Otoacoustic emissions in 28 young adults exposed to amplified music

Popular concern about widespread damage to the hearing from exposure to amp lified music continues, although there has been little firm evidence of per manent effects in casual listeners. Measurement of transient evoked otoacou stic emissions (TEOAEs) provides a sensitive technique for testing outer ha ir cell (OHC) function, and was used in this study of 28 young adults aged 18-25 years, whose only significant source of noise exposure was loud music , to look for evidence of poorer cochlear function in those of greater expo sure; they provided 27 right ears and 27 left ears suitable for measurement of TEOAE strength. Estimates of subjects' total noise dose were obtained f rom self-reports of the duration and intensity of their exposure to music a nd other sources of noise. Ears with greater exposure to loud music showed significantly weaker TEOAEs than less exposed ears in response to a 4 kHz t one burst, or in response to a saturating (82 dBSPL) click if the response was treated with a high-frequency bandpass filter (2-4 kHz) (p<0.05). Diffe rences between more exposed and less exposed groups of ears were most marke d in the 2 kHz half-octave band for right ears, and in the 2.8 kHz half-oct ave band for left ears. A hypothesis is proposed that weakness in TEOAEs as a result of exposure to loud music is seen first in the 2 kHz region of th e emission spectrum, and later at higher frequencies; and that for a given amount of exposure, TEOAE weakness (or OHC damage) is more advanced in left ears than in right.