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The auditory system is essential for sound perception, utilizing various critical structures. When sound waves enter the outer ear, they travel through the ear canal and cause the eardrum to vibrate. These vibrations are then transmitted to the middle ear, where three tiny bones – the malleus, incus, and stapes – amplify the sound. This amplification is crucial, as it ensures that the sound vibrations are strong enough to be conveyed to the inner ear. These vibrations then reach the...
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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.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|December 31, 2025
PubMed
Summary
This summary is machine-generated.

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.

Keywords:
hearing losshyperacusismusiciantinnitus

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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.