You can also find help through groups like the Hearing Loss Association of America. A worker whose audiogram shows a standard threshold shift (worsening of 10 dB on average at 2,000, 3,000 and 4,000 Hz when compared with the employee's baseline test) must be notified and receive additional training and evaluation. But if you continue to be exposed to loud concerts or fireworks, you can have lasting hearing loss. Firecrackers, gunshots, and other explosions create powerful sound waves that may rupture your eardrum or damage your inner ear. When autocomplete results are available use up and down arrows to review and enter to select. (https://pubmed.ncbi.nlm.nih.gov/24183105/), (https://www.cdc.gov/nceh/hearing_loss/how_does_loud_noise_cause_hearing_loss.html), (https://www.cdc.gov/ncbddd/hearingloss/noise.html). The disorder is identified on the strength of a high probability conclusion and as a result of an exclusion process. His teaching assignments include Pharmacology/Ototoxicity at PCO, graduate and undergraduate courses in Audiology at Rutger's University (NJ) and Kean College of NJ. [4] If not prevented, hearing loss can be managed through assistive devices and communication strategies. Recent epidemiology and animal studies have provided further insight into the pathophysiology, clinical findings, social and economic impacts of noise-induced hearing loss. benefit from speech therapy, aural rehabilitation and other related services. Because of frequent legal purposes, audiometrical data measured and analyzed have furthermore to be as accurate and reliable as possible. Assist patient and family in coping with hearing deficit. Sallustio V, Portalatini P, Soleo L, Cassano F, Pesola G, Lasorsa G, Quaranta N, Salonna I. Fabiani M, Mattioni A, Saponara M, Cordier A. Brookhouser PE, Worthington DW, Kelly WJ. A recent study found evidence of high-frequency hearing loss in nearly one third of a cohort of college students.12, To be perceived, sounds must exert a shearing force on the stereocilia of the hair cells lining the basilar membrane of the cochlea. 9500 Euclid Avenue, Cleveland, Ohio 44195 |, Important Updates + Notice of Vendor Data Event, (https://familydoctor.org/condition/noise-induced-hearing-loss/). Children with hearing loss and deafness in developing countries rarely receive any schooling. Noise-induced hearing loss limits your ability to hear high frequency sounds and understand speech, which seriously . Am J Ind Med. Prevalence of workers with shifts in hearing by industry: a comparison of OSHA and NIOSH Hearing Shift Criteria. Managing health conditions like diabetes and hypertension (high blood pressure). We avoid using tertiary references. The high-frequency deficit causes difficulty in perceiving and differentiating consonant sounds; patients often report that words run together. High-pitched sounds, such as a baby crying or a distant telephone ringing, may not be perceived at all. Hearing protection decreases the intensity, or loudness, of noise and helps preserve your hearing. Do you ask people to repeat sentences? Is your hearing not as good as it was 10 years ago? Have family members noticed a problem with your hearing?. Noise-induced hearing loss Hard of hearing Tinnitus For more information, contact us at: NIDCD Information Clearinghouse 1 Communication Avenue Bethesda, MD 20892-3456 Toll-free voice: (800) 241-1044 Toll-free TTY: (800) 241-1055 Email: nidcdinfo@nidcd.nih.gov NIH Publication No. When sound waves enter the ear, they can do so with a strong enough force to shear off the tiny hairs and other cells that line the ear. Children are prone to this type due to congenital conditions (present at birth), trauma during childbirth, head injuries or infections. Bethesda, MB: 1990. This course uses an engaging Q & A format to discuss musicians' unique hearing needs and how audiologists can best meet them. Many areas lack sufficient accommodations for hearing loss, which effect academic performance and options for employment. Epub 2016 Nov 30. The site is secure. The impacts of hearing loss are broad and can be profound. Turn down the volume when listening to the radio, television, MP3 player, or anything through earbuds and headphones. If you notice any changes in your hearing, you should schedule a consultation with your healthcare provider. listening behaviours and prevention of hearing loss. Environ Health Perspect. Estimated prevalence of noise induced hearing threshold shifts among children 6 to 19 years of age: The third national health and nutritional examination survey. (2005). These cookies perform functions like remembering presentation options or choices and, in some cases, delivery of web content that based on self-identified area of interests. https://www.audiologyonline.com/audiology-ceus/course/20q-audiologic-care-musicians-36100, 20Q: Audiologic Care for Musicians - Creating the Perfect Harmony, AAA/0.1 Intermediate; ACAud/1.0; AHIP/1.0; ASHA/0.1 Intermediate, Professional; BAA/1.0; CAA/1.0; Calif SLPAB/1.0; IACET/0.1; IHS/1.0; Kansas, LTS-S0035/1.0; NZAS/1.0; SAC/1.0, https://www.audiologyonline.com/audiology-ceus/course/assessment-firearm-noise-exposures-and-31240, Assessment of Firearm Noise Exposures and Hearing Loss Prevention, AAA/0.1 Advanced; ACAud/1.0; AHIP/1.0; BAA/1.0; CAA/1.0; Calif SLPAB/1.0; IACET/0.1; IHS/1.0; Kansas, LTS-S0035/1.0; NZAS/1.0; SAC/1.0, https://www.audiologyonline.com/audiology-ceus/course/best-practices-for-music-industry-33289, Best Practices for Music Industry Patients: Recommendations and "Real World" Care, AAA/0.1 Advanced; ASHA/0.1 Advanced, Professional; BAA/1.0; CAA/1.0; Calif SLPAB/1.0; IACET/0.1; IHS/1.0; Kansas, LTS-S0035/1.0; NZAS/1.0; SAC/1.0, https://www.audiologyonline.com/audiology-ceus/course/telehealth-and-modern-hearing-conservation-38412, Telehealth and Modern Hearing Conservation. Would you like email updates of new search results? Noise-induced hearing loss (NIHL) occurs when structures in the inner ear become damaged due to loud noises. Niskar AS, Kieszak SM, Holmes AE, Esteban E, Rubin C, Brody DJ. The patient was referred to an audiologist, who confirmed a sensorineural hearing loss that was probably caused by excessive noise exposure, with superimposed age-related changes. In most cases, noise-induced hearing loss is treated with hearing aids. Preventing noise-induced hearing loss. -. Its a Noisy Planet. Noise exposure, whether occupational or recreational, is the leading preventable cause of hearing loss. Need CEUs? National Library of Medicine NIHL occurs when the hair cells in your inner ear die. Bob was a cofounder of the NJ Academy of Audiology and served as its first President. Dr. Robert M. DiSogra is a graduate of the PCO School of Audiology. The U.S. Preventive Services Task Force recommends periodic screening of older adults for hearing impairment.17 Other authorities have advocated similar screening for all patients who report significant noise exposure.17 The clinician can ask patients if they have difficulty understanding speech in noisy environments, if they need to turn up the television volume or if they frequently have to ask people to repeat sentences. When youre exposed to loud noises, cells and membranes in the cochlea can become damaged. By using our site, you agree to our Privacy Policy. Its not as much a matter of how loud a sound seems, but how forcefully the sound waves enter the structure of your ear. Nicole Leigh Aaronson, MD, MBA, CPE, FACS, FAAP. Various therapies are available that can help you learn to live with hearing loss. Hearing loss can result from damage to structures and/or nerve fibers in the inner ear that respond to sound. 2023 Mar;131(3):34001. doi: 10.1289/EHP12762. View this Course for FREE. The main symptoms include difficulty understanding speech, muffled sounds, and needing to turn up the volume on devices. Noise-induced hearing loss is one of the most common forms of sensorineural hearing loss, is a major health problem, is largely preventable and is probably more widespread than revealed by conventional pure tone threshold testing. Pediatric hearing loss. Noise-induced hearing loss may be caused by a single event, such as a loud explosion or gunshot. Health Effects. Noise-induced hearing loss is the second most common form of sensorineural hearing deficit, after presbycusis (age-related hearing loss). Epub 2015 Feb 17. You may have difficulty following conversation or communicating with friends and family. Because of frequent legal purposes, audiometrical data measured and analyzed have furthermore to be as accurate and reliable as possible. Noise-induced hearing loss can be caused by sudden or prolonged exposure to any sound over 85 dB. Of the more than 28 million Americans with some degree of hearing impairment, as many as 10 million have hearing loss caused in part by excessive noise exposure in the workplace or during recreational activities.9 The economic costs of occupational hearing loss have been estimated to be in the billions of dollars.10 Noise-induced hearing loss has been well recognized since the industrial revolution. PhysicalTherapy.com This initial hearing loss may remain unnoticed by the affected individual, since speech comprehension is largely unaffected (11). What is noise-induced hearing loss? Even sounds perceived as comfortably loud can be harmful. Changing your medication. Below is a list of possible signs and symptoms: Ringing, buzzing, or roaring in ears or head, called Tinnitus . J Clin Med. Children with minimal sensorineural hearing loss: prevalence, educational performance, and functional status. Basner M, Babisch W, Davis A, Brink M, Clark C, Janssen S, Stansfeld S. Centers for Disease Control and Prevention. 8600 Rockville Pike While you cant reverse damage that has already been done, you can reduce your risk for future damage. People of all ages can develop noise-induced hearing loss. 1988-1994, United States. Hearing loss in young children is usually due to: Both middle ear fluid and wax buildup are reversible. There are different types of hearing protection such as foam earplugs, earmuffs, and custom hearing protection devices. Please enable it to take advantage of the complete set of features! frequency hearing loss but in a down-sloping pattern without recov-ery at 8000Hz.7 Although OSHA does not require audiometric testing at 8000Hz, inclusion of this frequency is highly recommended to assist in the identi-fication of the noise notch as well as age-related hearing loss.8 Noise exposure alone usually does not produce a loss greater . If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance. Sensorineural: Hearing loss affects the inner ear (cochlea) or auditory nerve. In the Weber test (Figure 4), sound will lateralize to the side away from a sensorineural loss and toward a conductive deficit. This patient is an example of a person who has experienced a temporary threshold shift. Temporary threshold shifts are common in persons exposed to excessive noise, and they represent transient hair cell dysfunction. The previous night, she had spent several hours at a rock concert without wearing hearing protection. Studies indicate that without proper intervention, children with mild to moderate hearing loss, on average, do not perform as well in school as children with no hearing loss. What are the recent developments in the management of noise-induced hearing loss? If you need to go back and make any changes, you can always do so by going to our Privacy Policy page. National Library of Medicine Family physicians should educate and motivate patients of all ages to avoid potentially damaging noise, use hearing protection when necessary and seek treatment for an existing hearing deficit. Noise-induced hearing loss is a sensorineural hearing deficit that begins at the higher frequencies (3,000 to 6,000 Hz) and develops gradually as a result of chronic exposure to excessive sound levels.1 Although the loss is typically symmetric, noise from such sources as firearms or sirens may produce an asymmetric loss. People may also Noise-induced hearing loss is commonly characterized by: There are several tools that can help you if youre experiencing noise-induced hearing loss. The National Institute for Occupational Safety and Health (NIOSH) and the National Institute on Deafness and Other Communication Disorders (NIDCD) are conducting a public awareness campaign on the causes and prevention of noise-induced hearing loss. This gap in academic achievement widens as students progress through school.1,2, An estimated 12.5% of children and adolescents aged 619 years (approximately 5.2 million) and 17% of adults aged 2069 years (approximately 26 million) have suffered permanent damage to their hearing from excessive exposure to noise.3,4. occupational deafness for over two millennia, noise-induced hearing loss still exists and is very much a modern problem. Copyright 2023 American Academy of Family Physicians. Use our Find an Audiologist Directory to search for an audiologist near you. The Weber and Rinne tests, performed with a 512-Hz or 1,024-Hz tuning fork can provide clues to whether the loss is conductive or sensorineural. Vocational rehabilitation may be necessary to ensure that patients can function safely and effectively with their hearing impairment. Key factors in this effort are learning to avoid excessive noise when possible and correctly using hearing protection when necessary. The new device offers significant upgrades such as time history profiling, voice notes and GPS. You may encounter harmful sounds at work, at home, and during recreational activities. This course discusses best practices care for the music industry. Occupational hearing loss of market mill workers in the city of Accra, Ghana. Most of the time, the sounds in our everyday environment like TV, traffic and ambient conversations are at a safe level. Both the intensity and the duration of noise exposure determine the potential for damage to the hair cells of the inner ear. Online continuing education for the life of your career, AudiologyOnline Measurements begin at 0, indicating the softest sound that can be heard. 25% - The percentage or people gets higher when you look at Noise induced hearing loss and other hearing complaints among musicians of symphony orchestras. The World report on hearing recommends that WHO Member States take urgent and evidence-based policy action to prevent, identify and rehabilitate hearing Primary ear and hearing care training manual. This case shows that noise-induced hearing loss can interfere with speech discrimination and social functioning. But even if your hearing returns to normal, cells in the inner ear may still be destroyed. Individuals who attend loud concerts or listen to music through headphones at high volumes are more susceptible to NIHL. There are many types of hearing aids, including ones that sit behind the ear or in the ear. However, if hearing loss worsens over time, hearing aids may not provide enough benefit and your provider may recommend other options such as cochlear implants. Every hair cell that gets damaged, then, means less hearing ability. Occupational noise-induced hearing loss (ONIHL) is the most prevalent occupational disease in the world. He has had several publications and has taught both undergraduate and graduate level courses at Rutgers University and Kean University. A person who is not able to hear as well as someone with normal hearing - hearing thresholds of 20 dB or better in both ears - is said to have hearing loss. The manual was developed through an evidence-based consultative process. Please enable it to take advantage of the complete set of features! (2021). This is especially true if you experience sudden or rapidly progressing hearing loss. J Occup Environ Med. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. If these examinations disclose evidence of hearing loss, referral for full audiologic evaluation is recommended. Standard audiology clinic protocols and knowledge may not always be on target for musicians. 2009 Jan;82(2):153-64. doi: 10.1007/s00420-008-0317-1. respiratory therapy If the noise cannot be reduced at its source then the next logical step is to reduce the high intensity noise levels as they enter the ear using ear plugs/muffs. Product Dosage: Many of the impacts of hearing loss can be mitigated through Noise-induced hearing loss is gradual and painless. I tell my patients that the NRR should be as close to their age as possible (except teenagers when I recommend the highest number on the shelf over 25).Finally, an annual audiometric evaluation will serve as the best measure to determine the effectiveness of any hearing protection device and hearing conservation program. The Trainers handbook accompanies the Primary ear and hearing caretraining manual. 17% of all U.S. adults between the ages of 20 and 69, representing approximately 26 million people, have suffered hearing damage from excessive exposure to noise. Advise patient to use hearing protection and avoid excessive noise (lifelong) to limit further hearing loss. If you think you have noise-induced hearing loss, schedule an appointment with your healthcare provider. Background This paper reports on the second part of a major study in New Zealand to identify effective strategies for the prevention of noise induced hearing loss (NIHL). Fortunately, noise-induced hearing loss can often be successfully managed with hearing aids or implants. Tinnitus is a common problem among adults in the United States, with an estimated prevalence of 10% to 15% and peak incidence between 60 and 69 years of age. In some cases, a single exposure to loud noise can cause immediate hearing loss. 2016;59:290300. The following treatable conditions have been alleged to. Research suggests that significant noise-induced hearing loss usually develops after 10 or more years of exposure. Consensus Development Conference Statement. This is called noise-induced hearing loss. PMC You can prevent this kind of hearing loss by reducing your exposure to loud noises and wearing hearing protection when you cant. Epub 2023 Mar 14. How does noise-induced hearing loss occur? Bookshelf Noise-induced hearing loss symptoms go beyond simply not being able to hear. Prevalence of hearing loss in the United States by industry. What are the recent developments in the management of noise-induced hearing loss? Noise-induced hearing loss can result from a one-time exposure to a very loud sound, blast, or impulse, or from listening to loud sounds over an extended period. Everyday sounds like normal conversation wont generally harm your hearing. Guidelines on the diagnosis of noise-induced hearing loss for medicolegal purposes. All information these cookies collect is aggregated and therefore anonymous. CDC is not responsible for Section 508 compliance (accessibility) on other federal or private website. American Academy of Audiology These impairments have been associated with social isolation, depression and an increased risk of accidents.15,16. Noise-Induced Hearing Loss. There are several types of hearing tests that may follow, and a doctor will use an audiogram or chart of your results to determine the type and extent of hearing loss you may have. Noise can cause permanent hearing loss at chronic exposures equal to an average SPL of 85 dB(A) or higher for an eight-hour period.7 Based on the logarithmic scale, a 3-dB increase in SPL represents a doubling of the sound intensity. Noise suppression National Hearing Conservation Association, 9101 E. Kenyon Ave., Ste. Yes. Noise-induced hearing loss is permanent and only partially treatable, yet virtually 100 percent preventable. The global burden of occupational noise-induced hearing loss. WHO estimates that 50% of hearing loss can be prevented through public health measures. Noise-induced hearing loss affects roughly 17 percent of adults, and is the result of repeated or excessive exposure to loud noises. 3% of the need in these countries. A patient who reports significant exposure to noise should be informed that noise-induced hearing loss, although permanent and not fully treatable, is virtually 100 percent preventable. The occupational and environmental medicine (OEM) physician plays a critical role in the prevention of occupational noise-induced hearing loss (NIHL). This seminar will describe the magnitude of firearm noise exposure and will describe noise reduction solutions and hearing protection recommendations. Encourage patient to seek treatment. All Rights Reserved. Kitcher ED, Ocansey G, Abaidoo B, Atule A. Noise-induced hearing loss can be caused by sudden or prolonged exposure to any sound over 85 dB. Wear earplugs or earmuffs when participating in loud activities. Hearing loss can result from a single loud sound (like firecrackers) near your ear. doi: 10.3109/00016487909126417. Sensorineural hearing loss may be caused by exposure to excessive loud noise, presbycusis, ototoxic medications, or Meniere's disease. 2 Temporary threshold shift can be up to 50 dB but recovers within 1 month. Niskar AS, Kieszak SM, Holmes AE, Esteban E, Rubin C, Brody DJ. The mSafeListening handbook provides evidence-based message libraries for the promotion of safe If youre unable to protect yourself from loud noise, move as far away from it as you can. 1 Noise-induced hearing loss is caused by damage to the hair cells found in the inner ear. Casella Launches Its Enhanced 620 Sound Level Meter to Protect Workers from Noise-induced Hearing Loss. Rabinowitz PM. This includes those who are exposed to loud sounds regularly or repeatedly, such as at: About 16 percent of adult hearing loss is related to noise exposure at work. This course is part of a four-course series, Destroying the Box: Innovative Audiologic Care Delivery which highlights the next generation of audiology innovators and their pioneering approaches to meeting unmet audiologic needs in their communities and beyond. There are times, however, when sounds become too loud or last for too long. -. All rights reserved. Bob has over 25 years experience in clinical, educational, research and industrial audiology. -, Masterson EA, Tak S, Themann CL, et al. NIHL is hearing damage caused by exposure to loud noise, which . Hearing protectors, including earmuffs, disposable earplugs and custom-fitted earplugs, can provide 20 to 40 dB of attenuation when used correctly. Noise-induced hearing loss can be prevented by following these guidelines: A research study in Austria found that its possible to determine your susceptibility to NIHL by measuring temporary hearing loss also known as temporary threshold shift (TTS). Macedo LT, Costa EFD, Carvalho BF, Loureno GJ, Calonga L, Castilho AM, Chone CT, Lima CSP. At the other end of the While NIHL cant be cured, there are treatments that can help improve your hearing. Approximately 40 million American adults may have hearing loss resulting from noise exposure. See additional information. A teenaged girl was seen for a school physical examination. Although complete recovery from a given episode can occur, repeated episodes of such shifts occurring after noise exposures give way to permanent threshold shifts because hair cells in the cochlea are progressively lost. Patients who have been exposed to excessive noise. Leaving hearing problems untreated can lead to more significant issues. If you suspect hearing loss, don't wait to seek . 1990 Nov-Dec;(6):12-4. Before Hearing difficulty and tinnitus among U.S. workers and non-workers in 2007. Louder sounds like those created by lawnmowers, motorcycles, and blaring music can reach up to 120 decibels and cause hearing loss over a period of time. An example of a screening question is: Are you exposed to excessive noise in your workplace or through music or hobbies? During well-child visits, parents can be asked whether the child plays with noisy toys. Coles RRA, et al. National Institute on Deafness and Other Communication Disorders. Once these hairs and inner ear structures are damaged, they cannot regenerate or be repaired. Am J Ind Med. Hearing loss and deafness can also occur as a complication of other diseases such as measles, meningitis, rubella and mumps. Screening audiometry performed in the office revealed a 30-dB (mild) elevation of hearing thresholds at 4,000 Hz. WHO estimates that global hearing aid production covers just Therefore, four hours of noise exposure at 88 dB(A) is considered to provide the same noise dose as eight hours at 85 dB(A), and a single gunshot, which is approximately 140 to 170 dB(A), has the same sound energy as 40 hours of 90-dB(A) noise.8, Noise-induced hearing loss is the second most common sensorineural hearing loss, after age-related hearing loss (presbycusis). lifespan, approximately 30% of people over 60 years of age have hearing loss. Abstract. The goal of this study was to review the epidemiology, pathogenesis, and preventive measures of ONIHL among workers and provide evidence for the implementation of control measures. This includes devices that can increase the sound on your television or telephone. Clipboard, Search History, and several other advanced features are temporarily unavailable. Purpose, scope and objectives The purpose of this document is to review the current body of knowledge surrounding noise-induced hearing loss in order to identify current best practice for reducing the In addition to damaging your hearing, harmful noise has been linked to: Noise-induced hearing loss can have a significant negative impact on your quality of life. Heres what you need to know before. Policy. While this type of loss in early childhood is often caused by congenital factors,22 presbycusis becomes the most common sensorineural condition after midlife. By taking preventative measures, recognizing the signs and symptoms, and seeking early intervention, we can protect our children's hearing and prevent further damage. Noise-induced hearing loss is preventable. which 60% of cases are due to preventable causes. Approximately 12 percent of all children ages 6-19 have noise-induced hearing loss. Sound loudness is measured in units called decibels (dB). Careers. Some amplify sounds, while others amplify sounds and decrease background noise at the same time. Exposure to loud noise kills the nerve endings in our inner ear. live with hearing loss. Any changes in audiometric thresholds would indicate that a change in the type of protection selected may be in order or a need for further patient counseling concerning the long term effects of continuous noise exposure with improper or intermittent use of any hearing protection device. The .gov means its official. Trends in worker hearing loss by industry sector, 1981-2010. early detection and interventions. They work closely with physicians, when necessary, and are an important part of the management team. They help us to know which pages are the most and least popular and see how visitors move around the site. Away from work, he had difficulty understanding conversations in crowded rooms, and he said he often argued with his wife about the volume of the television set. Noise-induced hearing loss (NIHL) affects approximately five percent of the population worldwide (Zhou et al., 2013), making it a global public health concern. 3000, Denver, CO 80237. Excessive noise should be avoided when possible. You will be subject to the destination website's privacy policy when you follow the link. As many as 30 million Americans are exposed to potentially harmful sound levels in their workplaces.3 Outside of work, many persons pursue recreational activities that can produce harmful noise. Sound loudness is measured in units called decibels (dB). Cancers (Basel). sharing sensitive information, make sure youre on a federal I tell my patients that properly worn hearing protection devices are significantly less expensive than hearing aids!BIORobert M. DiSogra is NJ licensed audiologist and Director of Audiology Associates of Freehold (NJ). Read on to learn about common causes and prevention. In particular, as it relates to non-regulated hearing conservation in the modern workforce. 1983;29:174182. Before Acoustic trauma, a related condition, results from an acute exposure to short-term impulsive noise.2, Noise is perhaps the most common occupational and environmental hazard. Problems hearing at meetings and social gatherings. How is noise-induced hearing loss diagnosed? Iran J Public Health. 2014 Oct;22(5):388-93. doi: 10.1097/MOO.0000000000000079. Even a small amount of hearing loss can have profound, negative effects on speech, language comprehension, communication, classroom learning, and social development. MeSH Healthline Media does not provide medical advice, diagnosis, or treatment. The goal of this current study was to perform a comprehensive investigation on characterizing protein expression changes in the cochlea . [Current audiological tests in the diagnosis of sensorineural hearing loss caused by noise]. 1 National Institute on Deafness and Other Communication Disorders (NIDCD) www.nidcd.nih.gov/health/noise-induced-hearing-loss. Noise-induced damage to the cochlea is traditionally considered to be associated with symmetrical mild to moderate hearing loss with associated tinnitus; however, there is a significant number of patients with asymmetrical thresholds and, depending on the exposure, severe to profound hearing loss as well. from hearing loss. This document provides a library Problems hearing in noisy surroundings, like in a restaurant. Epub 2008 Apr 11. Counseling about hearing protection is effective, although there is no evidence in favor of physician counseling.17. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This type of hearing loss, termed noise-induced hearing loss, is usually caused by exposure to excessively loud sounds and cannot be medically or surgically corrected.
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