Otoacoustic emissions in a hearing conservation program: general applicability in longitudinal monitoring and the relation to changes in pure-tone thresholds

Int J Audiol. 2010 Jun;49(6):410-9. doi: 10.3109/14992020903527616.

Abstract

The hearing status of workers (N = 233) in a printing office was assessed twice within seventeen months by pure-tone audiometry and otoacoustic emissions (OAEs). One of the questions was how a quality criterion of OAE-measurements based on a minimum signal-to-noise-ratio (SNR) would affect the applicability on the entire population. Secondly, effects of noise exposure were investigated in overall changes in audiogram and OAE-measurements. For TEOAEs (transient evoked OAEs) in the frequency band of 4 kHz, only 55% of the data points meet the SNR-inclusion criterion. For DPOAEs (distortion product OAEs) around 6 kHz approximately 80% of the data points satisfy the criterion. Thus OAEs have a limited applicability for monitoring the hearing status of this entire population. Audiometry shows significant deteriorations at 6 and 8 kHz. TEOAEs show a significant decline at all frequency bands (1-4 kHz), DPOAEs between 4 and 8 kHz and less pronounced between 1 and 2 kHz. On group level, OAEs show a decline in a larger frequency region than the audiogram, suggesting an increased sensitivity of OAEs compared to audiometry.

MeSH terms

  • Adult
  • Audiometry, Pure-Tone*
  • Auditory Threshold / physiology*
  • Diagnosis, Differential
  • Female
  • Hearing / physiology*
  • Hearing Loss, Noise-Induced / diagnosis
  • Hearing Loss, Noise-Induced / physiopathology*
  • Hearing Loss, Noise-Induced / prevention & control*
  • Humans
  • Industry
  • Longitudinal Studies
  • Male
  • Middle Aged
  • Occupational Diseases / physiopathology*
  • Occupational Diseases / prevention & control*
  • Otoacoustic Emissions, Spontaneous / physiology*
  • Presbycusis / diagnosis
  • Presbycusis / physiopathology*
  • Presbycusis / prevention & control*
  • Printing
  • Reference Standards
  • Sensitivity and Specificity
  • Young Adult