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Transient-evoked otoacoustic emissions in a group of professional singers who have normal pure-tone hearing thresholds

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dc.contributor.author Hamdan A.-L.
dc.contributor.author Abouchacra K.S.
dc.contributor.author Zeki Al Hazzouri A.G.
dc.contributor.author Zaytoun G.
dc.contributor.editor
dc.date Jun-2008
dc.date.accessioned 2017-10-05T15:50:29Z
dc.date.available 2017-10-05T15:50:29Z
dc.date.issued 2008
dc.identifier 10.1097/AUD.0b013e31816a0d1e
dc.identifier.isbn
dc.identifier.issn 01960202
dc.identifier.uri http://hdl.handle.net/10938/18891
dc.description.abstract OBJECTIVES: The objective of this study was to determine whether transient-evoked otoacoustic emissions (TEOAEs) measured in a group of normal-hearing professional singers, who were frequently exposed to high-level sound during rehearsals and performances, differed from those measured in age- and gender-matched normal-hearing non-singers, who were at minimal risk of hearing loss resulting from excessive sound exposure or other risk factors. DESIGN: Twenty-three normal-hearing singers (NH-Ss), 23 normal-hearing controls (NH-Cs), and 9 hearing-impaired singers (HI-Ss) were included. Pure-tone audiometry confirmed normal-hearing thresholds (≥15 dB HL) at 0.5, 1.0, 2.0, 3.0, 4.0, 6.0, and 8.0 kHz in NH-Ss and NH-Cs, and confirmed mild, high frequency, sensorineural hearing loss in HI-Ss (HI-Ss were included only to estimate sensitivity and specificity values for preliminary pass or fail criteria that could be used to help identify NH-Ss at risk for music-induced hearing loss). TEOAEs were measured twice in all ears. TEOAE signal to noise ratio (S-N) and reproducibility were examined for the whole wave response, and for frequency bands centered at 1.0, 1.4, 2.0, 2.8, and 4.0 kHz. RESULTS: Moderate to high correlations were found between test and retest TEOAE responses for the three groups. However, absolute test-retest differences revealed standard deviations that were two to three times larger than those reported previously, with the majority of the variability occurring for the 1.0 kHz band. As such, only the best TEOAE response (B-TEOAE) from the two measurements in each ear was used in further analyses, with data from the 1.0 kHz band excluded. With one exception, within-group comparisons of B-TEOAE S-N and reproducibility across ears and gender revealed no statistically significant differences for either NH-Ss or NH-Cs. The only significant within-group difference was between left and right ears of NH-C females for S-Ns measured in the 2.0 kHz band, where median responses from right ears were found to be higher than left ears. Across-group comparisons of B-TEOAEs revealed lower median S-N and reproducibility values for NH-Ss compared with NH-Cs for the whole wave response and 1.4 kHz band. For the 2.0 kHz band, reproducibility was similar for the normal-hearing groups but median S-N was found to be lower for NH-Ss. No significant differences in S-N or reproducibility were found between normal-hearing groups for the 2.8 and 4.0 kHz bands. Using data from NH-Cs and HI-Ss to establish sensitivity and specificity values for various TEOAE pass or fail criteria, six preliminary criteria were identified as having sensitivity and specificity values ≥90percent. When these criteria were applied to NH-Ss, the number of NH-S ears passing ranged from 57percent to 76percent, depending on the criteria used to judge the NH-S ears, which translates into 24percent to 43percent of ears failing. CONCLUSIONS: Although TEOAE responses were measurable in all singers with normal audiometric thresholds, responses were less robust than those of NH-Cs. The findings suggest that subtle cochlear dysfunction can be detected with TEOAE measurement in a subset of normal-hearing professional singers. Although preliminary, the study findings highlight the importance of pass or fail criterion choice on the number of ears that will be identified as at risk for music-induced hearing loss. © 2008 Lippincott Williams and Wilkins, Inc.
dc.format.extent
dc.format.extent Pages: (360-377)
dc.language English
dc.publisher PHILADELPHIA
dc.relation.ispartof Publication Name: Ear and Hearing; Publication Year: 2008; Volume: 29; no. 3; Pages: (360-377);
dc.relation.ispartofseries
dc.relation.uri
dc.source Scopus
dc.subject.other
dc.title Transient-evoked otoacoustic emissions in a group of professional singers who have normal pure-tone hearing thresholds
dc.type Article
dc.contributor.affiliation Hamdan, A.-L., American University of Beirut Medical Center, Hamra, Beirut, Lebanon, Department of Otolaryngology, American University of Beirut, P.O. Box: 110236, Beirut, Lebanon
dc.contributor.affiliation Abouchacra, K.S., American University of Beirut Medical Center, Hamra, Beirut, Lebanon
dc.contributor.affiliation Zeki Al Hazzouri, A.G., American University of Beirut Medical Center, Hamra, Beirut, Lebanon
dc.contributor.affiliation Zaytoun, G., American University of Beirut Medical Center, Hamra, Beirut, Lebanon
dc.contributor.authorAddress Hamdan, A.-L.; Department of Otolaryngology, American University of Beirut, P.O. Box: 110236, Beirut, Lebanon; email: alhamdan@scvlb.com
dc.contributor.authorCorporate University: American University of Beirut Medical Center; Faculty: Faculty of Medicine; Department: Otolaryngology;
dc.contributor.authorDepartment Otolaryngology
dc.contributor.authorDivision
dc.contributor.authorEmail alhaindan@scvlb.com
dc.contributor.authorFaculty Faculty of Medicine
dc.contributor.authorInitials Hamdan, AL
dc.contributor.authorInitials Abouchacra, KS
dc.contributor.authorInitials Al Hazzouri, AGZ
dc.contributor.authorInitials Zaytoun, G
dc.contributor.authorOrcidID
dc.contributor.authorReprintAddress Hamdan, AL (reprint author), Amer Univ Beirut, Dept Otolaryngol, Med Ctr, POB 110236, Beirut, Lebanon.
dc.contributor.authorResearcherID
dc.contributor.authorUniversity American University of Beirut Medical Center
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dc.description.citedCount 11
dc.description.citedTotWOSCount 9
dc.description.citedWOSCount 8
dc.format.extentCount 18
dc.identifier.articleNo
dc.identifier.coden EAHED
dc.identifier.pubmedID 18382377
dc.identifier.scopusID 43249110844
dc.identifier.url
dc.publisher.address 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA
dc.relation.ispartofConference
dc.relation.ispartofConferenceCode
dc.relation.ispartofConferenceDate
dc.relation.ispartofConferenceHosting
dc.relation.ispartofConferenceLoc
dc.relation.ispartofConferenceSponsor
dc.relation.ispartofConferenceTitle
dc.relation.ispartofFundingAgency
dc.relation.ispartOfISOAbbr Ear Hear.
dc.relation.ispartOfIssue 3
dc.relation.ispartOfPart
dc.relation.ispartofPubTitle Ear and Hearing
dc.relation.ispartofPubTitleAbbr Ear Hear.
dc.relation.ispartOfSpecialIssue
dc.relation.ispartOfSuppl
dc.relation.ispartOfVolume 29
dc.source.ID WOS:000255626300006
dc.type.publication Journal
dc.subject.otherAuthKeyword
dc.subject.otherChemCAS
dc.subject.otherIndex adult
dc.subject.otherIndex article
dc.subject.otherIndex audiometry
dc.subject.otherIndex auditory threshold
dc.subject.otherIndex clinical article
dc.subject.otherIndex controlled study
dc.subject.otherIndex hearing
dc.subject.otherIndex hearing loss
dc.subject.otherIndex human
dc.subject.otherIndex music
dc.subject.otherIndex otoacoustic emission
dc.subject.otherIndex reproducibility
dc.subject.otherIndex risk factor
dc.subject.otherIndex sensitivity and specificity
dc.subject.otherIndex signal noise ratio
dc.subject.otherIndex speech
dc.subject.otherIndex test retest reliability
dc.subject.otherIndex Adult
dc.subject.otherIndex Audiometry, Pure-Tone
dc.subject.otherIndex Auditory Threshold
dc.subject.otherIndex Female
dc.subject.otherIndex Hearing Loss, High-Frequency
dc.subject.otherIndex Hearing Loss, Noise-Induced
dc.subject.otherIndex Humans
dc.subject.otherIndex Male
dc.subject.otherIndex Music
dc.subject.otherIndex Occupational Diseases
dc.subject.otherIndex Otoacoustic Emissions, Spontaneous
dc.subject.otherIndex Predictive Value of Tests
dc.subject.otherIndex Reference Values
dc.subject.otherIndex Sensitivity and Specificity
dc.subject.otherKeywordPlus NOISE EXPOSURE
dc.subject.otherKeywordPlus EARS
dc.subject.otherKeywordPlus RELIABILITY
dc.subject.otherKeywordPlus PREVALENCE
dc.subject.otherKeywordPlus HUMANS
dc.subject.otherKeywordPlus SHIFT
dc.subject.otherWOS Audiology and Speech-Language Pathology
dc.subject.otherWOS Otorhinolaryngology


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