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At the heart of the problem is a lack of awareness among adolescents that their music listening behavior may have dire long-term consequences.
We should be asking all our patients about their listening habits: Do you listen to an iPod?
At the time of the first MTV survey, “MP3 players were not even on the radar screen,” noted Dr. Prior to the introduction of MP3 players, hearing loss among children was estimated at around 12.5 percent. Experts interviewed by ENT Today agreed that otolaryngologists need to not only screen children and adolescents for hearing loss but also educate them about causes of NIHL.
Eavey told ENT Today, because most of the respondents said they had experienced tinnitus or hearing impairment after attending a concert (61 percent) or going clubbing (43 percent).

Are you aware that listening to your iPod at high volumes can cause permanent hearing loss?
More recent studies, however, estimate that 16 percent of teenagers, or approximately 6 million children, suffer from permanent noise-induced hearing loss (NIHL).
Eavey, MD, director of the Vanderbilt Bill Wilkerson Center for Otolaryngology and Communication Sciences at the Vanderbilt University School of Medicine in Nashville, Tenn. Eavey and colleagues conducted a Web-based survey in 2002 and then repeated the survey five years later to see if attitudes about loud music had changed. When asked if they would consider wearing ear protection if they were aware of the potential for permanent hearing loss, 66 percent of the respondents said yes, while 59 percent said they would do so if advised by a medical professional. As of September 2009, Apple reported that close to 225 million iPods had been sold and that they controlled 74 percent of the market share in personal music players.

Everyone thought it was glamorous, and soldiers were given cigarettes in their K-rations.” As with cigarette smoking, “after a while it is going to become painfully obvious that use of MP3 players is damaging, and it will be too late to reverse the hearing loss,” he said. Introduced with the iPod were “ear buds,” earphones that direct music straight into the ear canal.

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