Sunday, May 19, 2013

Health

Stop the Decibel Damage

By Bernadine Healy M.D.
Posted 7/8/07

If your ears were ringing during the Fourth of July fireworks, you experienced firsthand the daggerlike effect of intense sound waves on your inner ear. No surprise. Firecrackers explode with decibels so great that a sudden dose of more than a few minutes in duration could make one permanently stone-cold deaf. This is no old wives' tale, though most of the time noise-induced loss of hearing creeps up painlessly and silently. All too many middle-agers are just finding that out as they line up for their hearing aids in search of relief from those strained conversations in crowded rooms, where everyone around them seems to be mumbling. Waiting to join them in line are the growing ranks of younger people. A Harvard survey of adolescents and young adults reported that more than half had taken a hit to their hearing at loud music events, either tinnitus or temporary deafness. And from my observation, most seem to have iPods attached to their ears. For them, and the others who can still hear a pin drop, it's smart to pay attention to the health of the inner ear, the nerve center for making sense of sound.

(IAN SHIVE—AURORA/GETTY IMAGES)

Loud noise destroys nerve endings in the inner ear and is a common and preventable cause of hearing loss. Decibels measure loudness: Silence is zero and the explosion of a firecracker, 150 dB. A rock concert can get up to 140; a noisy bar, almost 100. As a general rule, a whisper is 30 dB; the purr of a quiet motor is 40, and a normal conversation, 60. Regular exposures to levels over 85 are toxic to the ear.

The blast of a jet engine or an Indy racing car and an explosion or gunshot are obvious culprits. But it's the power tools and lawn mowers, the blare of music through earphones, the hair dryers and vacuum cleaners and noisy places that cause damage gradually over time. And you don't need a decibel meter to know what's too loud: If you have to raise your voice to be heard above the din, you are in a toxic place.

Deafening sounds are like blinding light, pointedly destroying the very organ that detects them. This irony is testimony to an evolved life, in which the human ear has just not kept up with modern times. That is, the hairlike, specialized nerve endings that are lined up inside a coiled, fluid-filled compartment of the inner ear can be shaken to death by loudness they were not designed to handle. These nerve endings vibrate at different rates in response to different sound frequencies, more slowly for the low pitch of a baritone and faster for the higher pitch of a soprano, transforming them into distinct electrical impulses sent through the auditory nerve to the brain.

Just as you can blow out an electrical circuit by overloading it, these vibrating hair cells can be overexcited by too much noise. When forced into metabolic overdrive, the cells spin off toxic oxidation products that make them swell and sometimes slowly die off. Toxic noise also compromises blood flow to the inner ear, causing further damage. The cells that go first are those that resonate to a higher pitch, and the resulting dropout of higher-frequency sounds is what makes words seem garbled.

advertisement

advertisement

Symptom Search

American Hospital Association Symptom Finder

Discover possible causes of your symptoms.

NEWSLETTER

Sign up today for the latest headlines from U.S. News and World Report delivered to you free.

RSS FEEDS

Personalize your U.S. News with our feeds of blogs and breaking news headlines.

USNews MOBILE

U.S. News daily briefings are also available on your mobile device.

Use of this Web site constitutes acceptance of our Terms and Conditions of Use and Privacy Policy.