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Extended high-frequency audiometry: hearing thresholds in adults.

Michaela Škerková1, Martina Kovalová2, Tomáš Rychlý2

  • 1Department of Epidemiology and Public Health, Faculty of Medicine, University of Ostrava, 703 00, Ostrava, Czech Republic. michaela.skerkova@osu.cz.

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
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PubMed
Summary

Extended high-frequency audiometry (EHFA) reveals early hearing loss signs in adults. Hearing declines with age, particularly in males, and at higher frequencies.

Keywords:
AudiogramAudiometryExtended high-frequency audiometryHearing lossHearing testHearing threshold

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Area of Science:

  • Audiology
  • Hearing Science
  • Otolaryngology

Background:

  • Occupational noise exposure and prior hearing issues can skew audiometric results.
  • Establishing normative hearing thresholds is crucial for accurate diagnosis and monitoring.
  • Extended high-frequency audiometry (EHFA) offers a broader spectrum for hearing assessment.

Purpose of the Study:

  • To determine normative hearing thresholds in an otologically healthy population aged 18-64 years.
  • To investigate hearing thresholds using extended high-frequency audiometry (9-16 kHz).
  • To analyze age and sex differences in extended high-frequency hearing.

Main Methods:

  • Recruited a general population sample without occupational noise exposure or hearing problems.
  • Categorized participants into age groups (18-24, then by 10-year increments) and by gender.
  • Conducted tympanometry, conventional audiometry (0.125-8 kHz), and extended high-frequency audiometry (9-16 kHz).

Main Results:

  • Established normative hearing thresholds in the 9-16 kHz range for a healthy population.
  • Extended high-frequency audiometry (EHFA) proved sensitive for early hearing loss detection.
  • Hearing thresholds declined starting at age 35, with faster progression in males than females.
  • Extended high-frequency hearing ability decreased with age and increasing frequency.

Conclusions:

  • The findings enhance understanding of extended high-frequency hearing thresholds across different age and sex groups.
  • Current standards (ISO 7029:2017) are limited in frequency range (up to 12.5 kHz) and not binding.
  • EHFA is a sensitive tool for evaluating age- and sex-dependent hearing loss.