Alterations in cochlear function after exposure to short term broad band noise assessed by otoacoustic emissions.

BACKGROUND: Sudden or chronic exposure to sound alters the functioning of cochlea. This results in temporary or permanent alteration of functioning of cochlear cells. Alteration of functioning of outer hair cells (OHC) of cochlea following exposure to noise can be assessed by measurement of transient otoacoustic emissions (TEOAE). Such a measurement is of great clinical importance in early detection of the damage to the OHC. AIM: In this study we aim to study effect of noise on outer hair cell function by studying the changes in TEOAE's amplitude following exposure to short term broad band noise in healthy volunteers. MATERIALS AND METHODS: Twenty volunteers' ten males and ten females participated in the study. They underwent pure tone and impedance audiometry to rule out ear pathology. Then pre-exposure TEOAE's were recorded. After that they were exposed to broad band noise for two minutes. After gap of five minutes again TEOAE's were recorded. Pre and post exposure amplitude of TEOAE's was analysed statistically.s RESULTS: There was statistically significant difference between pre exposure and post-exposure amplitude of TEOAE's. Pre and post exposure values for A & B amplitudes showed p-value of 0.0001 whereas values for A-B amplitude showed p-value of 0.0001. CONCLUSION: Measurement of TEOAE's can detect early changes in the functioning of outer hair cells which cannot be picked by routine pure tone audiometry. Thus they can be used in assessing early changes in cochlear function following exposure to noise in individuals exposed to sudden noise or working in noisy environments. Thus preventive methods to reduce the noise induced hearing loss in such individuals can be implemented.

Enterobius vermicularis in the nose: A rare entity.

A rare case of enterobius vermicularis pin-worm is reported in the nose. An 11-year-old girl presented with the vague symptoms of crawling sensation in the nose for few weeks, who had received treatment for allergic rhinitis. The nasal secretions were examined and confirmed the diagnosis of pinworm infection and treated by albendazole.