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Approaches to managing ototoxicity in the workplace | JoVE Visualize

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Approaches to managing ototoxicity in the workplace

Thais C Morata¹, Krystin Carlson¹, Adrian Fuente²

¹Division of Field Studies and Engineering, National Institute for Occupational Safety and Health, Cincinnati, OH, USA.

International Journal of Audiology|June 14, 2025

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View abstract on PubMed

Summary

Protecting workers from hearing loss requires managing exposure to ototoxic chemicals. This guide outlines evidence-based practices for occupational health to identify risks and implement protective measures.

Area of Science:

Occupational Health
Toxicology
Audiology

Background:

Ototoxic chemicals in the workplace present significant risks to hearing and balance.
Effective management strategies are crucial for protecting worker health.

Purpose of the Study:

To identify evidence-based practices for managing ototoxicity in occupational health settings.
To develop a practical, universally applicable approach for workplaces.

Main Methods:

A comprehensive review of various data sources, including experimental, observational, and review studies.
Convening an international panel of 32 interdisciplinary experts for document review and endorsement.

Main Results:

A six-step ototoxicity management system was proposed.
Key actions include identifying exposed workers, conducting auditory and vestibular assessments, and monitoring health outcomes.
The system addresses workers exposed to ototoxic chemicals, with or without concurrent noise exposure.

Conclusions:

Early identification strategies are vital, encompassing self-report questionnaires, auditory testing, and vestibular screening.
Referrals, case management, and exposure monitoring are essential components of prevention.

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Environmental Engineering

Health And Ecological Risk Assessment

Approaches To Managing Ototoxicity In The Workplace

Keywords:

Ototoxic hearing occupational ototoxicants solvents vestibular function workplace exposures

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