Personal Listening Device-Induced Hearing Loss: The Talking Point
摘要
Personal listening device noise induced hearing loss is being increasingly reported in the recent past. Device-users often request advice from ENT and audiology fraternity regarding its risks. This review article is to equip the attending Otolaryngologist to communicate with listening device-users, regarding its’ potential risks as well as for advising safe listening practices. Recent literature review of articles on risks and habits including knowledge, attitude and practice among personal listening devices-users was done. Majority of the studies were prospective cross-sectional studies on students who had been using personal listening more than four years. One report revealed presence of hearing loss among 45% along with some other ear symptoms in almost 33%. Among them, those who did not comply to volume alerts had 6.7 higher odds of less than 50 score suggesting hearing loss. Besides, those with previous hearing loss had significantly poorer hearing level when compared to non-users. In another report, among those users with listening time more than 30 min a day and total listening more than seven hours a week, hearing was affected in conventional frequencies while those using more than 70% device volume with more listening time had their hearing affected in highest frequencies. Regarding knowledge, attitude and practice, two studies revealed that though majority had good knowledge and positive attitude, it did not translate into practice for preserving hearing. Existing reports indicate the urgent need for sharing potential hearing risks of personal listening devices as well as safe listening habits for its users. Addressing these with frequently asked questions and explanations are being suggested for users’ understanding. Otolaryngologists and their audiologist colleagues have the mandate to encourage personal listening device-users to be ‘safe rather than sorry’.