Early detection of hearing damage in young listeners resulting from exposure to amplified music.

Sixty young subjects in the 15-23 age range, selected on the basis of a questionnaire on the degree of exposure to amplified music, underwent 'high resolution' (4 min per octave) sweep-frequency Békésy tracking audiometry, and measurement of auditory frequency resolution at 4 kHz using the psychophysical comb-filtered noise masking technique. The more exposed groups had 10-15% wider bandwidths than the least exposed, and this difference achieved significance when subjects having audiometric notches were excluded, or when a subset of exposed subjects was taken in whom subjective evidence was obtained of Temporary Threshold Shift or post-exposure tinnitus. While the most exposed groups did not show significantly greater averaged thresholds, there was in the older age group, a significantly increased prevalence of notches in the audiograms in the 3.5-6 kHz range. We conclude that exposure to amplified music can be harmful, the earliest sign being decrease in frequency resolution, and that early elevation of thresholds is better detected by high-resolution Békésy tracking (extending over the range 2-8 kHz) than by conventional fixed-frequency audiometry.