JOURNAL READING

“Noise-Induced Hearing Loss Among Professional Musicians ”

Disusun Oleh:
Stella Arzsa Sarahnaz
1820221128

Pembimbing:
dr. Agus, Sp.THT

SMF ILMU THT

PROFESI DOKTER FK UPN VETERAN JAKARTA
2020
ABSTRAK

• After presbycusis, noise exposure is the 2nd cause of sensorineural hearing loss.

Exposure of high-intensity sounds  musicians  at risk of noise-induced hearing loss ( NIHL )

this study aimed to investigate the frequency of hearing loss and use of protective measures among Iranian musicians.
 METHODE RESULT

• Cross-sectional study
• Audiometric notch in either one or both ears (42.4%)
• 125 musicians  21 women ( 16.8% ) + 104 men of the participants.
(83.2%)
• Bilateral hearing loss (19.2%) of the participants.
• At least 5 years of work experience
• The history of tinnitus after performance 64 (51%)
• Underwent clinical and audiometric examinations
• Ear pain during performance 35 (28%)
• Demographic data
• Complaints about hearing loss
• Less than 2% of the participants used hearing
protection devices.
• Information about the use of protective devices.
 INTRODUCTION
 Noise-induced hearing loss (NIHL) is the second cause of hearing loss after presbycusis.
 NIHL is a sensorineural hearing impairment  generally bilateral, symmetrical, and irreversible disorder.
 People with hearing loss often have a prolonged exposure (5-20 years) to loud sounds ( over 85 dBA ) for several hours
a day.
 Various levels of hearing loss  measured through audiometric tests
 Professional musicians whose job exposes them to excessively loud sounds may also develop noise-induced
complications. Fortunately, protective measures can prevent NIHL in many jobs .
 This study sought to
 Examine hearing status
 Noise exposure levels
 Awareness about acoustic trauma and hearing protection devices & frequency of using such devices among Iranian musicians.
MATERIAL & MEHODE
• Cross-sectional
• Traditional and/or pop musicians with at least 5 years of professional work experience in Tehran, Iran.
• 125 musicians

Exclussion Criteria
Inclussion Criteria

• Individuals diagnosed with a ruptured eardrum (in one or

Having at least five years of experience as a both ears)
professional musician
• Any hearing impairment (hereditary, acquired, or
disease-related)
• History of skull base fractures, exposure to loud sounds
other than music, long-term use of ototoxic medications
RESULT
RESULT
RESULT
RESULT
DISCUSSION

• 125 professional musicians with at least five years of work experience.

• The mean professional work experience of the participants was over 12 years.
• Unfortunately, only three participants used protective devices to prevent NIHL  musicians’ lack of awareness
about the adverse effects of exposure to loud noise on their hearing.
DISCUSSION
• About half of our participants had experienced tinnitus after a performance
• 28% had ear pain during the performance.
• 56% of the subjects had experienced tinnitus / ear pain symptoms during or after the performance.

they were still unaware of the risk of hearing loss

and had not taken control measures

Indicates that the musicians in our study had poor knowledge of the risks associated with exposure to loud music.
DISCUSSION

An important finding of the present study was the difference between the frequency of subjective complaints and
objective symptoms (audiometry results)

• Audiograms  notch in either one or both ears (42%) and bilateral notches (20%)
• Audiograms  notch
• in either one or
Complained ofboth
theirears (42%) impairment
hearing  only (20%)
and bilateral notches 7% of our participants
• complained of their hearing impairment  only 7%

musicians’ lack of attention to preventive measures and screening programs,

along with their mere attention to subjective symptoms and complaints

development + delayed diagnosis of many cases of hearing loss

DISCUSSION

In the present study, a higher risk of NIHL was observed in musicians who had experienced acute symptoms of
exposure to loud noise (tinnitus or ear pain)

This finding highlights the importance of preventive measures in individuals with similar experiences.
DISCUSSION
• This is probably due to asymmetric exposure to sound sources
and loudspeakers or musicians’ positions during performances.
• We did not find any statistically significant relation between the
type of instrument and side of hearing loss.
• NIHL is bilateral in most cases (78%)
• Unilateral hearing loss (22%)
• 8% in the left ear
• 14% in the right ear
 DISCUSSION
Moreover, hearing loss was more frequent in men
than in women  difference was not statistically
• Prevalence of hearing loss was higher in people significant, a larger sample size might have led to
with >10 years of work experience. significant differences
• This finding was consistent with previous studies
and indicated the dose-response effect.
• Moreover, hearing loss was more frequent in men
than in women  difference was not statistically
significant, a larger sample size might have led to
significant differences
CONCLUSION

Long-term exposure to loud sounds

puts musicians at risk of hearing loss.

• However, due to their inadequate knowledge, most musicians never use protective devices to prevent damage to
their auditory system.