Auditory function in humans at high altitude. A scoping review.

<h4>Purpose</h4>High-altitude (HA) affects sensory organ response, but its effects on the inner ear are not fully understood. The present scoping review aimed to collect the available evidence about HA effects on the inner ear with focus on auditory function.<h4>Methods</h4>T...

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Main Authors: Michela Masè, Andrea Viziano, Giacomo Strapazzon, Marco Alessandrini, Alessandro Micarelli
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0291919&type=printable
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author Michela Masè
Andrea Viziano
Giacomo Strapazzon
Marco Alessandrini
Alessandro Micarelli
author_facet Michela Masè
Andrea Viziano
Giacomo Strapazzon
Marco Alessandrini
Alessandro Micarelli
author_sort Michela Masè
collection DOAJ
description <h4>Purpose</h4>High-altitude (HA) affects sensory organ response, but its effects on the inner ear are not fully understood. The present scoping review aimed to collect the available evidence about HA effects on the inner ear with focus on auditory function.<h4>Methods</h4>The scoping review was conducted following the guidelines of the Preferred Reporting Items for Systematic Review and Meta-Analysis extension for scoping reviews. PubMed, Scopus, and Web of Science electronic databases were systematically searched to identify studies conducted in the last 20 years, which quantified in healthy subjects the effects of HA on auditory function.<h4>Results</h4>The systematic search identified 17 studies on a total population of 888 subjects (88.7% male, age: 27.8 ± 4.1 years; median sample size of 15 subjects). Nine studies were conducted in a simulated environment and eight during real expeditions at HA. To quantify auditory function, six studies performed pure tone audiometry, four studies measured otoacoustic emissions (OAE) and eight studies measured auditory evoked responses (AER). Study protocols presented heterogeneity in the spatio-temporal patterns of HA exposure, with highly varying maximal altitudes and exposure durations.<h4>Conclusion</h4>Most studies reported a reduction of auditory function with HA in terms of either elevation of auditory thresholds, lengthening of AER latencies, reduction of distortion-product and transient-evoked OAEs. Future studies in larger populations, using standardized protocols and multi-technique auditory function evaluation, are needed to further characterize the spatio-temporal pattern of HA effects along the auditory pathways and clarify the pathophysiological implications and reversibility of the observed changes.
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spelling doaj-art-5efd391f2c1f424d8e05d73bcf618e172025-02-05T05:32:37ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01189e029191910.1371/journal.pone.0291919Auditory function in humans at high altitude. A scoping review.Michela MasèAndrea VizianoGiacomo StrapazzonMarco AlessandriniAlessandro Micarelli<h4>Purpose</h4>High-altitude (HA) affects sensory organ response, but its effects on the inner ear are not fully understood. The present scoping review aimed to collect the available evidence about HA effects on the inner ear with focus on auditory function.<h4>Methods</h4>The scoping review was conducted following the guidelines of the Preferred Reporting Items for Systematic Review and Meta-Analysis extension for scoping reviews. PubMed, Scopus, and Web of Science electronic databases were systematically searched to identify studies conducted in the last 20 years, which quantified in healthy subjects the effects of HA on auditory function.<h4>Results</h4>The systematic search identified 17 studies on a total population of 888 subjects (88.7% male, age: 27.8 ± 4.1 years; median sample size of 15 subjects). Nine studies were conducted in a simulated environment and eight during real expeditions at HA. To quantify auditory function, six studies performed pure tone audiometry, four studies measured otoacoustic emissions (OAE) and eight studies measured auditory evoked responses (AER). Study protocols presented heterogeneity in the spatio-temporal patterns of HA exposure, with highly varying maximal altitudes and exposure durations.<h4>Conclusion</h4>Most studies reported a reduction of auditory function with HA in terms of either elevation of auditory thresholds, lengthening of AER latencies, reduction of distortion-product and transient-evoked OAEs. Future studies in larger populations, using standardized protocols and multi-technique auditory function evaluation, are needed to further characterize the spatio-temporal pattern of HA effects along the auditory pathways and clarify the pathophysiological implications and reversibility of the observed changes.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0291919&type=printable
spellingShingle Michela Masè
Andrea Viziano
Giacomo Strapazzon
Marco Alessandrini
Alessandro Micarelli
Auditory function in humans at high altitude. A scoping review.
PLoS ONE
title Auditory function in humans at high altitude. A scoping review.
title_full Auditory function in humans at high altitude. A scoping review.
title_fullStr Auditory function in humans at high altitude. A scoping review.
title_full_unstemmed Auditory function in humans at high altitude. A scoping review.
title_short Auditory function in humans at high altitude. A scoping review.
title_sort auditory function in humans at high altitude a scoping review
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0291919&type=printable
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