Noise-Induced hearing loss among professional musicians

Pouryaghoub, Gholamreza; Mehrdad, Ramin; Pourhosein, Saeed

doi:10.1539/joh.16-0217-oa

Cited by 60 publications

(43 citation statements)

References 19 publications

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“…Our systematic review shows that CL PMs suffer from asymmetric HL significantly more than PR PMs. This difference can be explained by the instruments played by these professionals: in a classical music orchestra, a large portion of musicians play single-sided instruments, such as the violin (string) or the transverse flute; with these instruments the ear that is on the ipsilateral side (commonly the left for right handed musicians) is the most exposed to sound [ 65 ]. In PR PMs, the low incidence of asymmetric HL could be explained by prolonged exposure to high intensity sounds, such as those generated by electronic guitars, and the Larsen effect.…”

Section: Discussionmentioning

confidence: 99%

Hearing Loss, Tinnitus, Hyperacusis, and Diplacusis in Professional Musicians: A Systematic Review

Stadio

Dipietro

Ricci

et al. 2018

IJERPH

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Professional musicians (PMs) are at high risk of developing hearing loss (HL) and other audiological symptoms such as tinnitus, hyperacusis, and diplacusis. The aim of this systematic review is to (A) assess the risk of developing HL and audiological symptoms in PMs and (B) evaluate if different music genres (Pop/Rock Music—PR; Classical Music—CL) expose PMs to different levels of risk of developing such conditions. Forty-one articles including 4618 PMs were included in the study. HL was found in 38.6% PMs; prevalence was significantly higher among PR (63.5%) than CL (32.8%) PMs; HL mainly affected the high frequencies in the 3000-6000 Hz range and was symmetric in 68% PR PMs and in 44.5% CL PMs. Tinnitus was the most common audiological symptom, followed by hyperacusis and diplacusis. Tinnitus was almost equally distributed between PR and CL PMs; diplacusis was more common in CL than in PR PMs, while prevalence of hyperacusis was higher among PR PMs. Our review showed that PR musicians have a higher risk of developing HL compared to CL PMs; exposure to sounds of high frequency and intensity and absence of ear protection may justify these results. Difference in HL symmetry could be explained by the type of instruments used and consequent single-sided exposure.

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Section: Discussionmentioning

confidence: 99%

Hearing Loss, Tinnitus, Hyperacusis, and Diplacusis in Professional Musicians: A Systematic Review

Stadio

Dipietro

Ricci

et al. 2018

IJERPH

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“…Based on working history, patients were divided into two groups: patients with tinnitus and a history of employment in one of the professions associated with an increased exposure to occupationally-acquired noise-induced hearing loss (HIGH-RISK, n = 68) and patients with tinnitus and a history of employment in industries and occupations reported to have lower risks for hearing impairment (LOW-RISK, n = 68). Patients were included in the HIGH-RISK group if they had a history of employment in one of the following professions: armed forces [ 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 ], carpenters [ 36 , 38 , 43 ], manufacturing workers [ 5 , 34 , 35 , 43 , 44 , 45 , 46 ], drivers [ 5 , 34 , 38 , 43 , 47 , 48 ], miners [ 5 , 35 , 38 , 43 , 49 , 50 ], musicians [ 38 , 51 , 52 , 53 ], railroaders [ 4 , 5 , 34 , 43 , 54 , 55 ], school teachers [ 5 , 34 , 43 ] and construction workers [ 5 , 34 , 38 , 43 , 55 , 56 ,…”

Section: Methodsmentioning

confidence: 99%

Work-Related Noise Exposure in a Cohort of Patients with Chronic Tinnitus: Analysis of Demographic and Audiological Characteristics

Ralli

Balla

Greco

et al. 2017

IJERPH

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Work-related noise exposure is one of the major factors contributing to the development of adult-onset hearing loss and tinnitus. The aim of this study was to analyze, in patients with chronic tinnitus and long-term occupational noise exposure, (A) characteristics of hearing loss, tinnitus, comorbidities, demographic characteristics and a history of work-related noise exposure and (B) differences among individuals employed in occupations with high and low risk of developing work-related noise-induced hearing loss (NIHL). One hundred thirty six patients with chronic tinnitus and at least a 10 year-long working history were divided into two groups based on the risk of their profession to induce NIHL. Individuals employed in jobs at high risk for NIHL were mostly males and exhibited a poorer hearing threshold, more evident in the left ear. Tinnitus was mostly bilateral; the next largest presentation was left-sided; patients described their tinnitus as buzzing or high-pitched. Correlation between age, length of tinnitus and worse hearing was found. Patients with a higher degree of hearing impairment were mostly males and were more likely to have a family history of hearing loss and at least one cardiovascular comorbidity. Our study shows some differences in individuals with tinnitus and a history of a profession associated with increased exposure to NIHL compared to those without such a history.

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“…Only a small percentage of musicians use hearing protection devices to prevent damage to their auditory system (Santucci 2009;Pouryaghoub et al 2017). This may indicate a need for educational programs for musicians to become more aware of the risks of noise exposure.…”

Section: Hearing Loss and Hearing-related Disordersmentioning

confidence: 99%

Musical Instrument-Associated Health Issues and Their Management

Okoshi

Minami

Kikuchi

et al. 2017

Tohoku J. Exp. Med.

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Playing musical instruments can bring joy to people, but can also cause a wide variety of health issues that range from mild disorders to potentially fatal conditions. Although sports medicine is an established medical subspecialty, relatively few studies have investigated the health issues associated with musical instruments. Here we present an overview of these health issues. These include infections due to microorganisms, allergic reactions, as well as mechanical injuries from sustained high pressures within the oral, mediastinal, thoracic, and abdominal cavities. For example, wind instruments can potentially harbor thousands of pathogenic organisms. If several players share the same instrument, these instruments present potential hazards in the spread of infections. A fatal case of hypersensitivity pneumonitis in a bagpiper is particularly noteworthy. Similarly, a case of gastrointestinal anthrax in an animal-hide drummer is a reminder of this rare but highly fatal disease. Although not fatal, hearing-related disorders, neuromuscular issues, musculoskeletal problems, and contact dermatitis are also very common among instrumentalists. This review aims to illuminate these under-recognized health issues by highlighting both the common conditions and the rare but fatal cases.

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Noise-Induced hearing loss among professional musicians

Cited by 60 publications

References 19 publications

Hearing Loss, Tinnitus, Hyperacusis, and Diplacusis in Professional Musicians: A Systematic Review

Hearing Loss, Tinnitus, Hyperacusis, and Diplacusis in Professional Musicians: A Systematic Review

Work-Related Noise Exposure in a Cohort of Patients with Chronic Tinnitus: Analysis of Demographic and Audiological Characteristics

Musical Instrument-Associated Health Issues and Their Management

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