in TEOAE at high frequencies (2.8 and 4kHz). A subgroup analysis of the musicians with normal PTA, showed that those with tinnitus showed elevated thresholds in the extended high frequency. In conclusion, tinnitus occurrence in musicians with normal audiogram is potentially correlated with high frequency hearing loss and impaired otoacoustic emissions and these two examinations should be considered in this group.
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Affiliation(s)
| | - Dimitris Kikidis
- School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
| | - Eleftheria Iliadou
- School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
| | - Nikolaos Markatos
- School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
| | - Kostas Pastiadis
- School of Music Studies, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Athanasios Bibas
- School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
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Marozzo R, Pegoraro V, Dipietro L, Ralli M, Angelini C, Di Stadio A. Can miR-34a be suitable for monitoring sensorineural hearing loss in patients with mitochondrial disease? A case series. Int J Neurosci 2020; 130:1272-1277. [PMID: 32079439 DOI: 10.1080/00207454.2020.1731505] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
Purpose: We aimed at evaluating the feasibility of using MicroRNA (miR)-34a and miR-29b to detect inner ear damage in patients with mitochondrial disease (MD) and sensorineural hearing loss (SNHL).Material and Methods: Three patients with MD and SNHL and seven healthy control subjects were included in this case series. MD patients underwent pure tone audiometry (PTA), distortion product otoacoustic emission (DPOAE) and auditory brain response tests to investigate the specific cochlear and retrocochlear functions; control patients underwent PTA. MiR-34a and miR-29b were extracted from blood in all subjects included in the study. The expression of miR-34a and miR-29b in MD patients and healthy controls were statistically compared, then the expression of these two miRs was compared with DPOAE values.Results: In MD patients, miR-34a was significantly up-regulated compared to healthy controls; miR-34a and DPOAEs were negatively correlated. Conversely, miR-29b was up-regulated only in the youngest patient who suffered from the mildest forms of MD and SNHL, and negatively correlated with DPOAEs.Conclusion: In MD patients, miR-34a and miR-29b might be a marker of inner ear damage and early damage, respectively. Additional studies on larger samples are necessary to confirm these preliminary results.
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Affiliation(s)
| | | | | | - Massimo Ralli
- Department of Sense Organs, Sapienza University of Rome,Rome,Italy
| | | | - Arianna Di Stadio
- Otolaryngology Department, University of Perugia, Perugia, Italy.,Neuroinflammation Laboratory, UCL Queen Square Neurology, London, UK
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Di Stadio A, Dipietro L, Ricci G, Della Volpe A, Minni A, Greco A, de Vincentiis M, Ralli M. Hearing Loss, Tinnitus, Hyperacusis, and Diplacusis in Professional Musicians: A Systematic Review. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15102120. [PMID: 30261653 PMCID: PMC6209930 DOI: 10.3390/ijerph15102120] [Citation(s) in RCA: 32] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/09/2018] [Accepted: 09/24/2018] [Indexed: 12/20/2022]
Abstract
Professional musicians (PMs) are at high risk of developing hearing loss (HL) and other audiological symptoms such as tinnitus, hyperacusis, and diplacusis. The aim of this systematic review is to (A) assess the risk of developing HL and audiological symptoms in PMs and (B) evaluate if different music genres (Pop/Rock Music—PR; Classical Music—CL) expose PMs to different levels of risk of developing such conditions. Forty-one articles including 4618 PMs were included in the study. HL was found in 38.6% PMs; prevalence was significantly higher among PR (63.5%) than CL (32.8%) PMs; HL mainly affected the high frequencies in the 3000-6000 Hz range and was symmetric in 68% PR PMs and in 44.5% CL PMs. Tinnitus was the most common audiological symptom, followed by hyperacusis and diplacusis. Tinnitus was almost equally distributed between PR and CL PMs; diplacusis was more common in CL than in PR PMs, while prevalence of hyperacusis was higher among PR PMs. Our review showed that PR musicians have a higher risk of developing HL compared to CL PMs; exposure to sounds of high frequency and intensity and absence of ear protection may justify these results. Difference in HL symmetry could be explained by the type of instruments used and consequent single-sided exposure.
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Affiliation(s)
- Arianna Di Stadio
- Otolaryngology Department, University of Perugia, 06123 Perugia, Italy.
| | | | - Giampietro Ricci
- Otolaryngology Department, University of Perugia, 06123 Perugia, Italy.
| | - Antonio Della Volpe
- Santobono-Pousillipon Hospital, Cochlear Implant Center, 80129 Naples, Italy.
| | - Antonio Minni
- Department of Sense Organs, Sapienza University of Rome, 00185 Rome, Italy.
| | - Antonio Greco
- Department of Sense Organs, Sapienza University of Rome, 00185 Rome, Italy.
| | - Marco de Vincentiis
- Department of Oral and Maxillo-Facial Science, Sapienza University of Rome, 00185 Rome, Italy.
| | - Massimo Ralli
- Department of Oral and Maxillo-Facial Science, Sapienza University of Rome, 00185 Rome, Italy.
- Center for Hearing and Deafness, University at Buffalo, Buffalo, NY 14260, USA.
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