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Auditory Symptoms Among Musicians: A Systematic Review and Meta-analysis
Lauren R McCray1,2, Asher T Ripp1,3, Shaun A Nguyen1
1Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.
Summary
Musicians have higher rates of tinnitus, hearing loss, and hyperacusis. Regular auditory check-ups and counseling are recommended for professional and recreational musicians to prevent hearing issues.
Area of Science:
- Audiology
- Occupational Health
- Music Performance
Background:
- Musicians are exposed to high sound levels, increasing their risk of auditory damage.
- Auditory symptoms like tinnitus, hearing loss, and hyperacusis are common concerns in this population.
Purpose of the Study:
- To determine the prevalence of auditory symptoms in recreational and professional musicians.
- To compare auditory symptom rates in musicians versus non-musicians.
Main Methods:
- A systematic review and meta-analysis of cohort and cross-sectional studies.
- Searched CINAHL, Cochrane Library, PubMed, and SCOPUS for studies up to November 19, 2024.
- Included 67 studies with 28,311 participants, assessing tinnitus, hearing loss, and hyperacusis prevalence.
Main Results:
- Musicians showed significantly higher prevalence of tinnitus (42.6%), hearing loss (25.7%), and hyperacusis (37.3%) compared to controls.
- No significant differences in symptom prevalence were found between classical and pop/rock musicians.
- The mean age of musicians was 34.7 years.
Conclusions:
- Over one-third of musicians experience tinnitus or hyperacusis, and nearly a quarter report hearing loss.
- Otolaryngologists should consider routine auditory assessments for musicians.
- Preventive counseling is crucial for musicians to mitigate auditory risks.
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