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- Title
Development of an audiological assessment and diagnostic model for high occupational noise exposure.
- Authors
Yuan, Hao; Ma, Peng-Wei; Chen, Jia-Wei; Wang, Wei-Long; Gao, Wei; Lu, Pei-Heng; Ding, Xue-Rui; Lun, Yu-Qiang; Lu, Lian-Jun
- Abstract
Purpose: To explore the diagnostic auditory indicators of high noise exposure and combine them into a diagnostic model of high noise exposure and possible development of hidden hearing loss (HHL). Methods: We recruited 101 young adult subjects and divided them according to noise exposure history into high-risk and low-risk groups. All subjects completed demographic characteristic collection (including age, noise exposure, self-reported hearing status, and headset use) and related hearing examination. Results: The 8 kHz (P = 0.039) and 10 kHz (P = 0.005) distortion product otoacoustic emission amplitudes (DPOAE) (DPs) in the high-risk group were lower than those in the low-risk group. The amplitudes of the summating potential (SP) (P = 0.017) and action potential (AP) (P = 0.012) of the electrocochleography (ECochG) in the high-risk group were smaller than those in the low-risk group. The auditory brainstem response (ABR) wave III amplitude in the high-risk group was higher than that in the low-risk group. When SNR = − 7.5 dB (P = 0.030) and − 5 dB (P = 0.000), the high-risk group had a lower speech discrimination score than that of the low-risk group. The 10 kHz DPOAE DP, ABR wave III amplitude and speech discrimination score under noise with SNR = − 5 dB were combined to construct a combination diagnostic indicator. The area under the ROC curve was 0.804 (95% CI 0.713–0.876), the sensitivity was 80.39%, and the specificity was 68.00%. Conclusions: We expect that high noise exposure can be detected early with this combined diagnostic indicator to prevent HHL or sensorineural hearing loss (SNHL). Trial registration number/date of registration: ChiCTR2200057989, 2022/3/25.
- Subjects
OCCUPATIONAL exposure; SPEECH perception; ACTION potentials; OTOACOUSTIC emissions; SENSORINEURAL hearing loss
- Publication
European Archives of Oto-Rhino-Laryngology, 2023, Vol 280, Issue 6, p2763
- ISSN
0937-4477
- Publication type
Article
- DOI
10.1007/s00405-022-07787-9