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Can early noise exposure cause delayed NIHL later in life?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I want you to review a portion of a medical report and put it in layman's terms. I am specifically hoping that this report confirms my suspicion that the effects of noise exposure at younger ages can lead to the delayed onset of noise-induced hearing loss later in life.

Kindly guide.

Hi,

Welcome to icliniq.com.

Yes, I can. Please attach the report here.

Patient's Query

Thank you doctor,

I have attached the report. I am asking for an analysis of the section on the pathophysiology of NIHL (noise-induced hearing loss). I worked in the Navy, and I am trying to make the connection that my hearing loss is partially caused by my 1312 hours of flying in high-performance jet aircraft and working around these aircraft for five years. Any other report or article that aids in making this connection would be appreciated. I have moderately severe hearing loss, and it is getting worse. I am 74 years old. Thanks.

Hi,

Welcome back to icliniq.com.

I have read the attached report (attachment removed to protect patient identity). Noise-induced hearing loss can be sudden or gradual. High-performance jets can be a cause. A single exposure can cause damage that can cause nerve damage and, hence, hearing loss. This can be avoided by wearing earplugs. On the other hand, a gradual exposure to loud sound can also cause nerve damage gradually, which becomes noticeable only once it is too much. Another cause of hearing loss in the elderly is age-related hearing loss or presbycusis. It is possible for a person to have some noise-induced hearing loss, which is aggravated with aging. The worsening of hearing loss, in your case, is definitely an age-related hearing loss. It is not recoverable, but you can use hearing aids. Secondly, Vitamin B12 supplements can slow down its progression. Please send me your audiometry report, so that I can suggest something better in this regard.

Any further questions are always welcome.

Thanks and regards.

Patient's Query

Hi doctor,

Thanks for the prompt reply. I appreciate your comments, but the main reason for my query is to have a hearing specialist look at the article I sent and see whether it says that hearing loss for young adults may not manifest itself until later in life when presbycusis also becomes a factor.

Hello,

Welcome back to icliniq.com.

There are two types of NIHL. It can be temporary or permanent. Hearing loss is of many grades, from mild to profound. A person gets tested for their hearing only when they face difficulty in hearing. Noise-induced hearing loss can be gradual enough that it is not noticeable at first, and becomes noticeable only when the hearing loss is of a high degree. This is all a matter of some functional hair cells and also the frequencies being affected. In the noise-induced hearing loss, the loss is maximum around 4000 Hz, but a person can hear lower and higher frequencies clearly, so they may not notice it. As the person gets older, there is degeneration of hair cells, causing age-induced hearing loss. So, it is possible that he might notice any loss once this age effect sets in.

I hope my explanation proves helpful to you. You are always welcome to ask any further queries.

Thanks and regards.

Medically reviewed byiCliniq medical review team

Published At June 22, 2017
Reviewed AtDecember 15, 2025

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