Assessment of Hidden Hearing Loss in Individuals Exposed to Occupational Noise Using Cochlear, Neural, Temporal Functions and Quality of Life Measures.

The present study aims to identify the objective tests that can identify hidden hearing loss in a group of individuals exposed to occupational noise, which is not otherwise evident as a clinically relevant permanent threshold shift. A standard group comparison design was used to study the hidden auditory effect of occupational noise on traffic police officers. A total of 50 participants (n = 25 exposed to occupational noise; n = 25 non-occupational noise-exposed) were included in the study. The test battery comprised of behavioral tests (hearing thresholds from 250 to 16,000 Hz), fine structure Distortion product otoacoustic emissions (DPOAE's) as physiological measure, Click and CE-chirp® evoked auditory brain stem response (ABR) as electrophysiological, and Gap detection test (GDT) and Temporal modulation transfer function (TMTF) as psychophysical measures. Among the measures evaluated, extended high-frequency audiometry, fine structure DPOAE amplitude, CE-chirp® ABR, GDT, and TMTF showed a significant difference (p < 0.05) between the traffic police individuals exposed to occupational noise and the controls. However, routine audiometry and click-evoked ABR did not show any significant differences. The high-frequency audiometric thresholds, fine structure DPOAEs, CE-chirp® evoked ABR, GDT and TMTF have been shown to be affected in individuals exposed to occupational noise. This finding indicates a hidden hearing loss in the study group. Hence, this study paves the way for early identification and intervention of noise-induced hearing loss by including these measures along with routine test protocol in susceptible individuals. © Association of Otolaryngologists of India 2021.