Evaluation of Peripheral Hearing and Balance Function Among Construction Workers Working in Noisy Environments Gürültülü Ortamlarda Çalışan İnşaat İşçilerinde Periferik İşitme ve Denge Fonksiyonunun Değerlendirilmesi


ÇAĞLAR T. G., Kuntman B. D., ERBEK H. S.

Journal of Ear Nose Throat and Head Neck Surgery, cilt.33, sa.1, ss.1-7, 2025 (Scopus) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 33 Sayı: 1
  • Basım Tarihi: 2025
  • Doi Numarası: 10.24179/kbbbbc.2024-105264
  • Dergi Adı: Journal of Ear Nose Throat and Head Neck Surgery
  • Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
  • Sayfa Sayıları: ss.1-7
  • Anahtar Kelimeler: audiology, Construction workers, hearing loss, noise, vestibular system
  • Lokman Hekim Üniversitesi Adresli: Evet

Özet

Objective: Noise-induced hearing loss is the most prevalent problem in industrial audiology. In this study, construction employees who had spent at least five years in the industry and worked in a noisy setting had their peripheral hearing and balance systems. Material and Methods: This study included 34 construction workers and 30 healthy volunteers. The following tests were applied to the participants: pure tone audiometry, high-frequency audiometry, speech tests, speech audiometry, and acoustic immitancemetry. Each participant underwent the Video Head Impulse Test (vHIT), Videonystagmography (VNG), and positional tests to assess their balance system. Results: In the control group (n=30), 28 males and 2 females participated, and all males participated in the study group. A decrease in hearing threshold was observed in personnel working in noisy environments after 4000 Hz. “Acoustic notch” was observed in the entire study group (30/34). This effect was not observed in the control group. When pure tone averages were compared, a statistically significant difference was found between the study group and the control group (p<0.001). In high-fre-quency audiometry, a statistically significant difference was found between the study groups at 10000-12000-14000-16000 Hz. In the VNG test (pursuit-optokinetic-saccade tests), a significant gain-loss was found in the study group compared with the control group (p<0.05). No significant difference was found between the groups in terms of vHIT (p>0.05). Conclusion: According to the results of our study, construction workers are susceptible to the development of noise-induced hearing loss. It is recommended to use the VNG test in the evaluation of the vestibular system of people working in noisy environments.