Background
Human hearing is sensitive to sounds from as low as 20 Hz to as high as 20,000 Hz in normal ears. However, clinical tests of human hearing rarely include extended high frequency (EHF) threshold assessments, at frequencies extending beyond 8,000 Hz. EHF thresholds have been suggested for use monitoring the earliest effects of noise on the inner ear, although the clinical utility of EHF threshold testing is not well established for this purpose.
Purpose
The primary objective of this study was to determine if EHF thresholds in healthy, young adult college students vary as a function of recreational noise exposure.
Research Design
A retrospective analysis of a laboratory database was conducted; all participants with both EHF threshold testing and noise history data were included. The potential for “pre-clinical” EHF deficits was assessed based on the measured thresholds, with the noise surveys used to estimate recreational noise exposure.
Study Sample
EHF thresholds measured during participation in other ongoing studies were available from 87 subjects (34 male and 53 female); all participants had hearing within normal clinical limits (≤25 HL) at conventional frequencies (0.25 to 8 kHz).
Results
EHF thresholds closely matched standard reference thresholds [ANSI S3.6 (1996) Annex C]. There were statistically reliable threshold differences in subjects that used music players, with 3–6 dB worse thresholds at the highest test frequencies (10–16 kHz) in participants that reported long-term music player device use (longer than 5 years), or higher listening levels during music player use.
Conclusions
It should be possible to detect small changes in high frequency hearing for patients/participants that undergo repeat testing at periodic intervals. However, the increased population-level variability in thresholds at the highest frequencies will make it difficult to identify the presence of small but potentially important deficits in otherwise normal hearing individuals that do not have previously established baseline data.