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Noise-induced hearing loss: What is it and how to prevent it

Crank the volume too much and eventually the world goes quiet

Published onMarch 7, 2023

You just caught word of a promotion and leave the office with your back straight, a spring in your step, and Walking On Sunshine blaring through your headphones: you’re validated with purpose. Unfortunately, there’s a good chance that noise-induced hearing loss (NIHL) can put a damper on your lifted mood.

Oftentimes, noise-induced hearing loss is an unwittingly self-inflicted ailment. Whether you’ve attended one too many concerts sans earplugs, pumped up the volume on your in-ears to block out office chatter, or just indulged in an angst-ridden moment of flipping through old yearbooks while blasting Bon Iver’s Skinny Love—hmm, maybe that one’s a bit too specific; you get the gist—noise-induced hearing loss is a mostly-preventable malady.

Editor’s note: this article was updated on March 7, 2023, to update links and address frequently asked questions.

How do we end up with noise-induced hearing loss?

Well, according to an article written by Kurabi, et al. in Hearing Research, intense sound from occupational and recreational over-stimulation is a significant cause of hearing loss; specifically, it’s usually a result of irreparable damage to the hair cells—or stereocilia. An extreme instance of cochlear over-stimulation is blast exposure.

Elderly woman putting a hand behind her ear to hear better.
Freepik You can expand the reach of your outer ear by placing your hand next to it.

Though military personnel and construction workers may be more prone to blast exposure, the average person isn’t. So how does this usually occur? Repeated prolonged exposure, which is bad news for us audiophiles and enthusiasts. Loud noises essentially abuse cochlear cells, which—much like the self-esteem of your average teenager—are easily damaged. Once the damage has been inflicted, signals can no longer be transmitted to your brain and the cells are rendered useless; this can also lead to tinnitus.

In extreme cases, this initiates apoptosis—or programmed cell death. Yes, this process is as metal as it sounds. Kurabi et al. posit that ineffectual cells will disassemble themselves into neat packages for other cells—phagocytes—to engulf. Although this sounds scary, there are ways to prevent noise-induced hearing loss.

Damage to the stereocilia from repeated and prolonged exposure is irreversible.

There exist more types of hearing loss outside of the noise-induced variety; granted NIHL is the most pervasive form of auditory damage, another commonly diagnosed type is conductive hearing loss. This can be permanent or temporary and results from issues to the outer or middle ear. Those who suffer from conductive hearing loss often report difficulty discerning speech.

The mechanics of the human ear

To understand how this all works, we need to know how your ears are put together.

Outer ear

Thick pads dress the ear cups and band of the Sennheiser Momentum 4 Wireless.
Thick pads dress the ear cups and band of the Sennheiser Momentum 4 Wireless, providing a comfortable fit.

The outer ear is, well, on the outside. If you want to get technical, an important part of it is called the pinna and. The outer ear functions to transmit sound from the environment into the internal parts of the ear. Ever try to pour something into a flask? It’s a struggle to pour from a bottle directly into a flask, but a funnel makes the process much easier.

Fun fact: Circumaural (over-ear) headphones take advantage of the pinna’s asymmetrical shape to simulate a more natural reproduction of sound compared to on-ear and in-ear headphones. A report on the human ear by Barry Jacobson of MIT states that the folds of the pinna allow for various sounds to have unique spectral characteristics. As it applies to headphones, the pinna is to credit for over-ear headphones’ greater soundstage.

Middle ear

Once the sound is funneled from the outer ear to the middle ear, it vibrates the eardrum (tympanic membrane) which then interacts with three bones: the malleus, incus, and stapes—often referred to as the hammer, anvil, and stirrup, respectively. However, the organ that actually converts the sound waves into electrochemical impulses for our brains is called the cochlea.

Inner ear

Noise-induced hearing loss: Two diagrams. The one on the left shows how sound travels into the ear and the right is a close-up fo the middle and inner ears.
Noise-induced hearing loss is usually a result of damage to the stereocilia, which are located in the organ of the Corti. This organ rests inside the cochlea.

Now, the snail-shaped cochlea is a fluid-filled structure. Why fluid? Because particles are much more condensed and can travel four times faster than in air. This brings us back to Jacobson’s MIT report which explains is why we have those three bones in the middle ear; they’re mechanically designed to provide enough power to transform the vibrations.

Inside the cochlea is the organ of Corti where we find hair cells, stereocilia, that move back and forth—think of a full stadium doing “the wave.” This movement sets off a chain of chemical reactions that result in neurotransmitters that stimulate the auditory nerve to fire. From here, the impulse travels to the brain where it’s interpreted as sound.

What you should know about sound intensity

We measure the intensity of a sound in decibels; this operates on a logarithmic scale rather than a linear one. If you don’t feel like dusting off that high school algebra book, it means that 20dB is 10 times greater than the sound pressure level (SPL) of 10dB. Though it’s 10 times the raw force, our brains only register this as a difference of two-times perceived loudness.

Master & Dynamic MW50 review: The headphones being worn while trying to use the small playback toggles.
It’s easy to turn the other cheek to noise-induced hearing loss and increase the volume anyway.

That’s pretty scary. Relating it back to sound, this means that you may think you’re not turning the volume up too much, but really, you’re slowly degrading the functionality of your stereocilia.

At-risk sound levels

An accepted rule of thumb is that prolonged exposure to 85dB is cause for noise-induced hearing loss. The AHSA distinguishes dangerous and safe noise levels by decibel; here are three ranges worth discussing.

  1. Painful steady noise: 120-130dB. For reference, this is a jackhammer or a blaring siren. Ideally, you should never expose yourself to this, but if you must—perhaps you work in construction—you’d best invest in a pair of hearing-protective headphones or earmuffs.
  2. Extremely loud: 94-112dB. This can be household items like a blender or hair dryer; on the louder end of the spectrum are leaf blowers; 112dB is about as loud the average concert is. You should definitely be wearing ear plugs at this point.
  3. Moderate: 40-70dB. The lowest end covers a quiet room, while 70dB is the volume of a vacuum cleaner or group conversation. Many MP3 players limit their output to around 70dB, which is still awfully loud.

According to NIOSH, the maximum exposure time for 85dBA is eight hours. Even then, we advise that you stay at much lower volume levels with your music.

Can you avoid noise-induced hearing loss?

The Sennheiser earplugs on a table.
Earplugs are an effective form of hearing loss prevention and a must-have for concert-goers.

Aside from plugging your ears and avoiding concerts at all costs, there are reasonable ways to prevent hearing loss. Since we’re a site all about audio products, we recommend that you have different headphones for different uses. In-ears will do a great job passively blocking out ambient noise without compelling you to pump the volume as much as over-ear headphones might. But more on that later. For now…

  1. Consider the halfway mark as your new maximum volume. Yeah, this may be hard to adjust to at first but your ears will thank you later.
  2. Invest in hearing protection. Many concerts and festivals have started giving away or selling ear plugs, which is great to see. Speaking firsthand as someone who loves concert-going, it’s not stigmatized and at least at Midwest music fests, it’s often encouraged. If you’re regularly exposed to loud noises, earmuffs may be the more appropriate choice.
  3. Be proactive and check the noise ratings on appliances and equipment. You’d be surprised at how loud things can get. By doing your due diligence, you can find quieter products that are just as effective.

Can headphones prevent noise-induced hearing loss?

A man wears the Bose QuietComfort 45 noise canceling headphones around his neck.
Bose A good pair of noise canceling headphones like the Bose QC 45 can help prevent NIHL.

Certain headphones with good passive isolation or noise cancellation can help you avoid hearing loss. Chances are that you know what it’s like to be on a noisy subway car, and if you’re like me, you crank the volume up to drown out your surroundings. When we do this, though, we’re not lessening the surrounding noise. We’re putting our stereocilia at risk of permanent damage. To avoid this, some headsets include volume limiters.

Why do we turn up the music to drown out our surroundings?

Well, it’s actually a phenomenon that we discuss a lot in various reviews and it’s called auditory masking. This is when one sound affects how you perceive another. With the subway example, the loud, low-frequency hum of the subway masks the higher, quieter sounds of your MP3 player.

 A finger turning up the volume on an iPod Classic (silver).
Turning up the volume on your iPod isn’t a safe solution to handling loud environmental noise.

We could get completely in the weeds regarding psychoacoustics, but all that you really need to know is that our brains have limited bandwidth. We can only process so much auditory information before our brains filter out tertiary sounds. See, our brains evolved to hear a lion’s roar or a child’s scream, not the nuances of your favorite Yo-Yo Ma composition.

What kind of headphones should you buy?

If you’re looking to protect your hearing, active noise canceling (ANC) headphones are the way to go. High-end models are typically adept at both passively and actively canceling noise, which means that you don’t have to reach for the volume dial nearly as often. Our pick for the best active noise canceling headphones is the Sony WH-1000XM5.

The Sony WH-1000XM5's ANC unit does a good job of canceling noise, but it also isolates very well.
The Sony WH-1000XM5 does a great job isolating you from your surroundings, even before you flip the ANC unit on.

The ability to passively isolate noise is invaluable and allows for the Sony WH-1000M4 to actively attenuate a good chunk of low-end noise and mid-range frequencies, too, which is the best range to block out. Why? Because most of the musical notes we enjoy live at or below 1kHz. If a set of headphones can’t block out noise in this range, chances are very good that it will make your music sound worse—or drive you to crank up the volume to drown it out.

To get an idea of how a fine pair of noise canceling headphones compare to a set of open-back cans, let’s look at the HiFiMan Sundara. This headset has an open-back design and isn’t built for noise isolation, making this an extreme comparison. You can see that the line is almost completely red, which indicates that these are incapable of reducing nearly all salient instrumental frequencies. If you were to take the Sundara onto a subway, you’d be endlessly frustrated. In fact, your neighbors would probably be annoyed that they could hear your music, too.

The HiFiMan Sundara is a set of open-backed headphones, and as such doesn't block outside noise much at all.
Open back headphones don’t attenuate noise much… but they’re not trying to.

If you’re not sold on active noise canceling technology but still want to protect your hearing, no worries; there are plenty of effective options out there. For one, the Etymotic Research ER4SR is a smart choice. This does a fabulous job at passively isolating noise due to the cogent seal they create. Etymotic products are easily recognizable due to their protruding shape and triple-flange ear tips.

If this isn’t appealing to you, the Shure AONIC 215 does a great job passively isolating noise. It includes an assortment of interchangeable ear tips, including memory foam.

Frequently asked questions

Tinnitus is described by Mayo Clinic as the perception of noise or ringing in the ears when no external sound is present; these are also referred to as phantom noises. Tinnitus isn’t a condition in and of itself, rather it’s a symptom of a condition, often age-related hearing loss, an ear injury, or circulatory system disorder. Those experiencing tinnitus report perceived sounds like buzzing, roaring, clicking, hissing, humming, and ringing.

Yes, tinnitus can be a symptom of noise-induced hearing loss, but it has many potential causes.

Type of tinnitusDefinition
Subjective tinnitus
Only the affected individual can hear the sound
Objective tinnitus
The sound can also be heard by the examiner, for example, due to rapid blood flow through malformed arteries and veins that causes a whooshing sound (bruit)
Pulsatile tinnitus
Described as producing sound of regular pulsations, which may be subjective or objective
Primary tinnitus
This variety doesn't have a known cause and may or may not be associated with sensorineural hearing loss (SNHL). The SNHL should be symmetrical
Secondary tinnitus
This is associated with a specific underlying cause other than symmetrical SNHL
Acute or recent onset tinnitus
Started less than six months ago
Chronic tinnitus
Has been persisting for more than six months

If you suffer from tinnitus and hearing loss (take a free online hearing screener), you may benefit from a hearing aid.

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