The clinical characteristics of occupational sensorineural hearing loss according to the spectrum of noise
DOI: https://doi.org/10.29296/25877305-2021-12-11
Issue:
12
Year:
2021
Modern industrial noise has its own characteristics, one of which is the tendency to increase the
contribution of high-intensity low-frequency and infrasonic components to the spectrum of noise, which has a
more pronounced pathological effect. The classical presentation of noise-induced sensorineural hearing loss
(SNHL) was considered only as a result of exposure to high-frequency industrial noise. In 2004, infrasound
was included in the list of occupational diseases that cause hearing loss. However, there is no clinical
presentation of occupational infrasound-induced SNHL (OSNHL), which creates difficulties in establishing an
association between diseases and working conditions. Studying the clinical presentation of SNHL due to the
impact of high-intensity noise containing high-intensity low-frequency acoustic vibrations (LFAVs) in the
spectrum, the authors revealed the features of its formation and development, which allows its
identification as a special form and its use in practice. When making a diagnosis of OSNHL, it is necessary
to take into account not only the length of working with noise, but also to pay attention to the noise
spectrum. OSNHL due to the combined effect of noise and LFAVs requires the consideration of its clinical
characteristics and expert judgment.
Keywords:
otorhinolaryngology
infrasound
low-frequency acoustic vibrations
hearing organ
sensorineural hearing loss
clinical presentation
audiogram
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