title: [Expert assessment of noise-induced hearing loss with special reference to differentiation between noise-induced damage and other degenerative diseases of the ear].
abstract: In patients with noise-induced hearing loss (NIHL) who also suffer from other degenerative diseases of the ear, a medicolegal opinion must be based on detailed knowledge of the pathophysiology of Corti's organ and on audiometric findings. Only with this special knowledge is it possible to differentiate accurately between NIHL and other types of hearing loss. At the same time, interactions must be considered between endogenous dysfunctions of the hair cells and their sensitivity to overload by severe noise. On the other hand, the diagnosis of NIHL is not valid when there were uncertainties with respect to the type of hearing dysfunction or the risk of noise at the place of work. These difficulties also apply to the estimation of the individual disability from NIHL when associated with other types of hearing loss.
authors.affiliation: Klinik für Hals-Nasen-Ohren-Krankheiten, Kopf- und Hals-Chirurgie der Ruhr-Universität Bochum, Prosper-Hospital Recklinghausen.
authors.forename: P
authors.initials: P
authors.lastname: Plath
mesh_terms: D001301:Audiometry, Pure-Tone; D003937:Diagnosis, Differential; D004185:Disability Evaluation; D005104:Expert Testimony / Q000331:legislation & jurisprudence*; D006316:Hearing Loss, High-Frequency / Q000175:diagnosis*; D006317:Hearing Loss, Noise-Induced / Q000175:diagnosis*; D006801:Humans; D009623:Noise, Occupational / Q000009:adverse effects; D009784:Occupational Diseases / Q000175:diagnosis*
vernacular_title: Die Begutachtung der Lärmschwerhörigkeit unter besonderer Berücksichtigung der Abgrenzung zwischen Lärmschaden und anderen degenerativen Erkrankungen des Hörorgans.