PMID- 18307092 OWN - NLM STAT- MEDLINE DCOM- 20080327 LR - 20080229 IS - 1708-8186 (Electronic) IS - 1499-2027 (Linking) VI - 47 IP - 3 DP - 2008 Mar TI - Effectiveness of hearing protector devices in impulse noise verified with transiently evoked and distortion product otoacoustic emissions. PG - 119-33 LID - 10.1080/14992020701704784 [doi] AB - This study aimed to evaluate the effect of impulse noise on otoacoustic emissions (OAEs) while a passive non-linear earplug or an active level-dependent earmuff was worn. Since none of the standardized attenuation measurement techniques, REAT (real ear at threshold), ATF (acoustic test fixture), or MIRE (microphone in real ear), is designed to test both types in real-wearing condition, OAEs, suitable for detecting subtle changes in the functional integrity of the cochlear outer hair cells, are used. First, DPOAEs (distortion product) and TEOAEs (transiently evoked) of 24 subjects were compared before, immediately after gunfire practice, and after one hour of non-exposure. Secondly, both types of OAEs were evaluated in 31 subjects before and after exposure during a five-day military practice. Significant differences existed between the ears in most cases; the emissions from the right ear had a tendency to be more robust. There were no significant changes in OAEs either before and after exposure, or in the second experiment over multiple days. These findings suggest that the HPDs are able to prevent cochlear damage. FAU - Bockstael, Annelies AU - Bockstael A AD - ENT Department, Faculty of Medicine, Ghent University, Belgium. FAU - Keppler, Hannah AU - Keppler H FAU - Dhooge, Ingeborg AU - Dhooge I FAU - D'haenens, Wendy AU - D'haenens W FAU - Maes, Leen AU - Maes L FAU - Philips, Birgit AU - Philips B FAU - Vinck, Bart AU - Vinck B LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Int J Audiol JT - International journal of audiology JID - 101140017 SB - IM MH - Adult MH - Ear Protective Devices/*standards/*statistics & numerical data MH - Firearms MH - Humans MH - Male MH - Military Personnel MH - Noise, Occupational/*prevention & control MH - Occupational Exposure/*prevention & control MH - *Otoacoustic Emissions, Spontaneous EDAT- 2008/03/01 09:00 MHDA- 2008/03/28 09:00 CRDT- 2008/03/01 09:00 PHST- 2008/03/01 09:00 [pubmed] PHST- 2008/03/28 09:00 [medline] PHST- 2008/03/01 09:00 [entrez] AID - 791034583 [pii] AID - 10.1080/14992020701704784 [doi] PST - ppublish SO - Int J Audiol. 2008 Mar;47(3):119-33. doi: 10.1080/14992020701704784.