Threshold recovery functions following impulse noise trauma

An analysis of the pure-tone threshold recovery functions obtained from 118 chinchillas exposed to high-level impulse noise showed that there are at least three distinctly different types of recovery function: type I--a recovery function for which the initial threshold shift recovers monotonically with increasing postexposure time; type II--a delayed recovery; i.e., for a period as long as 6 h following removal from noise, the pure-tone threshold remains elevated and stable before thresholds begin to follow a monotonic course of recovery; and type III--the growth function; i.e., over a period of at least 6 h following removal from the noise, pure-tone thresholds continue to get worse before they begin to follow a monotonic course of recovery. There is more permanent threshold shift (PTS), more sensory cell loss, and predictions of PTS and cell loss based upon initial measures of threshold shift are less accurate at those frequencies characterized by a type III recovery process than at those frequencies characterized by a type I recovery process.