• A worker's hearing can be damaged temporarily or permanently by sufficiently loud occupational noise, whether explosive or continuous. Audiograms made before and during the course of employment are essential to a program of conservation of hearing; they are also essential for medicolegal purposes. Medical supervision is important. The physician who is consulted in disputes about cases of allegedly occupational deafness is on safe ground when he confines himself to statements of demonstrated fact and when he avoids suppositions. The otolaryngologist is especially qualified to collect the facts needed to conserve the hearing of workers and to prevent economic loss to employers from ill-founded claims.
Fox MS. OCCUPATIONAL DEAFNESS. JAMA. 1956;162(14):1273–1276. doi:10.1001/jama.1956.02970310001001
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