“…SNHL is intensified due to the exposure to pollutants such as carbon monoxide (CO) ( Marcano Acuña et al, 2019 ), hydrogen cyanide ( Fechter et al, 2002 ), trimethyltin ( Yu et al, 2016 ) and acrylonitrile, as well as by the combination of high levels of noise and these toxins ( Fechter et al, 2004 ; Pouyatos et al, 2009 ). SNHL is also caused by drugs such as aminoglycosides and cisplatin ( Kros and Steyger, 2019 ; Murillo-Cuesta et al, 2021 ). Although the underlying mechanisms of age- or environmental toxins- mediated SNHL are still unknown, there is large consensus in that free radical processes are effectively involved ( Fechter et al, 2004 ; Wang et al, 2007 ; Fetoni et al, 2019 ; Varela-Nieto et al, 2020 ).…”