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

Show simple item record Hamdan A.-L. Abouchacra K.S. Zeki Al Hazzouri A.G. Zaytoun G.
dc.contributor.editor Jun-2008 2017-10-05T15:50:29Z 2017-10-05T15:50:29Z 2008
dc.identifier 10.1097/AUD.0b013e31816a0d1e
dc.identifier.issn 01960202
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 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.source Scopus
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:
dc.contributor.authorCorporate University: American University of Beirut Medical Center; Faculty: Faculty of Medicine; Department: Otolaryngology;
dc.contributor.authorDepartment Otolaryngology
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.authorReprintAddress Hamdan, AL (reprint author), Amer Univ Beirut, Dept Otolaryngol, Med Ctr, POB 110236, Beirut, Lebanon.
dc.contributor.authorUniversity American University of Beirut Medical Center
dc.description.cited Attias J, 1996, J Basic Clin Physiol Pharmacol, V7, P221; Attias J, 2001, NOISE HEALTH, V3, P19; Attias J, 1995, EAR HEARING, V16, P612, DOI 10.1097-00003446-199512000-00007; AVAN P, 1993, HEARING RES, V70, P109, DOI 10.1016-0378-5955(93)90055-6; AVAN P, 1993, PROG BRAIN RES, V97, P67; BILGER RC, 1990, J SPEECH HEAR RES, V33, P418; BOHNE BA, 1982, PERSPECTIVES NOISE I, P283; BOHNE BA, 1987, HEARING RES, V29, P251, DOI 10.1016-0378-5955(87)90172-9; BONFILS P, 1988, ARCH OTO-RHINO-LARYN, V245, P53, DOI 10.1007-BF00463550; BONFILS P, 1988, AUDIOLOGY, V27, P27; BROWNELL WE, 1990, EAR HEARING, V11, P82, DOI 10.1097-00003446-199004000-00003; Davis Bob, 2005, J Am Acad Audiol, V16, P69, DOI 10.3766-jaaa.16.2.2; DESAI A, 1999, NOISE HLTH, V2, P58; Engdahl B, 1996, SCAND AUDIOL, V25, P71, DOI 10.3109-01050399609047559; ENGDAHL B, 1993, SCAND AUDIOL, V23, P99; Ferguson MA, 2000, AUDIOLOGY, V39, P125; Fukai N, 2005, INT J AUDIOL, V44, P8, DOI 10.1080-14992020400022652; FURST M, 1992, J ACOUST SOC AM, V91, P1003, DOI 10.1121-1.402626; Hall AJ, 1999, AUDIOLOGY, V38, P277; Hall J. W., 2000, HDB OTOACOUSTIC EMIS; HARRIS FP, 1991, AUDIOLOGY, V30, P135; HART CW, 1987, MED PROBL PERFORM AR, V2, P22; HENOCH MA, 2004, INT TRUMPET GUILD J, V54, P55; HOTZ MA, 1993, ACTA OTO-LARYNGOL, V113, P478, DOI 10.3109-00016489309135849; *ILO, 1997, OAE INSTR US MAN; Kapadia S, 1997, J ACOUST SOC AM, V101, P3566, DOI 10.1121-1.418317; KELLY E, 2000, ALLEGRO ARCH, VC; Kemp D T, 1986, Scand Audiol Suppl, V25, P71; KEMP DT, 1978, J ACOUST SOC AM, V64, P1386, DOI 10.1121-1.382104; Khalfa S, 1997, ACTA OTO-LARYNGOL, V117, P192, DOI 10.3109-00016489709117767; Khalfa S, 1998, HEARING RES, V121, P29, DOI 10.1016-S0378-5955(98)00062-8; Konopka W, 2005, INT J AUDIOL, V44, P3, DOI 10.1080-14992020400022561; KVAERNER KJ, 1995, SCAND AUDIOL, V24, P137; Lucertini M, 1996, BRIT J AUDIOL, V30, P79, DOI 10.3109-03005369609077935; Lucertini M, 1998, EUR ARCH OTO-RHINO-L, V255, P491, DOI 10.1007-s004050050105; Mansfield JD, 1999, BRIT J AUDIOL, V33, P211; Marshall L, 1996, EAR HEARING, V17, P237, DOI 10.1097-00003446-199606000-00007; Marshall L, 1998, J SPEECH LANG HEAR R, V41, P1319; MARTIN GK, 1990, EAR HEARING, V11, P106; Occupational Safety and Health Administration, 1983, FED REG, V48, P9738; Penner MJ, 1997, HEARING RES, V103, P28, DOI 10.1016-S0378-5955(96)00162-1; PRIEVE BA, 1993, J ACOUST SOC AM, V93, P3308, DOI 10.1121-1.405715; PROBST R, 1993, BRIT J AUDIOL, V27, P85, DOI 10.3109-03005369309077896; PROBST R, 1986, HEARING RES, V21, P261, DOI 10.1016-0378-5955(86)90224-8; PROBST R, 1991, J ACOUST SOC AM, V89, P2027, DOI 10.1121-1.400897; RESHEF I, 1993, BRIT J AUDIOL, V27, P387, DOI 10.3109-03005369309076715; Rhoades K, 1998, EAR HEARING, V19, P450, DOI 10.1097-00003446-199812000-00006; Robinette Martin S, 2003, J Am Acad Audiol, V14, P213; Tognola G, 1999, AUDIOLOGY, V38, P243; U.S. Department of Labor, 2006, OCC OUTL HDB; VEDANTAM R, 1991, AM J OTOL, V12, P435; Vinck BM, 1999, AUDIOLOGY, V38, P44; WHITEHEAD ML, 1994, IEEE ENG MED BIOL, V13, P210, DOI 10.1109-51.281681
dc.description.citedCount 11
dc.description.citedTotWOSCount 9
dc.description.citedWOSCount 8
dc.format.extentCount 18
dc.identifier.coden EAHED
dc.identifier.pubmedID 18382377
dc.identifier.scopusID 43249110844
dc.publisher.address 530 WALNUT ST, PHILADELPHIA, PA 19106-3621 USA
dc.relation.ispartOfISOAbbr Ear Hear.
dc.relation.ispartOfIssue 3
dc.relation.ispartofPubTitle Ear and Hearing
dc.relation.ispartofPubTitleAbbr Ear Hear.
dc.relation.ispartOfVolume 29
dc.source.ID WOS:000255626300006
dc.type.publication Journal
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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