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Extended high-frequency audiometry in patients with acoustic trauma
D G Balatsouras1, E Homsioglou, V Danielidis
1ENT Department of Tzanion General Hospital, Piraeus, Greece. balats@panafonet.gr
Objectives:
The aim of this study was to examine extended high-frequency (EHF) hearing in patients with acoustic trauma.
Design:
A prospective, case-control study in a group of soldiers with acoustic trauma caused by shooting practice during basic training.
Setting:
Tertiary referral centre.
Participants:
A total of 39 young soldiers hospitalized for hearing loss and tinnitus following exposure to weapon impulse noise were studied. Conventional audiometry in the frequency range 0.25-8 kHz and EHF audiometry in the frequency range 9-20 kHz were performed, both on admittance and before discharge. Thirty healthy recruits of similar age and sex were used as controls.
Main Outcome Measures:
Pure-tone threshold changes documented by conventional and EHF audiometry.
Results:
The most significant differences in pure-tone thresholds on initial testing were found in the frequency range 0.25-11.2 kHz, and especially in the 4-8 kHz region. Reduction in thresholds across most frequencies was observed after treatment, although recovery was partial in most cases.
Conclusions:
The EHF audiometry adds no significant additional information to conventional pure-tone audiometry in assessing and monitoring noise-induced hearing loss.
