ArticleTrends in hearing
Auditory Differences in Occupationally Noise-Exposed Workers With Normal Conventional Audiograms: A Multi-Measure Surveillance Approach.
Article in Trends in hearing. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Authors and funding
11 authors.
Funding
Abstract
Young adults with normal conventional audiograms may nonetheless show early noise-related auditory differences that routine surveillance misses. We evaluated a clinically feasible test battery using 280 occupationally noise-exposed workers and 100 age-matched low-noise controls (20-40 years; ≤20 dB HL at 0.5-8 kHz). Measures included conventional and extended high-frequency (EHF; 9-16 kHz) audiometry, distortion-product otoacoustic emissions (DPOAEs; 0.5-10 kHz), ipsilateral acoustic reflex thresholds (ARTs; 0.5, 1, and 2 kHz; 226-Hz probe tone), click-evoked auditory brainstem responses (ABR; wave I, wave V, and V/I ratio at 50 and 90 dBnHL), and Mandarin Bamford-Kowal-Bench speech-in-noise testing (SiN). Noise-exposed participants showed elevated ARTs at all elicitor frequencies, with the largest elevation at 2 kHz, as well as poorer EHF thresholds and lower DPOAE levels. In contrast, click-evoked ABR metrics did not differ between groups. After controlling for conventional-frequency pure-tone average (PTA
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