OtoRhinoLaryngology by Sfakianakis G.Alexandros Sfakianakis G.Alexandros,Anapafseos 5 Agios Nikolaos 72100 Crete Greece,tel : 00302841026182,00306932607174
Τρίτη 3 Απριλίου 2018
A Computerized Tomography Study of Vocal Tract Setting in Hyperfunctional Dysphonia and in Belting
Source:Journal of Voice
Author(s): Marcelo Saldias, Marco Guzman, Gonzalo Miranda, Anne-Maria Laukkanen
BackgroundVocal tract setting in hyperfunctional patients is characterized by a high larynx and narrowing of the epilaryngeal and pharyngeal region. Similar observations have been made for various singing styles, eg, belting. The voice quality in belting has been described to be loud, speech like, and high pitched. It is also often described as sounding “pressed” or “tense”. The above mentioned has led to the hypothesis that belting may be strenuous to the vocal folds. However, singers and teachers of belting do not regard belting as particularly strenuous.PurposeThis study investigates possible similarities and differences between hyperfunctional voice production and belting. This study concerns vocal tract setting.MethodsFour male patients with hyperfunctional dysphonia and one male contemporary commercial music singer were registered with computerized tomography while phonating on [a:] in their habitual speaking pitch. Additionally, the singer used the pitch G4 in belting. The scannings were studied in sagittal and transversal dimensions by measuring lengths, widths, and areas.ResultsVarious similarities were found between belting and hyperfunction: high vertical larynx position, small hypopharyngeal width, and epilaryngeal outlet. On the other hand, belting differed from dysphonia (in addition to higher pitch) by a wider lip and jaw opening, and larger volumes of the oral cavity.ConclusionsBelting takes advantage of “megaphone shape” of the vocal tract. Future studies should focus on modeling and simulation to address sound energy transfer. Also, they should consider aerodynamic variables and vocal fold vibration to evaluate the “price of decibels” in these phonation types.
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Does hearing in response to soft-tissue stimulation involve skull vibrations? A within-subject comparison between skull vibration magnitudes and hearing thresholds
Source:Hearing Research
Author(s): Shai Chordekar, Ronen Perez, Cahtia Adelman, Haim Sohmer, Liat Kishon-Rabin
Hearing can be elicited in response to bone as well as soft-tissue stimulation. However, the underlying mechanism of soft-tissue stimulation is under debate. It has been hypothesized that if skull vibrations were the underlying mechanism of hearing in response to soft-tissue stimulation, then skull vibrations would be associated with hearing thresholds. However, if skull vibrations were not associated with hearing thresholds, an alternative mechanism is involved. In the present study, both skull vibrations and hearing thresholds were assessed in the same participants in response to bone (mastoid) and soft-tissue (neck) stimulation. The experimental group included five hearing-impaired adults in whom a bone-anchored hearing aid was implanted due to conductive or mixed hearing loss. Because the implant is exposed above the skin and has become an integral part of the temporal bone, vibration of the implant represented skull vibrations. To ensure that middle-ear pathologies of the experimental group did not affect overall results, hearing thresholds were also obtained in 10 participants with normal hearing in response to stimulation at the same sites. We found that the magnitude of the bone vibrations initiated by the stimulation at the two sites (neck and mastoid) detected by the laser Doppler vibrometer on the bone-anchored implant were linearly related to stimulus intensity. It was therefore possible to extrapolate the vibration magnitudes at low-intensity stimulation, where poor signal-to-noise ratio limited actual recordings. It was found that the vibration magnitude differences (between soft-tissue and bone stimulation) were not different then the hearing threshold differences at the tested frequencies. Results of the present study suggest that bone vibration magnitude differences can adequately explain hearing threshold differences and are likely to be responsible for the hearing sensation. Thus, the present results support the idea that bone and soft-tissue conduction could share the same underlying mechanism, namely the induction of bone vibrations. Studies with the present methodology should be continued in future work in order to obtain further insight into the underlying mechanism of activation of the hearing system.
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Vestibular and balance function is often impaired in children with profound unilateral sensorineural hearing loss
Source:Hearing Research
Author(s): Meirav Sokolov, Karen A. Gordon, Melissa Polonenko, Susan I. Blaser, Blake C. Papsin, Sharon L. Cushing
RationaleChildren with unilateral deafness could have concurrent vestibular dysfunction which would be associated with balance deficits and potentially impair overall development. The prevalence of vestibular and balance deficits remains to be defined in these children.MethodsTwenty children with unilateral deafness underwent comprehensive vestibular and balance evaluation.ResultsRetrospective review revealed that more than half of the cohort demonstrated some abnormality of the vestibular end organs (otoliths and horizontal canal), with the prevalence of end organ specific dysfunction ranging from 17 to 48% depending on organ tested and method used. In most children, impairment occurred only on the deaf side. Children with unilateral deafness also displayed significantly poorer balance function than their normal hearing peers.ConclusionsThe prevalence of vestibular dysfunction in children with unilateral deafness is high and similar to that of children with bilateral deafness. Vestibular and balance evaluation should be routine and the functional impact of combined vestibulo-cochlear sensory deficits considered.
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Hearing loss in older adults - From epidemiological insights to national initiatives
Source:Hearing Research
Author(s): Adele M. Goman, Frank R. Lin
The broader implications of hearing loss for the health and functioning of older adults have begun to be demonstrated in epidemiologic studies. These research findings on the association between hearing loss and poorer health outcomes have formed the foundation for national initiatives on hearing loss and public health. These national initiatives range from the Aging and Cognitive Health Evaluation in Elders (ACHIEVE) clinical trial to the recent passage of the bipartisan Over-The-Counter Hearing Aid Act. Utilizing population health research methodologies to study hearing loss can provide the foundation for initiating top-down approaches to increase the adoption and accessibility of hearing care for older Americans with hearing loss.
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Does hearing in response to soft-tissue stimulation involve skull vibrations? A within-subject comparison between skull vibration magnitudes and hearing thresholds
Source:Hearing Research
Author(s): Shai Chordekar, Ronen Perez, Cahtia Adelman, Haim Sohmer, Liat Kishon-Rabin
Hearing can be elicited in response to bone as well as soft-tissue stimulation. However, the underlying mechanism of soft-tissue stimulation is under debate. It has been hypothesized that if skull vibrations were the underlying mechanism of hearing in response to soft-tissue stimulation, then skull vibrations would be associated with hearing thresholds. However, if skull vibrations were not associated with hearing thresholds, an alternative mechanism is involved. In the present study, both skull vibrations and hearing thresholds were assessed in the same participants in response to bone (mastoid) and soft-tissue (neck) stimulation. The experimental group included five hearing-impaired adults in whom a bone-anchored hearing aid was implanted due to conductive or mixed hearing loss. Because the implant is exposed above the skin and has become an integral part of the temporal bone, vibration of the implant represented skull vibrations. To ensure that middle-ear pathologies of the experimental group did not affect overall results, hearing thresholds were also obtained in 10 participants with normal hearing in response to stimulation at the same sites. We found that the magnitude of the bone vibrations initiated by the stimulation at the two sites (neck and mastoid) detected by the laser Doppler vibrometer on the bone-anchored implant were linearly related to stimulus intensity. It was therefore possible to extrapolate the vibration magnitudes at low-intensity stimulation, where poor signal-to-noise ratio limited actual recordings. It was found that the vibration magnitude differences (between soft-tissue and bone stimulation) were not different then the hearing threshold differences at the tested frequencies. Results of the present study suggest that bone vibration magnitude differences can adequately explain hearing threshold differences and are likely to be responsible for the hearing sensation. Thus, the present results support the idea that bone and soft-tissue conduction could share the same underlying mechanism, namely the induction of bone vibrations. Studies with the present methodology should be continued in future work in order to obtain further insight into the underlying mechanism of activation of the hearing system.
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Vestibular and balance function is often impaired in children with profound unilateral sensorineural hearing loss
Source:Hearing Research
Author(s): Meirav Sokolov, Karen A. Gordon, Melissa Polonenko, Susan I. Blaser, Blake C. Papsin, Sharon L. Cushing
RationaleChildren with unilateral deafness could have concurrent vestibular dysfunction which would be associated with balance deficits and potentially impair overall development. The prevalence of vestibular and balance deficits remains to be defined in these children.MethodsTwenty children with unilateral deafness underwent comprehensive vestibular and balance evaluation.ResultsRetrospective review revealed that more than half of the cohort demonstrated some abnormality of the vestibular end organs (otoliths and horizontal canal), with the prevalence of end organ specific dysfunction ranging from 17 to 48% depending on organ tested and method used. In most children, impairment occurred only on the deaf side. Children with unilateral deafness also displayed significantly poorer balance function than their normal hearing peers.ConclusionsThe prevalence of vestibular dysfunction in children with unilateral deafness is high and similar to that of children with bilateral deafness. Vestibular and balance evaluation should be routine and the functional impact of combined vestibulo-cochlear sensory deficits considered.
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Hearing loss in older adults - From epidemiological insights to national initiatives
Source:Hearing Research
Author(s): Adele M. Goman, Frank R. Lin
The broader implications of hearing loss for the health and functioning of older adults have begun to be demonstrated in epidemiologic studies. These research findings on the association between hearing loss and poorer health outcomes have formed the foundation for national initiatives on hearing loss and public health. These national initiatives range from the Aging and Cognitive Health Evaluation in Elders (ACHIEVE) clinical trial to the recent passage of the bipartisan Over-The-Counter Hearing Aid Act. Utilizing population health research methodologies to study hearing loss can provide the foundation for initiating top-down approaches to increase the adoption and accessibility of hearing care for older Americans with hearing loss.
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Does hearing in response to soft-tissue stimulation involve skull vibrations? A within-subject comparison between skull vibration magnitudes and hearing thresholds
Source:Hearing Research
Author(s): Shai Chordekar, Ronen Perez, Cahtia Adelman, Haim Sohmer, Liat Kishon-Rabin
Hearing can be elicited in response to bone as well as soft-tissue stimulation. However, the underlying mechanism of soft-tissue stimulation is under debate. It has been hypothesized that if skull vibrations were the underlying mechanism of hearing in response to soft-tissue stimulation, then skull vibrations would be associated with hearing thresholds. However, if skull vibrations were not associated with hearing thresholds, an alternative mechanism is involved. In the present study, both skull vibrations and hearing thresholds were assessed in the same participants in response to bone (mastoid) and soft-tissue (neck) stimulation. The experimental group included five hearing-impaired adults in whom a bone-anchored hearing aid was implanted due to conductive or mixed hearing loss. Because the implant is exposed above the skin and has become an integral part of the temporal bone, vibration of the implant represented skull vibrations. To ensure that middle-ear pathologies of the experimental group did not affect overall results, hearing thresholds were also obtained in 10 participants with normal hearing in response to stimulation at the same sites. We found that the magnitude of the bone vibrations initiated by the stimulation at the two sites (neck and mastoid) detected by the laser Doppler vibrometer on the bone-anchored implant were linearly related to stimulus intensity. It was therefore possible to extrapolate the vibration magnitudes at low-intensity stimulation, where poor signal-to-noise ratio limited actual recordings. It was found that the vibration magnitude differences (between soft-tissue and bone stimulation) were not different then the hearing threshold differences at the tested frequencies. Results of the present study suggest that bone vibration magnitude differences can adequately explain hearing threshold differences and are likely to be responsible for the hearing sensation. Thus, the present results support the idea that bone and soft-tissue conduction could share the same underlying mechanism, namely the induction of bone vibrations. Studies with the present methodology should be continued in future work in order to obtain further insight into the underlying mechanism of activation of the hearing system.
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Vestibular and balance function is often impaired in children with profound unilateral sensorineural hearing loss
Source:Hearing Research
Author(s): Meirav Sokolov, Karen A. Gordon, Melissa Polonenko, Susan I. Blaser, Blake C. Papsin, Sharon L. Cushing
RationaleChildren with unilateral deafness could have concurrent vestibular dysfunction which would be associated with balance deficits and potentially impair overall development. The prevalence of vestibular and balance deficits remains to be defined in these children.MethodsTwenty children with unilateral deafness underwent comprehensive vestibular and balance evaluation.ResultsRetrospective review revealed that more than half of the cohort demonstrated some abnormality of the vestibular end organs (otoliths and horizontal canal), with the prevalence of end organ specific dysfunction ranging from 17 to 48% depending on organ tested and method used. In most children, impairment occurred only on the deaf side. Children with unilateral deafness also displayed significantly poorer balance function than their normal hearing peers.ConclusionsThe prevalence of vestibular dysfunction in children with unilateral deafness is high and similar to that of children with bilateral deafness. Vestibular and balance evaluation should be routine and the functional impact of combined vestibulo-cochlear sensory deficits considered.
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Hearing loss in older adults - From epidemiological insights to national initiatives
Source:Hearing Research
Author(s): Adele M. Goman, Frank R. Lin
The broader implications of hearing loss for the health and functioning of older adults have begun to be demonstrated in epidemiologic studies. These research findings on the association between hearing loss and poorer health outcomes have formed the foundation for national initiatives on hearing loss and public health. These national initiatives range from the Aging and Cognitive Health Evaluation in Elders (ACHIEVE) clinical trial to the recent passage of the bipartisan Over-The-Counter Hearing Aid Act. Utilizing population health research methodologies to study hearing loss can provide the foundation for initiating top-down approaches to increase the adoption and accessibility of hearing care for older Americans with hearing loss.
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Focus on People Awards Opens for Nominations
Oticon, Inc. is seeking nominations of outstanding individuals with any degree of hearing loss for the 2018 Oticon Focus on People Awards. For 20 years, the Oticon Focus on People Awards have set the gold standard for recognizing the achievements and contributions of people with hearing loss. Established in 1997, the national awards program honors students, adults, advocacy volunteers and hearing care professionals who show that hearing loss does not limit a person's ability to make a positive difference.
"For more than 20 years, the Oticon Focus on People Awards has created the kind of awareness that changes attitudes and opens doors of opportunity for all people with hearing loss," said Nancy Palmere, Director of Consumer Marketing and Public Relations for Oticon, Inc., who heads the national program. "Our approach is simple. By drawing national attention to everyday people doing amazing things, who also happened to have hearing loss, we aim to change negative perceptions of hearing loss and encourage those reluctant to address their own hearing health to seek professional care."
Easy to Nominate
Anyone may nominate. Quick and easy nominations forms, available at www.Oticon.com/FOP, can be downloaded or completed online. People with all degrees of hearing loss – from mild to more severe - are eligible. There is also a special category for hearing care practitioners with or without hearing loss. Deadline for nominations is May 18, 2018.
Four Categories with Three Winners in Each
Categories include: Student, for full-time students with hearing loss, ages 6 – 25; Adult, for people with hearing loss, ages 21 and above; and Advocacy, for volunteers with hearing loss, who are actively involved in support efforts for the hard-of-hearing and deaf community. A special Practitioner category recognizes hearing care professionals who go "above and beyond" through humanitarian and public education efforts. Nominees in the Practitioner category are not required to have a hearing loss to qualify.
First place winners receive a $1,000 cash prize and a $1,000 donation to the charity of their choice. First place winners in the Student, Adult and Advocacy categories also receive Oticon BrainHearing™ hearing devices. Second place winners receive a $500 cash prize and third place winners, a $250 cash prize.
Following the close of nominations, the general public will be invited to vote online to determine first, second and third place winners in each category.
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Focus on People Awards Opens for Nominations
Oticon, Inc. is seeking nominations of outstanding individuals with any degree of hearing loss for the 2018 Oticon Focus on People Awards. For 20 years, the Oticon Focus on People Awards have set the gold standard for recognizing the achievements and contributions of people with hearing loss. Established in 1997, the national awards program honors students, adults, advocacy volunteers and hearing care professionals who show that hearing loss does not limit a person's ability to make a positive difference.
"For more than 20 years, the Oticon Focus on People Awards has created the kind of awareness that changes attitudes and opens doors of opportunity for all people with hearing loss," said Nancy Palmere, Director of Consumer Marketing and Public Relations for Oticon, Inc., who heads the national program. "Our approach is simple. By drawing national attention to everyday people doing amazing things, who also happened to have hearing loss, we aim to change negative perceptions of hearing loss and encourage those reluctant to address their own hearing health to seek professional care."
Easy to Nominate
Anyone may nominate. Quick and easy nominations forms, available at www.Oticon.com/FOP, can be downloaded or completed online. People with all degrees of hearing loss – from mild to more severe - are eligible. There is also a special category for hearing care practitioners with or without hearing loss. Deadline for nominations is May 18, 2018.
Four Categories with Three Winners in Each
Categories include: Student, for full-time students with hearing loss, ages 6 – 25; Adult, for people with hearing loss, ages 21 and above; and Advocacy, for volunteers with hearing loss, who are actively involved in support efforts for the hard-of-hearing and deaf community. A special Practitioner category recognizes hearing care professionals who go "above and beyond" through humanitarian and public education efforts. Nominees in the Practitioner category are not required to have a hearing loss to qualify.
First place winners receive a $1,000 cash prize and a $1,000 donation to the charity of their choice. First place winners in the Student, Adult and Advocacy categories also receive Oticon BrainHearing™ hearing devices. Second place winners receive a $500 cash prize and third place winners, a $250 cash prize.
Following the close of nominations, the general public will be invited to vote online to determine first, second and third place winners in each category.
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Focus on People Awards Opens for Nominations
Oticon, Inc. is seeking nominations of outstanding individuals with any degree of hearing loss for the 2018 Oticon Focus on People Awards. For 20 years, the Oticon Focus on People Awards have set the gold standard for recognizing the achievements and contributions of people with hearing loss. Established in 1997, the national awards program honors students, adults, advocacy volunteers and hearing care professionals who show that hearing loss does not limit a person's ability to make a positive difference.
"For more than 20 years, the Oticon Focus on People Awards has created the kind of awareness that changes attitudes and opens doors of opportunity for all people with hearing loss," said Nancy Palmere, Director of Consumer Marketing and Public Relations for Oticon, Inc., who heads the national program. "Our approach is simple. By drawing national attention to everyday people doing amazing things, who also happened to have hearing loss, we aim to change negative perceptions of hearing loss and encourage those reluctant to address their own hearing health to seek professional care."
Easy to Nominate
Anyone may nominate. Quick and easy nominations forms, available at www.Oticon.com/FOP, can be downloaded or completed online. People with all degrees of hearing loss – from mild to more severe - are eligible. There is also a special category for hearing care practitioners with or without hearing loss. Deadline for nominations is May 18, 2018.
Four Categories with Three Winners in Each
Categories include: Student, for full-time students with hearing loss, ages 6 – 25; Adult, for people with hearing loss, ages 21 and above; and Advocacy, for volunteers with hearing loss, who are actively involved in support efforts for the hard-of-hearing and deaf community. A special Practitioner category recognizes hearing care professionals who go "above and beyond" through humanitarian and public education efforts. Nominees in the Practitioner category are not required to have a hearing loss to qualify.
First place winners receive a $1,000 cash prize and a $1,000 donation to the charity of their choice. First place winners in the Student, Adult and Advocacy categories also receive Oticon BrainHearing™ hearing devices. Second place winners receive a $500 cash prize and third place winners, a $250 cash prize.
Following the close of nominations, the general public will be invited to vote online to determine first, second and third place winners in each category.
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Smoking Increases Risk of Hearing Loss
Smokers are at a higher risk of developing hearing loss, concludes a recently published research.
In an observational study using data from the yearly health checkups of 50,195 adults with no hearing loss at baseline, researchers found a solid evidence that links smoking with increased risk of hearing loss, especially high-frequency hearing loss. The study also reports that the excess risk disappears shortly after study participants quit smoking.“Hearing loss is common in the adult population,” said Huanhuan Hu, PhD, lead author of the study. “Identifying modifiable risk factors is important for hearing health care.”
“Smoking has been associated with prevalent hearing loss in cross-sectional studies. However, few prospective cohort studies have examined the association between smoking and hearing loss, and their findings conflict,” Hu told The Hearing Journal. “Our J-ECOH Study has high quality data on hearing and smoking. Thus, we examined the association between smoking and hearing loss.”
During the follow-up sessions, which were conducted to a maximum of eight years, high-frequency hearing loss was seen in 3,532 participants and low-frequency hearing loss in 1,575. Researchers found that the risk of high- and low-frequency hearing loss increased with the number of cigarettes smoked per day. Smoking cessation led to decline in hearing loss risk, even among those who stopped smoking less than five years before baseline.
The Centers for Disease Control and Prevention (CDC) warns the public that cigarette smoking is the leading cause of preventable disease and death in the United states, responsible for more than one in five deaths every year. CDC also reports that in 2016, approximately 37.8 million adults in the country are cigarette smokers and more than 16 million have smoking-related disease.
The study by Hu and his colleagues at the National Center for Global Health and Medicine in Japan contributes to the evidence that smoking causes preventable diseases.
“Our study provides reliable evidence that smoking may cause hearing loss and the excess risk can be eliminated through quitting smoking,” Hu explained. “Smoking will be more widely acknowledged as a risk factor for hearing loss. In addition, these findings can motivate smokers to quit smoking.”
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Smoking Increases Risk of Hearing Loss
Smokers are at a higher risk of developing hearing loss, concludes a recently published research.
In an observational study using data from the yearly health checkups of 50,195 adults with no hearing loss at baseline, researchers found a solid evidence that links smoking with increased risk of hearing loss, especially high-frequency hearing loss. The study also reports that the excess risk disappears shortly after study participants quit smoking.“Hearing loss is common in the adult population,” said Huanhuan Hu, PhD, lead author of the study. “Identifying modifiable risk factors is important for hearing health care.”
“Smoking has been associated with prevalent hearing loss in cross-sectional studies. However, few prospective cohort studies have examined the association between smoking and hearing loss, and their findings conflict,” Hu told The Hearing Journal. “Our J-ECOH Study has high quality data on hearing and smoking. Thus, we examined the association between smoking and hearing loss.”
During the follow-up sessions, which were conducted to a maximum of eight years, high-frequency hearing loss was seen in 3,532 participants and low-frequency hearing loss in 1,575. Researchers found that the risk of high- and low-frequency hearing loss increased with the number of cigarettes smoked per day. Smoking cessation led to decline in hearing loss risk, even among those who stopped smoking less than five years before baseline.
The Centers for Disease Control and Prevention (CDC) warns the public that cigarette smoking is the leading cause of preventable disease and death in the United states, responsible for more than one in five deaths every year. CDC also reports that in 2016, approximately 37.8 million adults in the country are cigarette smokers and more than 16 million have smoking-related disease.
The study by Hu and his colleagues at the National Center for Global Health and Medicine in Japan contributes to the evidence that smoking causes preventable diseases.
“Our study provides reliable evidence that smoking may cause hearing loss and the excess risk can be eliminated through quitting smoking,” Hu explained. “Smoking will be more widely acknowledged as a risk factor for hearing loss. In addition, these findings can motivate smokers to quit smoking.”
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Smoking Increases Risk of Hearing Loss
Smokers are at a higher risk of developing hearing loss, concludes a recently published research.
In an observational study using data from the yearly health checkups of 50,195 adults with no hearing loss at baseline, researchers found a solid evidence that links smoking with increased risk of hearing loss, especially high-frequency hearing loss. The study also reports that the excess risk disappears shortly after study participants quit smoking.“Hearing loss is common in the adult population,” said Huanhuan Hu, PhD, lead author of the study. “Identifying modifiable risk factors is important for hearing health care.”
“Smoking has been associated with prevalent hearing loss in cross-sectional studies. However, few prospective cohort studies have examined the association between smoking and hearing loss, and their findings conflict,” Hu told The Hearing Journal. “Our J-ECOH Study has high quality data on hearing and smoking. Thus, we examined the association between smoking and hearing loss.”
During the follow-up sessions, which were conducted to a maximum of eight years, high-frequency hearing loss was seen in 3,532 participants and low-frequency hearing loss in 1,575. Researchers found that the risk of high- and low-frequency hearing loss increased with the number of cigarettes smoked per day. Smoking cessation led to decline in hearing loss risk, even among those who stopped smoking less than five years before baseline.
The Centers for Disease Control and Prevention (CDC) warns the public that cigarette smoking is the leading cause of preventable disease and death in the United states, responsible for more than one in five deaths every year. CDC also reports that in 2016, approximately 37.8 million adults in the country are cigarette smokers and more than 16 million have smoking-related disease.
The study by Hu and his colleagues at the National Center for Global Health and Medicine in Japan contributes to the evidence that smoking causes preventable diseases.
“Our study provides reliable evidence that smoking may cause hearing loss and the excess risk can be eliminated through quitting smoking,” Hu explained. “Smoking will be more widely acknowledged as a risk factor for hearing loss. In addition, these findings can motivate smokers to quit smoking.”
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