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Efficacy of the antioxidant N-acetylcysteine (NAC) in protecting ears exposed to loud music.

Abstract
Antioxidants have been reported to be effective in reducing acoustic trauma in animal models but have not been studied in humans. In this study, the antioxidant N-acetylcysteine (NAC) was evaluated to determine if it would reduce temporary changes in auditory function as a result of exposure to loud music in humans. Pure-tone thresholds and distortion product otoacoustic emissions (DPOAEs) were collected in 31 normal-hearing participants, using a randomized, double-blind, placebo-controlled design, before and after two hours of live music in a nightclub. Using repeated measures analysis of variance, no statistically significant differences were found between participants who received NAC versus a placebo for any of the outcome measures. Across all subjects, the largest pure-tone threshold shift occurred at 4 kHz. DPOAE measures were characterized by reductions in amplitude and a trend for shorter group delay values. When the 3 and 4 kHz data were examined by imposing specific criteria of greater than 2 dB DPOAE amplitude reductions and 10 dB or greater pure-tone threshold shifts, DPOAE reductions occurred more often at 3 kHz, and pure-tone shifts occurred more often at 4 kHz.
AuthorsSteven Kramer, Laura Dreisbach, Jill Lockwood, Kristy Baldwin, Richard Kopke, Shawn Scranton, Michael O'Leary
JournalJournal of the American Academy of Audiology (J Am Acad Audiol) Vol. 17 Issue 4 Pg. 265-78 (Apr 2006) ISSN: 1050-0545 [Print] United States
PMID16761701 (Publication Type: Journal Article, Randomized Controlled Trial)
Chemical References
  • Antioxidants
  • Acetylcysteine
Topics
  • Acetylcysteine (administration & dosage, pharmacology)
  • Adult
  • Antioxidants (administration & dosage, pharmacology)
  • Audiometry, Pure-Tone
  • Auditory Threshold (drug effects)
  • Double-Blind Method
  • Female
  • Hearing Loss, Noise-Induced (prevention & control)
  • Humans
  • Male
  • Noise (adverse effects)
  • Otoacoustic Emissions, Spontaneous (physiology)

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