Hostname: page-component-745bb68f8f-v2bm5 Total loading time: 0 Render date: 2025-01-26T08:47:25.912Z Has data issue: false hasContentIssue false
  • English
  • Français

The high-pitch notched audiogram: a cohort of patients without causative noise-induced hearing loss

Published online by Cambridge University Press:  18 May 2023

P J Moore Open the ORCID record for P J Moore [Opens in a new window]
P J Moore*
Affiliation:
Private otolaryngology practice (retired), Hobart, Tasmania, Australia
*
Corresponding author: Philip J Moore, Email: amo66985@bigpond.net.au
Get access Rights & Permissions [Opens in a new window]

Abstract

Background

One still encounters opinion that hearing loss with high-pitch notched audiogram is invariably due to noise-induced hearing loss. This paper tests this misapprehension.

Methods

A study was conducted of patients identified in a prospective manner with notched audiograms but no history of noise exposure occurring in an otolaryngological practice over a 20-year period.

Results

A cohort of 26 hearing loss patients, in whom notched audiograms were not associated with historical evidence of noise exposure, was documented.

Conclusion

The findings confirm that a notched audiogram is not pathognomonic of noise-induced hearing loss.

Keywords

Hearing lossnoise-induced
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 137 , Issue 11 , November 2023 , pp. 1264 - 1266
Copyright
Copyright © The Author(s), 2023. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Mr P J Moore takes responsibility for the integrity of the content of the paper

References

Sataloff, R, Sataloff, J. Diagnosing occupational hearing loss. In: Sataloff, R, Sataloff, J, eds. Occupational Hearing Loss, 2nd edn. New York: Marcel Dekker, 1993;373Google Scholar
Australian Society of Otolaryngology – Head and Neck Surgery. Guidelines for Evaluation of Occupational Noise Induced Hearing Loss (ONIHL) of Gradual Process, 2nd edn. Sydney: Australian Society of Otolaryngology – Head and Neck Surgery, 2009Google Scholar
Dobie, R. Medical-Legal Evaluation of Hearing Loss, 2nd edn. New York: Delmar Cengage, 2001;280Google Scholar
Colvin, I, Luxon, L. Clinical diagnosis of noise-induced hearing loss. In: Luxon, L, Prasher, D, eds. Noise and its Effects. Chichester: John Wiley and Sons, 2007;219Google Scholar
Luxon, LM. The clinical diagnosis of noise induced hearing loss. In: Prasher, D, Luxon, LM, eds. Advances in Noise Research, Vol. 1: Biological Effects of Noise. London: Whurr Publishers, 1998;83–113Google Scholar
Lie, A, Engdahl, B, Hoffman, HJ, Li, CM, Tambs, K. Occupational noise exposure, hearing loss, and notched audiograms in the HUNT Nord-Trøndelag hearing loss study 1996–1998. Laryngoscope 2017;127:1442–50CrossRefGoogle Scholar
Nondahl, DM, Shi, X, Cruickshanks, KJ, Dalton, DS, Tweed, TS, Wiley, TL et al. Notched audiograms and noise exposure history in older adults. Ear Hear 2009;30:696–703CrossRefGoogle ScholarPubMed
Osei-Lah, V, Yeoh, LH. High frequency audiometric notch: an outpatient clinic survey. Int J Audiol 2010;49:95–8CrossRefGoogle ScholarPubMed
Sataloff, J, Vassallo, L. Head colds and viral cochleitis. Arch Otolaryngol 1968;19:56–9CrossRefGoogle Scholar
Sataloff, R, Sataloff, J. Diagnosing occupational hearing loss. In: Sataloff, R, Sataloff, J, eds. Occupational Hearing Loss, 2nd edn. New York: Marcel Dekker, 1993;382, 384Google Scholar
Lutman, ME, Qasem, HYN. A source of audiometric notches at 6 kHz. In: Prasher, D, Luxon, L, eds. Advances in Noise Research, Vol 1: Biological Effects of Noise. London: Whurr Publishers, 1998;170–6Google Scholar
Klockhoff, I, Lyttkens, L. Hearing defects of noise trauma type with lack of noise exposure. Scand Audiol 1982;11:257–60CrossRefGoogle ScholarPubMed
Oluwole, M, Irwin, J. Hereditary sensorineural hearing loss mimicking noise-induced hearing loss. J Audiol Med 1996;5:9–20Google Scholar
Anderson, H, Wedenberg, E. Genetic aspects of hearing impairment in children. Acta Otolaryngol (Stockh) 1970;69:77–88CrossRefGoogle ScholarPubMed
Fisch, L. The etiology of congenital deafness and audiometric patterns. J Laryngol Otol 1955;69:479–93CrossRefGoogle ScholarPubMed
Huizing, EH, van Bolhuis, AH, Odenthal, DW. Studies on progressive hereditary perceptive deafness in a family of 335 members. Acta Otolaryngol (Stockh) 1966;61:35–41, 161–7CrossRefGoogle Scholar
Dobie, R. Medical-Legal Evaluation of Hearing Loss, 2nd edn. New York: Delmar Cengage, 2001;138, 160Google Scholar
Colvin, I, Luxon, L. Clinical diagnosis of noise-induced hearing loss. In: Luxon, L, Prasher, D, eds. Noise and its Effects. Chichester: John Wiley and Sons, 2007;210Google Scholar
Sataloff, R, Sataloff, J. Diagnosing occupational hearing loss. In: Sataloff, R, Sataloff, J, eds. Occupational Hearing Loss, 2nd edn. New York: Marcel Dekker, 1993;371Google Scholar
Dobie, R. Medical-Legal Evaluation of Hearing Loss, 2nd edn. New York: Delmar Cengage, 2001;158Google Scholar
Prasher, D. Clinical diagnosis of noise-induced hearing loss. In: Luxon, L, Prasher, D, eds. Noise and its Effects. Chichester: John Wiley and Sons, 2007;127Google Scholar
Colvin, I, Luxon, L. Clinical diagnosis of noise-induced hearing loss. In: Luxon, L, Prasher, D, eds. Noise and its Effects. Chichester: John Wiley and Sons, 2007;201Google Scholar
Sataloff, R, Sataloff, J. Diagnosing occupational hearing loss. In: Sataloff, R, Sataloff, J, eds. Occupational Hearing Loss, 2nd edn. New York: Marcel Dekker, 1993;378Google Scholar