“…Today several environmental factors are known to cause an increased risk of hearing loss. They include coexposure to noise and chemicals (organic solvents, heavy metals) (Sliwinska-Kowalska et al, 2005), ototoxic agents (aminoglycosides) (Dayal et al, 1971;Brown et al, 1980;Dodson et al, 1982), heat (Pekkarinen, 1995), noise impulsiveness and vibrations . Associations have also been observed between several individual factors and NIHL, including smoking (Nomura et al, 2005), elevated blood pressure (Starck et al, 1999), cholesterol levels (Toppila et al, 2001), skin pigmentation (Barrenäs, 1998), gender (Berger et al, 1978) and age (for a review see Borg et al, 1995).…”