Monitoring the effects of noise exposure using transiently evoked otoacoustic emissions.

One possible alternative to conventional pure-tone testing for screening and monitoring cochlear changes is the measurement of otoacoustic emissions. The aims of this study were to determine the feasibility of using transiently evoked otoacoustic emission (TEOAE) measurements as an objective field procedure and to compare the sensitivity of the measurements indirectly to pure-tone thresholds. The test groups were 117 male recruits and 30 male career cadets in compulsory military service in Switzerland. Transiently evoked otoacoustic emissions were measured before and at the end of a 17-week training period that included exposure to noise from firearms. Results revealed significant changes in response amplitudes in the frequency range from 2 to 4 kHz, whereas changes in the frequency range from 0.5 to 2 kHz were not significant for either group. The changes in relative amplitude did not exceed 15% when spectra containing the lower frequencies were considered. However, they were always greater than 83% within the higher-frequency range. All mean changes were in the direction expected from cochlear damage. Comparison of TEOAE results with pure-tone thresholds measured for a similar sample of subjects indicated that TEOAE testing may be more sensitive than pure-tone audiometry in detecting early cochlear damage from noise. The testing of TEOAEs is feasible as a screening procedure. It offers objective and repeatable information and is substantially less time consuming than pure-tone audiometry.