Chronic Exposure To Loud Sounds

Risk Factors

  • Hx recurrent exposure loud sounds thru work/habits/hobbies
  • Lack of use ear protection

Symptoms

  • Bilateral
  • Chronic/progressive
  • Sometimes tinnitus

Physical Exam Findings

  • Decreased ability to hear whispered words, rubbed fingers thru affected ear(s)
  • External canal and TM should be normal (assuming no co-existing conductive loss)
  • Weber w/512hz tuning fork lateralizes to normal ear; Rinne indicates air conduction better than bone

Tests