The results of screening hearing test was statistically analyzed.
The screening hearing test was conducted at the spring and autumn regular physical examinations in 1990 in a company of the so-called third industries. This screening hearing test was conducted according to the recommendation of “The Method of Screening Hearing Test at General Physical Examination” proposed by the Oto-Rhino-Laryngological Society of Japan. No response against the test pure tone of either 30dB at 1kHz or 40dB at 4kHz produced by screening audiometer was defined as the positive finding (non-responder) at screening hearing test. These non-responders were called to receive the further examinations such as otoscopic examination, standardized pure tone audiometry, temporal bone X-ray and so on by otorhinolaryngology specialist.
The results obtained were as follows;
1) About 90% of employees in this company participated in the screening hearing test.
2) No response at screening hearing test was found in 172 subjects out of 1697 participants (10.1%).
3) There was no clear difference of the incidence of non-responders at screening hearing test between males and females.
4) Out of 172 non-responders, 147 subjects (85.5%) received further precise otorhinolaryngological examinations including standardized pure tone audiometry.
5) The incidence of non-responders at screening hearing test became higher along the age increased.
6) When the number of no response for test frequencies of both ears was analyzed, no response at only one test frequency was most frequently observed.
7) When the combination of test frequencies of both ears was analyzed, no response at 4kHz in one ear was most frequently observed.
8) When the accuracy of screening hearing test was analyzed by the comparison between the results of screening hearing test and those of standardized pure tone audiometry, it was 89.1% at 1kHz and 82.0% at 4kHz.
9) As far as the type of hearing loss in no-responded ears at screening hearing test was concerned, sensorineural hearing loss was most frequently observed (66.7%), followed by normal hearing, mixed hearing loss and conductive hearing loss.
10) When the audiometric configuration in no-responded ears at screening hearing test was analyzed, high tone gradual loss type was most frequently found (48.0%), followed by normal type, c
5 dip type, flat type, convex type, high tone abrupt loss type and low tone hearing loss type.
11) The final diagnosis by otorhinolaryngology specialist was analyzed in no-responded ears at screening hearing test. Only 18.4% was diagnosed as the normal ear and the other ears (81.6%) were diagnosed as having some kinds of ear disease. The etiology of hearing loss was able to be clarified in 30.4%. The most frequently observed etiology of hearing loss in these ears was the sequel of otitis media, followed by chronic supprative otitis media and ototoxic drug induced sensorineural hearing loss.
12) The ears in which surgical treatment was indicated were found in 6.1% of no-responded ears at screening hearing test. These included not only chronic supprative otitis media, cholesteatoma and adhesive otitis media, but also acoustic neuroma.
13) It was speculated that 17-25% of non-responders at screening hearing test were of age-related hearing loss (so-called presbyacusis) in males of forties and fifties.
14) Based upon these results, it was concluded that screening hearing test conducted at annual (or regular) physical examination in companies bears great meanings when the following conditions are satisfied; (1) the majority of employees in each company participates in screening hearing test, (2) the accuracy of screening hearing test is excellent and (3) all non-responders at screening hearing test can receive the further precise examination by otorhinolaryngology specialist and optimal treatment can be done if necessary.
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