Evaluation of Subtle Auditory Impairments with Multiple Audiological Assessments in Normal Hearing Workers Exposed to Occupational Noise

Recent studies involving guinea pigs have shown that noise can damage the synapses between the inner hair cells and spiral ganglion neurons, even with normal hearing thresholds—which makes it important to investigate this kind of impairment in humans. The aim was to investigate, with multiple audiol...

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Main Authors: Alessandra Giannella Samelli, Clayton Henrique Rocha, Mariana Keiko Kamita, Maria Elisa Pereira Lopes, Camila Quintiliano Andrade, Carla Gentile Matas
Format: Article
Language:English
Published: MDPI AG 2023-06-01
Series:Brain Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3425/13/6/968
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author Alessandra Giannella Samelli
Clayton Henrique Rocha
Mariana Keiko Kamita
Maria Elisa Pereira Lopes
Camila Quintiliano Andrade
Carla Gentile Matas
author_facet Alessandra Giannella Samelli
Clayton Henrique Rocha
Mariana Keiko Kamita
Maria Elisa Pereira Lopes
Camila Quintiliano Andrade
Carla Gentile Matas
author_sort Alessandra Giannella Samelli
collection DOAJ
description Recent studies involving guinea pigs have shown that noise can damage the synapses between the inner hair cells and spiral ganglion neurons, even with normal hearing thresholds—which makes it important to investigate this kind of impairment in humans. The aim was to investigate, with multiple audiological assessments, the auditory function of normal hearing workers exposed to occupational noise. Altogether, 60 workers were assessed (30 in the noise-exposure group [NEG], who were exposed to occupational noise, and 30 in the control group [CG], who were not exposed to occupational noise); the workers were matched according to age. The following procedures were used: complete audiological assessment; speech recognition threshold in noise (SRTN); speech in noise (SN) in an acoustic field; gaps-in-noise (GIN); transient evoked otoacoustic emissions (TEOAE) and inhibitory effect of the efferent auditory pathway; auditory brainstem response (ABR); and long-latency auditory evoked potentials (LLAEP). No significant difference was found between the groups in SRTN. In SN, the NEG performed worse than the CG in signal-to-noise ratio (SNR) 0 (<i>p</i>-value 0.023). In GIN, the NEG had a significantly lower percentage of correct answers (<i>p</i>-value 0.042). In TEOAE, the NEG had smaller amplitude values bilaterally (RE <i>p</i>-value 0.048; LE <i>p</i>-value 0.045) and a smaller inhibitory effect of the efferent pathway (<i>p</i>-value 0.009). In ABR, the NEG had greater latencies of wave V (<i>p</i>-value 0.017) and interpeak intervals III-V and I-V in the LE (respective <i>p</i>-values: 0.005 and 0.04). In LLAEP, the NEG had a smaller P3 amplitude bilaterally (RE <i>p</i>-value 0.001; LE <i>p</i>-value 0.002). The NEG performed worse than the CG in most of the assessments, suggesting that the auditory function in individuals exposed to occupational noise is impaired, even with normal audiometric thresholds.
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spelling doaj.art-d0abb609568b475bac883d8eddc5ca5d2023-11-18T09:37:06ZengMDPI AGBrain Sciences2076-34252023-06-0113696810.3390/brainsci13060968Evaluation of Subtle Auditory Impairments with Multiple Audiological Assessments in Normal Hearing Workers Exposed to Occupational NoiseAlessandra Giannella Samelli0Clayton Henrique Rocha1Mariana Keiko Kamita2Maria Elisa Pereira Lopes3Camila Quintiliano Andrade4Carla Gentile Matas5Department of Physical Therapy, Speech-Language-Hearing Sciences, and Occupational Therapy, Medical School (FMUSP), University of São Paulo, São Paulo 05360-160, SP, BrazilDepartment of Physical Therapy, Speech-Language-Hearing Sciences, and Occupational Therapy, Medical School (FMUSP), University of São Paulo, São Paulo 05360-160, SP, BrazilDepartment of Physical Therapy, Speech-Language-Hearing Sciences, and Occupational Therapy, Medical School (FMUSP), University of São Paulo, São Paulo 05360-160, SP, BrazilDepartment of Physical Therapy, Speech-Language-Hearing Sciences, and Occupational Therapy, Medical School (FMUSP), University of São Paulo, São Paulo 05360-160, SP, BrazilDepartment of Physical Therapy, Speech-Language-Hearing Sciences, and Occupational Therapy, Medical School (FMUSP), University of São Paulo, São Paulo 05360-160, SP, BrazilDepartment of Physical Therapy, Speech-Language-Hearing Sciences, and Occupational Therapy, Medical School (FMUSP), University of São Paulo, São Paulo 05360-160, SP, BrazilRecent studies involving guinea pigs have shown that noise can damage the synapses between the inner hair cells and spiral ganglion neurons, even with normal hearing thresholds—which makes it important to investigate this kind of impairment in humans. The aim was to investigate, with multiple audiological assessments, the auditory function of normal hearing workers exposed to occupational noise. Altogether, 60 workers were assessed (30 in the noise-exposure group [NEG], who were exposed to occupational noise, and 30 in the control group [CG], who were not exposed to occupational noise); the workers were matched according to age. The following procedures were used: complete audiological assessment; speech recognition threshold in noise (SRTN); speech in noise (SN) in an acoustic field; gaps-in-noise (GIN); transient evoked otoacoustic emissions (TEOAE) and inhibitory effect of the efferent auditory pathway; auditory brainstem response (ABR); and long-latency auditory evoked potentials (LLAEP). No significant difference was found between the groups in SRTN. In SN, the NEG performed worse than the CG in signal-to-noise ratio (SNR) 0 (<i>p</i>-value 0.023). In GIN, the NEG had a significantly lower percentage of correct answers (<i>p</i>-value 0.042). In TEOAE, the NEG had smaller amplitude values bilaterally (RE <i>p</i>-value 0.048; LE <i>p</i>-value 0.045) and a smaller inhibitory effect of the efferent pathway (<i>p</i>-value 0.009). In ABR, the NEG had greater latencies of wave V (<i>p</i>-value 0.017) and interpeak intervals III-V and I-V in the LE (respective <i>p</i>-values: 0.005 and 0.04). In LLAEP, the NEG had a smaller P3 amplitude bilaterally (RE <i>p</i>-value 0.001; LE <i>p</i>-value 0.002). The NEG performed worse than the CG in most of the assessments, suggesting that the auditory function in individuals exposed to occupational noise is impaired, even with normal audiometric thresholds.https://www.mdpi.com/2076-3425/13/6/968noiseoccupationalcochleaauditory perceptual disordershearing tests
spellingShingle Alessandra Giannella Samelli
Clayton Henrique Rocha
Mariana Keiko Kamita
Maria Elisa Pereira Lopes
Camila Quintiliano Andrade
Carla Gentile Matas
Evaluation of Subtle Auditory Impairments with Multiple Audiological Assessments in Normal Hearing Workers Exposed to Occupational Noise
Brain Sciences
noise
occupational
cochlea
auditory perceptual disorders
hearing tests
title Evaluation of Subtle Auditory Impairments with Multiple Audiological Assessments in Normal Hearing Workers Exposed to Occupational Noise
title_full Evaluation of Subtle Auditory Impairments with Multiple Audiological Assessments in Normal Hearing Workers Exposed to Occupational Noise
title_fullStr Evaluation of Subtle Auditory Impairments with Multiple Audiological Assessments in Normal Hearing Workers Exposed to Occupational Noise
title_full_unstemmed Evaluation of Subtle Auditory Impairments with Multiple Audiological Assessments in Normal Hearing Workers Exposed to Occupational Noise
title_short Evaluation of Subtle Auditory Impairments with Multiple Audiological Assessments in Normal Hearing Workers Exposed to Occupational Noise
title_sort evaluation of subtle auditory impairments with multiple audiological assessments in normal hearing workers exposed to occupational noise
topic noise
occupational
cochlea
auditory perceptual disorders
hearing tests
url https://www.mdpi.com/2076-3425/13/6/968
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