Improving detection of adolescent hearing loss.
Arch Pediatr Adolesc Med
; 165(12): 1094-100, 2011 Dec.
Article
em En
| MEDLINE
| ID: mdl-22147776
ABSTRACT
OBJECTIVES:
To compare a protocol for pure-tone threshold testing, capable of detecting high-frequency hearing loss as indicated by notched audiometric configurations, with the current school rapid hearing screen and to determine typical adolescent noise exposures associated with notched audiometric configurations.DESIGN:
In conjunction with required school rapid hearing screening, a pure-tone threshold testing protocol was administered, specifically to test hearing at high frequencies. A single audiologist reviewed the results. Students completed a survey assessing their noise exposures.SETTING:
A public high school in Pennsylvania.PARTICIPANTS:
Eleventh-grade students. MAIN OUTCOMEMEASURE:
Notched audiometric configurations on the pure-tone threshold test.RESULTS:
Among 296 participants, 78 (26.4%) failed pure-tone threshold testing compared with 15 (5.1%) failing rapid hearing screening. Among those failing the pure-tone threshold testing, 67 (85.9%) failed due to notched audiometric configurations. Self-reported headphone use with an MP3 player was significantly associated with notched audiometric configurations compared with use of earbuds or stereo connection/docking systems.CONCLUSIONS:
Pure-tone threshold testing incorporating high frequencies detects adolescent hearing loss more often than rapid hearing screens. Most state hearing screens omit high-frequency testing, potentially missing high-frequency losses, such as noise-induced hearing loss. Because noise-induced hearing loss in particular is preventable and hazardous noise exposures have increased, a reliable school hearing screen to detect high-frequency hearing loss in adolescents is warranted.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Audiometria de Tons Puros
/
Perda Auditiva Provocada por Ruído
Idioma:
En
Ano de publicação:
2011
Tipo de documento:
Article
País de afiliação:
Estados Unidos