Are our investigation methods sensitive enough to hearing damage caused by noise?

Mojmír Lejska, Johana Kratochvílová
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Abstract

Based on the comparison of the answers from the original questionnaire regarding the noise burden of music noise through headphones and other noisy activities in young people aged 16–18 years with the results of an audiometric examination using a threshold tone audiogram, it was confi rmed, contrary to the generally widespread information, that in this age group, there is no hearing impairment. We explain this fact by the young age of the examinees, i.e. the high resistance of the hearing apparatus to noise. Similar results are also reported in current professional literature, which is signifi cantly poor in this issue. Similar results have not yet been published in the Czech literature. If, according to the literature, initial symptoms of hearing impairment were found, then exclusively in the high-frequency audiometric area. The answer to the question whether “are our investigation methods sensitive enough to noise-induced hearing damage” is a clear NO. If we would like to record preventively the initial states of hearing damage from noise, including music consumed through headphones, then we must investigate with high-frequency audiometry. Key words hearing – noise impairment – headphones – young age – high-frequency audiometry
我们的调查方法对噪音造成的听力损伤是否足够敏感?
根据对 16-18 岁青少年通过耳机听音乐和其他嘈杂活动造成的噪音负担的原始调查问卷答案与使用阈值音听力图进行的听力检查结果的比较,我们得出结论,与普遍的信息相反,这个年龄段的青少年没有听力障碍。我们对这一事实的解释是,受检者年龄较小,即听力设备对噪音的抵抗力较强。目前的专业文献也报道了类似的结果,但在这个问题上,专业文献的数量明显不足。捷克的文献中也没有类似的结果。如果根据文献记载,发现了听力损伤的初期症状,那么也只是在高频测听领域。对于 "我们的调查方法对噪音引起的听力损伤是否足够敏感 "这一问题,答案显然是否定的。如果我们想预防性地记录噪音(包括通过耳机听音乐)对听力造成损害的初始状态,那么我们就必须使用高频测听法进行调查。关键词 听力--噪声损害--耳机--年轻--高频测听
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