Short-term hearing loss after concert can be protective

Temporary hearing loss after attending a rock concert or other sustained exposure to loud noise does not reflect damage to our hearing, instead, it is the body's way to cope, a new study has claimed.
The research, led by University of New South Wales Professor Gary Housley, has found that "reversible hearing loss" is a physiological adaptation mechanism, allowing the cochlea (the auditory portion of the inner ear) to perform normally when exposed to noise stress.
"This explains why we lose our hearing for hours or days after we have been exposed to a rock concert, for example. The adaptation mechanism has been switched on," said Professor Housley, from UNSW Medicine, who worked with researchers from the University of Auckland and the University of California, San Diego.

The research, published in the journal Proceedings of the National Academy of Sciences (PNAS), found that as sound levels rise, the cells in the cochlea release the hormone ATP, which binds to a receptor, causing the temporary reduction in hearing sensitivity.
In the lab, the researchers made the remarkable finding that those mice without the receptor showed no loss of hearing sensitivity when exposed to sustained loud noise.
However, these mice were much more vulnerable to permanent noise-induced hearing loss at very high noise levels.

Now that the team has shown the receptor is protective, the researchers are hoping to target this pathway to better protect the ear against noise in loud environments.

While this research has found that the cochlea can deal with loud sound on occasion, constant loud noise can lead to irreversible damage, through the loss of high frequency hearing.
"If the efficiency of this gene varies between individuals, as is the case for many genes, it may go some way to explaining why some people are very vulnerable to noise, or develop hearing loss with age and others don't," another lead investigator of the study, Professor Allen Ryan, from the University of California, San Diego said.
"Because our hearing sensitivity adapts, we can withstand loud noise, but we can't sense the absolute intensity of the sound and if we exceed the safe sound upper limit, we will damage our hearing - despite this protective adaptation mechanism we have discovered," said Housley.

"This is clearly the case for personal music devices, these deliver much higher sound levels into our ears than naturally occurred as our hearing sense evolved," Housley said.