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Hearing Loss in Teens Preventable with Simple Steps

They’re everywhere. IPods on the bus or in the airport. Headphones on people walking down the street. Cellular phones pressed against a driver’s ear in the middle of busy traffic. Everywhere you look, people are listening to more voices, music, and noise. But how does all this listening affect hearing, particularly in the most techno-savvy generation, today’s teenagers?
The fact is that if your teenagers don’t seem to hear you when you tell them to do their homework, they may actually be having trouble hearing what you are saying. According to the Centers for Disease Control and Prevention, 5.2 million U.S. teenagers show signs of hearing loss. Unfortunately, many teens don’t realize they are losing their hearing until it’s too late to correct.           
“It really doesn't take much for your ears to be affected by noise,” says Dr. Patti Huang, an otolaryngologist at The Austin Diagnostic Clinic. “The popularity of MP3 players and the tendency of teenagers to prefer loud music can be an unhealthy combination.”
A sudden loud noise or exposure to high noise levels over time can cause permanent damage to the tiny hairs in the cochlea, an important part of the inner ear that helps transmit sounds along the auditory nerve. Once damaged, these tiny hairs cannot transmit sounds as effectively as they did before.
Even 15 minutes of exposure to loud noises can cause temporary hearing loss. Your body responds to the loud sounds by producing a ringing in your ears, a condition known as tinnitus. Usually the ringing goes away after sound levels return to normal.
“Over time, too much exposure to loud noise can lead to a condition known as noise-induced hearing loss,” Huang continues. “Among teens, one of the biggest noise culprits is personal music players. Video games, music concerts and raves, television sets, traffic, and some machines and appliances can also contribute.”
The risk of hearing impairment starts after prolonged exposure at 85 decibels (dB), the unit for measuring the loudness of sounds. Things as seemingly innocuous as a telephone dial tone can check in at 85 dB or higher.
“Many of the kinds of sounds teens like to hear, as you might imagine, can be considerably louder,“ continues Huang, “particularly music and video games.”
Rock concerts routinely expose viewers to sound levels above 100 dB. Portable audio players can be louder than 115 dB. Some car stereos are capable of volume output as high as 140 to 150 dB.
But since you can’t easily measure the decibel levels around you or your teenager, how do you know when a sound is too loud? One way to judge is to see if you can hear normal conversation over the sound of the music, television or video game. When you talk to someone normally, that level of conversation is typically at 60 decibels. So if you cannot hear normal conversation over the music playing in your MP3 player or stereo, it’s probably at a higher decibel level and is too loud.
 “Unfortunately, the earbuds preferred by today’s music listeners are even more likely to cause hearing loss than the older muff-type headphones,” Huang says. “Since earbuds are placed directly into the ear, they can boost the sound signal by as much as six to nine decibels.”
In addition to the more intense sound signal, today’s music listening devices -- with their longer battery life and their capacity to hold and conveniently play lots of music -- also encourage users to listen for longer periods of time than did the older portable devices.
The solution, according to Huang, is the 60 percent/60 minute rule. Hearing specialists recommend using the MP3 devices for no more than about an hour a day and at levels below 60 percent of maximum volume.
Another option is the use of noise-canceling headphones. “Unlike earbuds, noise-canceling headphones quiet background noise. Listeners don’t feel the need to crank up the volume so high,” Huang said.
Another possibility are custom ear plugs, which many musicians use to avoid the potential hearing damage caused by prolonged exposure to loud live music.
“We can fit teens or adults with custom ear plugs, “ explains Huang. “These provide up to 27 dB of hearing protection. The use of earplugs at a music concert, rave or dance can also help protect your teen’s ears, if you can convince your teen to wear them.”
But since teenagers typically aren’t worried about how today’s behavior can have long-term effects on their health, parents also need to keep an eye—and an ear—on the volume level.

The Austin Diagnostic Clinic (ADC) is a multi-specialty clinic with physicians
representing 24 medical specialties at more than 10 locations.

 

 
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The Austin Diagnostic Clinic, A Multi-Specialty Medical Clinic
12221 MoPac Expressway North | Austin, TX 78758 | 512.901.1111
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