Patient and Family Services
Pediatric Audiology
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Smart Ways to Reduce Your
Child's Risk of Noise-Induced Hearing Loss
-Teach your child
to be aware of and avoid harmful noise. Your child
can be exposed to harmful noise at school, at home,
and in many other settings. Commonly used tools
such as power lawn mowers and snow blowers can
cause hearing loss, as can riding motorcycles and
snowmobiles.
-Know what kinds of situations
can generate harmful noise levels, and help your
child
to avoid these situations whenever possible.
-If
you know your child is going to be exposed to harmful
noise, get hearing protectors, such as earplugs
or earmuffs for him or her. (Cotton balls
or tissues stuffed in the ears don’t offer much protection.) When used
correctly, hearing protection can significantly reduce the level of sound that
reaches the ear.
-Minimize your child's total
daily exposure to noise. Noise exposure and the
damage it can cause build up over time. The potential
for damage to your
child's hearing increases with the total amount of time he or she spends exposed
to noise.
-Control the volume when you
can. Don't buy noisy toys, appliances, or tools
when there are quieter alternatives. Reduce
the noise in your child's
life by turning down the volume on the stereo, television, or car radio.
-Do not
wait until your child notices hearing loss to start
protecting him or her from harmful noise. Once
noise-related damage to the ear is done,
it can’t be reversed. However, if your child already has some noise-related
hearing loss, it is not too late to prevent further damage. |
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Noise-Related Hearing Loss
Prolonged exposure to noise is one of the most common—and
most preventable—causes of permanent hearing loss. It
may develop suddenly or gradually, depending on the source and
intensity of the noise. It
usually develops slowly and without pain or symptoms. And it
can be temporary or permanent, depending on the extent of the
damage that’s caused to the ear. You
or your child may not notice that he or she has a problem until
serious, irreversible damage has already been done.
Symptoms of Noise-Related Hearing Loss
Repeated exposure to loud noise is one of the most frequent
causes of permanent hearing loss. It can sneak up on your child,
usually developing slowly and without pain or other symptoms.
And you and your child
may not even notice that he or she is having a hearing loss until
it is severe. Symptoms may include:
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Muffled hearing
-
Difficulty understanding what is being said,
especially when there are competing voices or background
noise. (Your child
may be able to hear someone speaking but cannot distinguish the specific
words.)
-
Listening to the television or radio at higher
volume than in the past.
-
Avoiding conversation and social
interaction as hearing becomes more difficult. This may also
contribute to (or be
mistaken for) depression
-
Ringing, roaring, hissing, or buzzing in the ear (tinnitus).
Tinnitus is a symptom typical of many types
of hearing loss.
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Causes of Noise-Related Hearing Loss
Noise exposure is cumulative and can cause damage over long
periods of time. Even moderately loud sounds, if listened to
long enough and often enough, can cause gradual damage to the
ear
that eventually may result in hearing loss.
Damaging noise can be found anywhere. Sounds that your child
is exposed to on a regular basis at school, at home, at work
and at play are
more
often the cause of gradual hearing
loss than a sudden, extremely loud noise (such as an explosion
or gunshots).
Both the loudness of sound and the length of exposure to sound
determine whether the sound can be harmful. Recreational and
day-to-day activities are often overlooked sources
of harmful noise. High-volume
music and power tools (such as chainsaws or electric drills)
are more-obvious
sources of potentially damaging noise, but repeated, unprotected
exposure to the noise of lawn mowers, household appliances
(such as blenders and vacuum cleaners), and vehicles (such
as snowmobiles
and motorcycles) can be just as damaging.
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Types of Noise-Related Hearing Loss
Noise can affect your child's hearing in numerous ways and may
lead to problems such as:
-
Acoustic trauma. This occurs when a
sudden, extremely loud sound (such as an explosion, a gunshot,
or even a firecracker)
damages
any of the structures in the ear and produces immediate,
severe, and permanent hearing loss. This type of injury often
requires
swift medical attention.
-
Temporary threshold shift. This
happens when loud sounds (for example, from a rock concert
or a power tool) cause a temporary
ringing and hearing loss. Sounds may also seem muffled.
These effects usually only a few hours, but they may sometimes last
several days or weeks. Repeated exposure to sounds that
cause temporary threshold shifts can gradually lead to permanent threshold
shifts, or noise-induced hearing loss.
-
Noise-induced
hearing loss. This is the result of repeated, frequent
exposure to moderately loud sounds over a long period
of time (measured in years). Though permanent, this kind of hearing loss
is almost entirely preventable. Continual exposure
to temporary thresholds shifts can result in noise-induced
hearing loss.
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Diagnosing Noise-Related Hearing Loss
As with other hearing
disorders, the diagnosis of noise-related hearing problems may
be based on:
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A complete physical examination and medical history
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A history
of the symptoms of the problem
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Examination of the structures
of the ear
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A thorough hearing evaluation by an audiologist
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Treating Noise-Related Hearing Loss
Noise-induced hearing loss is usually permanent and cannot
be reversed. Hearing aids and assistive listening devices
often
prove helpful in treating this type of hearing loss.
However, every precaution should be taken to prevent further
damage. Avoiding loud or prolonged exposure to noise
is the best solution.
But when this is impossible or impractical, hearing protection
should be used.
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Preventing Noise-Related Hearing Loss
Noise-related hearing loss
is preventable. The surest form of prevention is to keep your
child out of situations where he or she can
be exposed to loud noises or even moderate, prolonged
noise. When noise exposure is unavoidable, high quality hearing
protection (earplugs or earmuffs) should be used at all times.
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How
much noise is too much noise?
Any sound that’s loud enough
and lasts long enough can lead to hearing loss. An easy way tell
if noise may be
potentially harmful is to pay attention to warning signs. A sound
may be harmful if:
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Your child has difficulty talking or hearing others
talk over the sound
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The sound makes your child's ears hurt
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Your child's ears are ringing after
exposure to the noise
-
Other sounds seem muffled after leaving the noisy area
The chart below gives some examples of various noises, their
loudness levels measured in decibels (dB), and points
at which hearing damage can occur.
| Weakest sound heard |
0 decibles (dB) |
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| Average home noise |
40 dB |
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| Normal conversation/background music |
60-70 dB |
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| Telephone dial tone |
80 dB |
|
| City Traffic (inside car) |
85 dB |
|
| Shouted conversation |
90 dB |
Level at which sustained exposure may result in hearing
loss |
| Subway at 200' |
95 dB |
|
| Boombox/ATV/motorcycle |
96-100 dB |
|
| School dance |
101-105 dB |
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| Power mower |
107 dB |
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| Power saw/leaf blower |
110 dB |
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| Rock concert/football game |
125 dB |
Pain begins |
| Pneumatic riveter at 4' |
125 dB |
|
| Stockcar races |
130 dB |
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| Gunshot/siren at 100' |
140 dB |
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| Rocket engine |
180 dB |
Ear tissue dies |
| Loudest sound possible |
194 dB |
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