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Hearing Loss, Tinnitus, Hyperacusis, and Diplacusis in Professional Musicians: A Systematic Review

Author

Listed:
  • Arianna Di Stadio

    (Otolaryngology Department, University of Perugia, 06123 Perugia, Italy)

  • Laura Dipietro

    (Highland Instruments, Cambridge, MA 02238, USA)

  • Giampietro Ricci

    (Otolaryngology Department, University of Perugia, 06123 Perugia, Italy)

  • Antonio Della Volpe

    (Santobono-Pousillipon Hospital, Cochlear Implant Center, 80129 Naples, Italy)

  • Antonio Minni

    (Department of Sense Organs, Sapienza University of Rome, 00185 Rome, Italy)

  • Antonio Greco

    (Department of Sense Organs, Sapienza University of Rome, 00185 Rome, Italy)

  • Marco De Vincentiis

    (Department of Oral and Maxillo-Facial Science, Sapienza University of Rome, 00185 Rome, Italy)

  • Massimo Ralli

    (Department of Oral and Maxillo-Facial Science, Sapienza University of Rome, 00185 Rome, Italy
    Center for Hearing and Deafness, University at Buffalo, Buffalo, NY 14260, USA)

Abstract

Professional musicians (PMs) are at high risk of developing hearing loss (HL) and other audiological symptoms such as tinnitus, hyperacusis, and diplacusis. The aim of this systematic review is to (A) assess the risk of developing HL and audiological symptoms in PMs and (B) evaluate if different music genres (Pop/Rock Music—PR; Classical Music—CL) expose PMs to different levels of risk of developing such conditions. Forty-one articles including 4618 PMs were included in the study. HL was found in 38.6% PMs; prevalence was significantly higher among PR (63.5%) than CL (32.8%) PMs; HL mainly affected the high frequencies in the 3000-6000 Hz range and was symmetric in 68% PR PMs and in 44.5% CL PMs. Tinnitus was the most common audiological symptom, followed by hyperacusis and diplacusis. Tinnitus was almost equally distributed between PR and CL PMs; diplacusis was more common in CL than in PR PMs, while prevalence of hyperacusis was higher among PR PMs. Our review showed that PR musicians have a higher risk of developing HL compared to CL PMs; exposure to sounds of high frequency and intensity and absence of ear protection may justify these results. Difference in HL symmetry could be explained by the type of instruments used and consequent single-sided exposure.

Suggested Citation

  • Arianna Di Stadio & Laura Dipietro & Giampietro Ricci & Antonio Della Volpe & Antonio Minni & Antonio Greco & Marco De Vincentiis & Massimo Ralli, 2018. "Hearing Loss, Tinnitus, Hyperacusis, and Diplacusis in Professional Musicians: A Systematic Review," IJERPH, MDPI, vol. 15(10), pages 1-14, September.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:10:p:2120-:d:172184
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    References listed on IDEAS

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    1. Michael D. Seidman & Robert T. Standring, 2010. "Noise and Quality of Life," IJERPH, MDPI, vol. 7(10), pages 1-9, October.
    2. Massimo Ralli & Maria Paola Balla & Antonio Greco & Giancarlo Altissimi & Pasquale Ricci & Rosaria Turchetta & Armando De Virgilio & Marco De Vincentiis & Serafino Ricci & Giancarlo Cianfrone, 2017. "Work-Related Noise Exposure in a Cohort of Patients with Chronic Tinnitus: Analysis of Demographic and Audiological Characteristics," IJERPH, MDPI, vol. 14(9), pages 1-17, September.
    3. Mariola Śliwińska-Kowalska & Kamil Zaborowski, 2017. "WHO Environmental Noise Guidelines for the European Region: A Systematic Review on Environmental Noise and Permanent Hearing Loss and Tinnitus," IJERPH, MDPI, vol. 14(10), pages 1-19, September.
    4. David Moher & Alessandro Liberati & Jennifer Tetzlaff & Douglas G Altman & The PRISMA Group, 2009. "Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-6, July.
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    Cited by:

    1. Małgorzata Pawlaczyk-Łuszczyńska & Małgorzata Zamojska-Daniszewska & Adam Dudarewicz & Kamil Zaborowski, 2021. "Pure-Tone Hearing Thresholds and Otoacoustic Emissions in Students of Music Academies," IJERPH, MDPI, vol. 18(3), pages 1-25, February.
    2. Konstantin Tziridis & Jana Friedrich & Petra Brüeggemann & Birgit Mazurek & Holger Schulze, 2022. "Estimation of Tinnitus-Related Socioeconomic Costs in Germany," IJERPH, MDPI, vol. 19(16), pages 1-17, August.
    3. Pengpeng Xie & Yong Peng & Tiantian Wang & Honghao Zhang, 2019. "Risks of Ear Complaints of Passengers and Drivers While Trains Are Passing Through Tunnels at High Speed: A Numerical Simulation and Experimental Study," IJERPH, MDPI, vol. 16(7), pages 1-20, April.
    4. Martin Pienkowski, 2021. "Loud Music and Leisure Noise Is a Common Cause of Chronic Hearing Loss, Tinnitus and Hyperacusis," IJERPH, MDPI, vol. 18(8), pages 1-19, April.
    5. Adam Sheppard & Massimo Ralli & Antonio Gilardi & Richard Salvi, 2020. "Occupational Noise: Auditory and Non-Auditory Consequences," IJERPH, MDPI, vol. 17(23), pages 1-15, December.
    6. Georgina Burns-O’Connell & David Stockdale & Oscar Cassidy & Victoria Knowles & Derek J. Hoare, 2021. "Surrounded by Sound: The Impact of Tinnitus on Musicians," IJERPH, MDPI, vol. 18(17), pages 1-16, August.

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