title: [Detection of hearing loss in patrons of a discoteque using TEOAE and DPOAE].
abstract: BACKGROUND
  The aim of the study was to investigate the potential and difference of pure tone audiogram, TEOAE and DPOAE in the detection of temporary threshold shift.
  
  
  METHODS
  46 disco visitors who were exposed to disco music at an average intensity of 105 dB (A) for 1, 1 1/2 and 2 hours respectively underwent audiological examination before and after noise exposure. Audiological measurements performed were an audiogram and measurements of the TEOAE and DPOAE using the system ILO 92 (Otodynamics).
  
  
  RESULTS
  The frequency range where the threshold shift occurred was around 4000 Hz in the 1 hour group and spread over all frequencies when the exposure time increased. The average threshold shift over all frequencies and probands was 6.2 dB for the 1 hour group, 7.1 dB for the 1 1/2 hour group and 10.1 dB after 2 hours of noise exposure. TEOAE amplitudes showed significant reduction only at 2000 and 3000 Hz. Even at threshold shifts exceeding 15 dB, however not in all cases, a reduction of TEOAE amplitudes occurred. Similar results were obtained regarding the DPOAE measurements.
  
  
  CONCLUSIONS
  We conclude that TEOAE and DPOAE are not ideal instruments in the detection of temporary threshold shift after noise exposure.
authors.affiliation: Universitäts HNO-Klinik, Homburg.
authors.forename: J
authors.initials: J
authors.lastname: Liebel
authors.forename: W
authors.initials: W
authors.lastname: Delb
authors.forename: C
authors.initials: C
authors.lastname: Andes
authors.forename: A
authors.initials: A
authors.lastname: Koch
mesh_terms: D000293:Adolescent; D000328:Adult; D001301:Audiometry, Pure-Tone; D001305:Auditory Fatigue / Q000502:physiology*; D001309:Auditory Threshold / Q000502:physiology*; D005260:Female; D006316:Hearing Loss, High-Frequency / Q000175:diagnosis / Q000503:physiopathology; D006317:Hearing Loss, Noise-Induced / Q000175:diagnosis* / Q000503:physiopathology; D006801:Humans; D008297:Male; D009146:Music; D017084:Otoacoustic Emissions, Spontaneous / Q000502:physiology*; D010469:Perceptual Distortion / Q000502:physiology; D012016:Reference Values; D012307:Risk Factors; D013997:Time Factors
vernacular_title: Die Erfassung von Lärmschäden bei Besuchern einer Diskothek mit Hilfe der TEOAE und DPOAE.