[Clinical aspects of occupational pathology caused by noise and vibration]

The paper is concerned with the results of many year-old clinical studies on workers of vibration-risk and "noisy" professions. The authors consider occupational and biomedical risk factors contributing to the development of vibratory disorders and noisy cochlear neuritis, the main clinical syndromes of this occupational pathology, modern methods of their preclinical and early clinical diagnosis. The basic principles of differentiated follow-up and combined prevention as well as problems of therapy, medical labor examination and rehabilitation of patients with vibratory disease and occupational cochlear neuritis are described.