Although noise in general can induce hearing loss, environmental noise represents an important risk for children, teenagers and young adults. Epidemiological investigations now support the occurrence of an increasing number of irreversible hearing losses in these groups. Major causes of hearing loss are toys (guns), explosives and electroacoustically amplified music delivered by head sets or heard in discotheques and open air concerts. Clinical indications are discussed.

At twenty-three 20-30-year-old normal-hearing subjects the characteristic curves of amplitudes and latencies of the five early potentials, appearing within the first 8 ms after stimulus onset, were obtained. The potentials were registered with the earlobe-vertex pick-up, as described by Sohmer and with click stumulus rates of 5/sec, 10/sec and 100/sec; It could be seen: All five potentials depend in amplitude and latency on intensity; all potentials show with increasing click rate an adaptation and a delayed latency, when increasing the click rate from 10/sec to 50/sec; the adaptation phenomenon of the 1st, 2nd, 3rd and 4th potential is the most prominent, the 4th potential shows the smallest adaptation effect; the characteristic curve at 10/sec of the 1st and 3rd potential demonstrates a break at 70 dB SPL; the latencies of the five potentials begin to increase at click rates higher than 10/sec; the 4th potential seems to be the most suitable one for measuring the acoustical threshold; only the fifth potential diminishes in amplitude and increases in latency after administration of an anaesthetic, but an additional relaxant does not alter it any more.

A fraction of Ginkgo biloba, used in experiments with animals ensured significantly the diminution of sound damages caused by white noise or by a pure tone of 4.5 kHz. Higher amplitudes of the acoustic nerve potentials show the protective effect of this fraction of Ginkgo biloba at acute sound damages. It is moreover possible to hold physiologically the adaptation of excitation of the hair cells of the organ of Corti by the fraction of Ginkgo biloba before and after sound damage caused by white noise or during a pure tone of 4.5 kHz. The influence of the fraction of Ginkgo biloba can be seen by a significantly slower recovery of the noise damaged evoked potentials of the acoustic cortex. An efferent protective influence on the neurons of the acoustic cortex is discussed. The fraction of Ginkgo biloba in this form of solution has not been tested for clinical use but it seems to be rich in meaning.

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