Noise-induced hearing loss and symphony orchestra musicians: risk factors, effects, and management.

Although industrial and recreational noise have been recognized as potential causes of noise-induced hearing loss for quite some time, it is only recently that the sound levels within a symphony orchestra have been implicated as possible sources of harmful noise levels. Many studies have concluded that not only are dangerous levels of noise present within the symphony orchestra, but there is evidence of noise-induced hearing loss among symphony orchestra musicians. Although hearing protection designed for industrial use may not be appropriate for the special listening needs of professional musicians, recent advances in hearing protection design have made hearing protection practical for this population. Suggestions are made for monitoring and protecting the professional ear.