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Guidelines on the diagnosis of noise-induced hearing loss for medicolegal purposes

Guidelines on the diagnosis of noise-induced hearing loss for medicolegal purposes
Guidelines on the diagnosis of noise-induced hearing loss for medicolegal purposes
These guidelines aim to assist in the diagnosis of noise-induced hearing loss (NIHL) in medicolegal settings. The task is to distinguish between possibility and probability, the legal criterion being 'more probable than not'. It is argued that the amount of NIHL needed to qualify for that diagnosis is that which is reliably measurable and identifiable on the audiogram. The three main requirements for the diagnosis of NIHL are defined: R1, high-frequency hearing impairment; R2, potentially hazardous amount of noise exposure; R3, identifiable high-frequency audiometric notch or bulge. Four modifying factors also need consideration: MF1, the clinical picture; MF2, compatibility with age and noise exposure; MF3, Robinson's criteria for other causation; MF4, complications such as asymmetry, mixed disorder and conductive hearing impairment.
1749-4486
264-273
Coles, R.R.A.
05f7e0f1-d4ec-4cb3-8057-41c451e1e5eb
Lutman, M.E.
765efa2b-f995-4ab4-b9bf-acbb6bb6f890
Buffin, J.T.
f59d0814-864b-469c-8f9a-8a7d70304e1f
Coles, R.R.A.
05f7e0f1-d4ec-4cb3-8057-41c451e1e5eb
Lutman, M.E.
765efa2b-f995-4ab4-b9bf-acbb6bb6f890
Buffin, J.T.
f59d0814-864b-469c-8f9a-8a7d70304e1f

Coles, R.R.A., Lutman, M.E. and Buffin, J.T. (2000) Guidelines on the diagnosis of noise-induced hearing loss for medicolegal purposes. Clinical Otolaryngology, 25 (4), 264-273. (doi:10.1046/j.1365-2273.2000.00368.x).

Record type: Article

Abstract

These guidelines aim to assist in the diagnosis of noise-induced hearing loss (NIHL) in medicolegal settings. The task is to distinguish between possibility and probability, the legal criterion being 'more probable than not'. It is argued that the amount of NIHL needed to qualify for that diagnosis is that which is reliably measurable and identifiable on the audiogram. The three main requirements for the diagnosis of NIHL are defined: R1, high-frequency hearing impairment; R2, potentially hazardous amount of noise exposure; R3, identifiable high-frequency audiometric notch or bulge. Four modifying factors also need consideration: MF1, the clinical picture; MF2, compatibility with age and noise exposure; MF3, Robinson's criteria for other causation; MF4, complications such as asymmetry, mixed disorder and conductive hearing impairment.

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More information

Published date: 2000
Organisations: Human Sciences Group

Identifiers

Local EPrints ID: 10490
URI: https://eprints.soton.ac.uk/id/eprint/10490
ISSN: 1749-4486
PURE UUID: c233cdf5-f012-4848-bd59-d9df68602a4f

Catalogue record

Date deposited: 09 Feb 2005
Last modified: 07 Aug 2018 16:33

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