Exposición a solventes y disfunción auditiva central: revisión de la evidencia científica / Solvent exposure and central auditory dysfunction: a literature review on the scientific evidence

Diversos estudios han demostrado que los solventes orgánicos pueden inducir una disfunción auditiva. Los modelos animales han mostrado que los solventes son capaces de dañar las células ciliadas externas. Estudios de campo en trabajadores expuestos a solventes han encontrado por una parte, una mayor prevalencia de hipoacusia sensorioneural en comparación a grupos controles, y por otra, una dis función auditiva central asociada a la exposición a solventes. El presente trabajo tiene como objetivo revisar y discutir la evidencia científica acerca de la disfunción auditiva central asociada a la exposición a solventes como el tolueno, estireno, xileno, bisulfato de carbono, y mezcla de ellos. Se discuten los resultados de las investigaciones llevadas a cabo en humanos expuestos laboralmente a estos agentes. Se discuten además, los mecanismos de ototoxicidady neurotoxidad de los solventes y sus implicancias en la evaluación de la hipoacusia inducida por solventes.

Different studies have demonstrated that solvents may induce an auditory dysfunction. Animal models have shown that solvents can injure the outer hair cells. Studies conducted in workers exposed to solvents have found on one hand, a higher prevalence of sensorineural hearing loss in comparison to non-exposed control group subjects. On the other hand, these studies have found a central auditory dysfunction associated with solvent exposure. The present manuscript aims at revising and discussing the scientific evidence on central auditory dysfunction associated with exposure to solvents such as toluene, styrene, xylene, carbon disulphate, and mixtures. Results from studies conducted in humans occupationally exposed to solvents are discussed. Also, the oto-and neuro-toxicity induced by solvents and the implications for the assessment of solvent-induced hearing loss are addressed.

Exposición a estireno en cabinas prefabricadas: Estudio comparativo 2003-2005 / Styrene exposure in pre-built cabins: Comparative study 2003-2005

Los objetos fabricados con las resinasreforzadas pueden liberar al medio ambiente, vapor de estireno, lo que conlleva a tener una exposición al disolvente. En Uruguay, para el desarrollo de diferentes tareas administrativas, de vigilancia, de comercio, etc. se utilizan unas cabinas que son fabricadas con resinas de poliester no saturadas. En un trabajo anterior se comprobó que existía exposición a estireno en este tipo de cabinas. El objetivo de este trabajo fue estudiar los riesgos higiénicos a los que está expuesto el personal de empresa que desarrolla sus tareas administrativas en cabinas de fibra de vidrio reforzadas de resina. Se realizaron muestreos ambientales en cabinas ubicadas en diferentes zonas del Montevideo durante el año 2004 y 2005. Los valores de referencia que se utilizaron fueron los de la American Conference of Governmental Industrial Hygienists (ACGIH) de 2006.El trabajo realizado demuestra que no existe exposición del personal a vapores de estireno en sus lugares de trabajo con el consiguiente riesgo descrito para estos productos. Considerando los resultados del año 2003, se concluye que los valores obtenidos ese año fueron puntuales del tipo de cabinas.

The objects made with reinforced resins can release styrene steam to the indoor environment, which involves worker´s exposure to this toxic solvent. In Uruguay, some administrative, commerce, and more tasks are carried out in those fiber glass cabins which are manufactured with those resins. In a previous study we had high values of styrene in air and his metabolites in urine for people working in this buildings. The aim of this study is the evaluation of the hygienic risks to exposed workers from different companies who perform their administrative tasks in reinforced fiber glass cabins. Environmental samplings were made. The reference values used were those of the American Conference of Industrial Governmental Hygienists of 2005 (ACGIH). The results obtained demonstrates that there was no exposure to styrene released from the cabin. The study in 2003 was a particular cabins problem.

Combined effects of noise and styrene on hearing: comparison between active and sedentary rats.

In this study, two investigations were carried out with adult Long-Evans rats exposed to increasing concentrations of styrene. In the first experiment, the hearing of rats, which were forced to walk in a special wheel during the exposure, was compared to that of rats which were sleepy in their cage. The active rats were exposed to styrene concentrations ranging from 300 to 600 ppm, whereas the sedentary rats were exposed from 500 to 1000 ppm for 4 weeks, 5 days per week, 6 hours per day. In the second experiment, designed to evaluate the hearing risks at threshold limit values, active rats were exposed either to a noise having a Leq8h of 85 dB (equivalent level of a continuous noise for a typical 8-h workday), or to 400-ppm styrene or to a simultaneous exposure to noise and styrene. In both experiments, auditory function was tested by auditory-evoked potentials from the inferior colliculus and completed by morphological analyses of the organ of Corti. The results of the first experiment showed that the same amount of styrene-induced hearing loss can be obtained by using concentrations approximately 200 ppm lower in active rats than in sedentary rats. The second investigation showed that, in spite of the low-intensity noise and the low-concentration of styrene, there is a clear risk of potentiation of styrene-induced hearing loss by noise. These findings and exposure conditions were discussed and extrapolated with regard to the risk assessment for human beings. The authors propose to decrease the French threshold limit value of styrene for ensuring a high level of protection for human hearing.