We are risking our hearing. But many of us are deaf to it.
New Straits Times - Malaysia News Online
USING hands-free phones, iPODS and MP3s may be cool but be warned that you may gradually lose your hearing without realising it.
"Hearing loud music over a prolonged period can lead to hearing loss," says Dr Kuljit Singh, an ENT (Ear, Nose, Throat) lecturer at a public university who also holds a clinic there.
"But I am not seeing any young people in my clinic."
Most youths are not aware that they are losing a range of their hearing.
Sunway Medical Centre audiologist Saravanan Selanduray said, "Hearing damage is not obvious at first because it is a gradual occurrence and there is no pain or visible injury."
But there are certain symptoms, such as difficulty in following a conversation, hearing what is being said over TV, or being able to detect sound quality.
"Most of those who eventually come to see us only do because they experience obvious damage."
"In five years, I will be seeing people who used maximum volumes just to listen to their music."
"Constant use of earphones, especially from listening to iPODs, can cause loss of hearing, especially among the young who use it for prolonged periods."
Their parents and their grandparents lost their hearing gradually when they were in their sixties, but today’s youths might not have to wait too long.
Research and doctors’ reports indicate that many of our young are plugged in for long periods and listening beyond the acceptable decibel levels.
While 60 per cent of deafness in Malaysian children are caused by congenital rubella (German measles), Dr Dora Tan said loud music in clubs had also contributed to hearing loss.
"Of course, when you hear music at a loud level for a prolonged period, you can damage your hearing. Any ENT specialist can tell you this," says Tan, secretary-general of the National Society for the Deaf.
"Most youths do not want to listen to music at an acceptable volume because then, there is no kick from the music."
So, why are our young people turning up the volume?
The "cool" factor aside, it has a lot to do with the fact that advances in technology make it possible for music to be played at high volumes without appreciable distortion.
"Before, with analog technology, there would be distortions in the music when you turn up the volume," says Universiti Kebangsaan Malaysia Audiology and Speech Sciences department head associate professor Dr Siti Zamratol Mai-Sarah Mukari.
"Now, with digital technological, you can really crank up the volume and still get good quality music. That encourages people to turn up the volume."
It is not just listening to music at unacceptable levels but doing it for prolonged periods that lead to hearing loss.
Saravanan said musicians, sounds crews, night club employees and patrons were risking themselves when they continuously exposed themselves to excessive noise.
Ear muffs and ear plugs, he added, could minimise the effects of the sounds.
"What makes it bad is the continuous exposure, which can lead to irreversible damage," warned Saravanan.
So what kind of music is bad? Classical, rock music, heavy metal?
"The type of music is not important. It is the volume and duration of exposure that matters," says Dr Siti.
Young people also tend to spend more time listening to music these days because MP3 and iPod technology allow much greater storage capacity than ever before.
"The storage capacity of the Walkman was quite limited. You had to change the cassette or CD every now and then. Now, with MP3 and iPods, there is a continuous supply of music," says Dr Siti.
The use of earphones is bad because it allows the loud music to go directly into the ears. And, that’s not all.
Because earphones, unlike headphones, do not cover up the ears, there is a tendency to turn up the volume to block out sounds from the surrounding environment.
"When the music is from loudspeakers, it has to travel a few metres before it gets to the ear. So, the amount of energy that reaches the ear is lower," explains Dr Siti.
"With earphones, the music goes directly into the eardrum. This means there is greater chance of damage to the corti, the hearing organ."
When there is permanent hearing loss, nothing can be done to reverse it. Hearing aids merely help by amplifying the volume of sounds.
"When there is temporary hearing loss, recovery occurs after a period of rest from the music. But, once permanent damage occurs, nothing can be done," says Dr Siti.
So, how do you know if the music is too loud?
"If your parents can hear your music from your headphones, then you know you have gone beyond the healthy noise level," says Saravanan.
But it is not just these portable devices that’s being abused.
When the young are not racing around in cars with loud music, they are clubbing too loud or turning to sophisticated sound systems in the homes.
"The damage usually begins in the tiny hairs cells of the cochlea. This is referred to as nerve deafness. Starting with loss of high frequencies it gradually affects lower frequencies."
Unfortunately, the true extent of the problem is not known because people with hearing loss rarely seek treatment for their problem.
Dr Siti notes that reducing the volume of the music is the only way
"It will be difficult because young people want to be cool. Reduce the volume? Do you think they will listen? Of course not."
Yet audiologists warn that we should not treat this lightly.
"We should not think of hearing loss merely in the sense of ageing, we should consider regular ear check ups. Otherwise we are going to see an increase of people depending on hearing aids."
New Straits Times - Malaysia News Online