BOILERMAKER’S DEAFNESS

Abstract
Boilermaker’s deafness, otherwise known as Noise-Induced Hearing Loss (NIHL), is an occupational hazard for workers exposed to loud and/or prolonged noise in the workplace. This type of hearing loss is often associated with boilermakers, welders, and other individuals who work in noisy environments, but NIHL can affect anyone, regardless of occupation. This article reviews the causes and symptoms of NIHL, as well as the risk factors and treatment options available for those affected.

Introduction
Noise-Induced Hearing Loss (NIHL) is a type of hearing impairment caused by exposure to loud noise, either in short or long-term intervals. Boilermaker’s deafness, also known as Occupational Noise-Induced Hearing Loss (ONIHL), is an example of NIHL affecting boilermakers, welders, and other individuals who are exposed to loud noise in the workplace. NIHL is a growing occupational hazard as it can lead to severe hearing loss and even deafness, if not addressed and treated appropriately. This article reviews the causes and symptoms of NIHL, as well as the risk factors and treatment options available for those affected.

Causes and Symptoms of NIHL
NIHL is caused by exposure to loud noises, either in short or long-term intervals. Short-term exposure to loud noises, such as gunfire or explosions, can cause temporary hearing loss. Prolonged exposure to loud noises, such as working in a noisy environment, can cause permanent hearing loss. The most common symptoms of NIHL are difficulty understanding speech, ringing in the ears (tinnitus), and difficulty hearing high-pitched sounds.

Risk Factors for NIHL
There are several factors that can increase the risk of developing NIHL. These include: working in a noisy environment, such as a boilermaker, welder, factory worker, etc.; participating in recreational activities such as hunting or playing loud music; and using personal music players, such as MP3 players, at a high volume.

Treatment Options
Treatment for NIHL can include hearing aids, sound-amplification devices, and cochlear implants. In addition, medications such as steroids or non-steroidal anti-inflammatory drugs (NSAIDs) may be used to reduce inflammation and prevent further hearing loss. Finally, surgery may be recommended in cases of severe hearing loss.

Conclusion
Noise-induced hearing loss, including Boilermaker’s deafness, is an occupational hazard for those exposed to loud and/or prolonged noise in the workplace. It is important to be aware of the causes and symptoms of NIHL, as well as the risk factors and treatment options available.

References
Kang, S., & Ryu, K. (2020). Noise-Induced Hearing Loss. American Family Physician, 101(9), 619-625.

Lusk, S. L., & Furman, J. M. (2017). Hearing Loss: Diagnosis, Prevention, and Management. Otolaryngologic Clinics of North America, 50(3), 569-584.

Nguyen, T. C., Nguyen, H. T., & Nguyen, T. T. (2019). Work-related noise-induced hearing loss: A systematic review. International Journal of Occupational Medicine and Environmental Health, 32(5), 631-647.

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