“…Noise is the most frequent cause of irreversible sensorineural hearing loss in the workplace. Styrene and other simple aromatic chemicals such as toluene, ethylbenzene, and xylenes have been linked to hearing loss in the workplace, particularly in conjunction with exposure to noise (Fechter 1999;Hormozi et al 2017;Johnson 2007;Johnson et al 2006;Lawton, Hoffmann, and Triebig 2006;Metwally et al 2012;Morata et al 2011;Sisto et al 2016Sisto et al , 2013Śliwińska-Kowalska et al 2005;Tognola et al 2015;Triebig, Bruckner, and Seeber 2009;Triebig et al 2001). The evidence base is reasonably robust for this effect, and supported by a number of high-quality toxicological and mechanistic animal studies (Campo et al 1999(Campo et al , 2001(Campo et al , 2003(Campo et al , 2011(Campo et al , 2014Chen et al 2007;Chen, Tanaka, and Henderson 2008;Chen and Henderson 2009;Loquet, Campo, and Lataye 1999;Fetoni et al 2016;Gagnaire and Langlais 2005;Gagnaire et al 2006;Lataye, Campo, and Loquet 2000;Lataye et al 2001Lataye et al , 2003Lataye et al , 2004Mäkitie et al 2002;Pouyatos et al 2004;Pouyatos, Campo, and Lataye 2005;Venet et al 2015;Wang et al 2...…”