Uzun süre mesleki gürültüye maruz kalan işçilerde standart ve yüksek frekans odyometri bulguları

Amaç : Bu çalıflma uzun süre gürültüye maruz kalan- larda standart ve yüksek frekans odyometri ile iflitme efliklerindeki değifliklikleri saptamak amacıyla yapıldı. Hastalar ve Yöntemler: Hidroelektirik santralinin farklı gürültüye sahip çeflitli birimlerinde çalıflan 64 erkek iflçide ve iflitme problemi olmayan 30 erkek gönüllüde saf-ses odyometri ile 250-16000 Hz arasında iflitme eflikleri ölçüldü. İflçilerden, maruz kalınan gürültü düzeyine göre üç, gürültüye maruz kalma sürelerine göre dört grup oluflturuldu. Bulgular: İflçilerin ortalama iflitme efliklerinin 4000- 16000 Hz arasındaki tüm frekanslarda yükselmifl ol- duğu görüldü p

Findings of Standard and high-frequency audiometry in workers exposed to occupational noise for long durations

Objectives: Changes in hearing thresholds were determined by Standard and high-frequency audiometry in sub- jects exposed to occupational noise for long durations.Patients and Methods: Hearing thresholds were measured betvveen 250 and 16000 Hz frequencies by Stan­ dard and high frequency audiometry in 64 male workers mean age 42 years; range 31 to 55 years of a hydro- electric power plant and in 30 age- and sex-matched Con­ trols with no hearing problems. The workers were divided into three groups according to the noise level and into four groups according to the duration of exposure.Results: The mean hearing thresholds of workers showed significant increases in ali frequencies from 4000 to 16000 Hz p<0.005 , the most affected fre- quencies being 4000, 6000, 14000 and 16000 Hz p<0.0005 . İncreases in hearing thresholds were significantly correlated with the noise level and dura­ tion of exposure to noise p<0.05 .Conclusion: The results suggest that high frequency audiometry should be used together with Standard audiometry in the detection and follow-up of individu- als who are at potential risks for hearing losses.

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  • Rabinowitz PM. Noise-induced hearing loss. Am Fam Physician 2000;61:2749-56, 2759-60.
  • Alberti PW. Occupational hearing loss. In: Ballenger JJ, editor. Disease of the nose, throat, ear, head & neck. 1st ed. Philadelphia: Lea-Febiger; 1991. p. 1053-68.
  • A rdıc FN, Topuz B, Ozuer MZ. Standardization in mea- suring high frequency hearing threshold. [Article in Turkish] Kulak Burun Bogaz Ihtis Derg 1998;5:185-9.
  • Bohne BA, Clark WW. Growth of lesion and associated hearing loss with increasing duration of exposure. In: Hamernik RP, Henderson D, Salvi R, editors. New per- spectives of noise-induced hearing loss. 14th ed. New York: Raven Press; 1982. p. 283-302.
  • Clark WW, Bohne BA. Effects of noise on hearing. JAMA 1999;281:1658-9.
  • fiahin Üİ, Cemiloğlu R, Tekalan fiA, Erdem M, Tekden K, Belenli İ. Bir dokuma fabrikasında çalıflan 394 iflçinin odyolojik test neticelerinin değerlendirilmesi. Otolaringoloji ve Stomatoloji Derg 1988;2:92-4.
  • Ahmed HO, Dennis JH, Badran O, Ismail M, Ballal SG, Ashoor A, et al. High-frequency (10-18 kHz) hearing thresholds: reliability, and effects of age and occupa- tional noise exposure. Occup Med 2001;51:245-58.
  • Fausti SA, Erickson DA, Frey RH, Rappaport BZ, Schechter MA. The effects of noise upon human hear- ing sensitivity from 8000 to 20 000 Hz. J Acoust Soc Am 1981;69:1343-7.
  • Grzesik J, Pluta E. Dynamics of high-frequency hear- ing loss of operators of industrial ultrasonic devices. Int Arch Occup Environ Health 1986;57:137-42.
  • Hallmo P, Borchgrevink HM, Mair IW. Extended high- frequency thresholds in noise-induced hearing loss. Scand Audiol 1995;24:47-52.
  • O s t e rhammel D. High-frequency audiometry and noise-induced hearing loss. Scand Audiol 1979;8: 8 5 - 9 0 .
  • Abdulla S. Noise-induced hearing loss: the future is hear. Cochlear pharmacology and noise trauma: pre- vention and progress-a joint symposium organized by The Novartis Foundation and the Euro p e a n Commission Concerted Action Against Noise. The Novartis Foundation London, UK, 1-2 May 1998. Mol Med Today 1998;4:284-5.
  • Maisarah SZ, Said H. The noise exposed factory work- ers: the prevalence of sensori-neural hearing loss and their use of personal hearing protection devices. Med J Malaysia 1993;48:280-5.
  • Celik O, Yalcin S, Ozturk A. Hearing parameters in noise exposed industrial workers. Auris Nasus Larynx 1998;25:369-75.
  • Dereköy FS. Bir mermer fabrikasındaki gürültünün iflçiler üzerindeki odyolojik etkileri. KBB Klinikleri 2000;2:7-10.
  • Coles RR, Lutman ME, Buffin JT. Guidelines on the diagnosis of noise-induced hearing loss for medicole- gal purposes. Clin Otolaryngol 2000;25:264-73.
  • O l e ru UG. Comparison of the hearing levels of Nigerian textile workers and a control group. Am Ind Hyg Assoc J 1980;41:283-7.
  • Kiukaanniemi H, Lopponen H, Sorri M. Noise- induced low- and high-frequency hearing losses in Finnish conscripts. Mil Med 1992;157:480-2.
  • Morton LP, Reynolds L. High frequency thresholds: variations with age and industrial noise exposure. S Afr J Commun Disord 1991;38:13-7.