{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T02:55:00Z","timestamp":1791428100921,"version":"4.3.3"},"reference-count":92,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T00:00:00Z","timestamp":1767139200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T00:00:00Z","timestamp":1767139200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To assess the prevalence of auditory symptoms among recreational and professional musicians.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Data Sources<\/jats:title>\n                    <jats:p>CINAHL, Cochrane Library, PubMed, and SCOPUS were searched for English\u2010language studies published from inception through November 19, 2024.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Review Methods<\/jats:title>\n                    <jats:p>We included cohort and cross\u2010sectional studies reporting auditory symptom prevalence among recreational or professional musicians at least 18 years old. Studies involving children or noise exposure data only were excluded. Data were extracted independently by two authors, with disagreements resolved by discussion. Risk of bias was assessed using the Risk Of Bias In Nonrandomized Studies \u2010 of Exposure for prospective cohort studies, the Joanna Briggs Institute (JBI) checklist for retrospective cohort and cross\u2010sectional studies, and the Risk of Bias 2 tool for randomized controlled trials. Primary outcome measures included continuous measures (mean) and proportions (%) with 95% confidence intervals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sixty\u2010seven studies (n\u2009=\u200928,311) on auditory symptoms among musicians were included. The mean age was 34.7 years for the musicians and 30.2 years for the control group. Musicians experienced a significantly higher prevalence of tinnitus (42.6% vs 13.2%), hearing loss (25.7% vs 11.6%), and hyperacusis (37.3% vs 15.3%) compared to the control population. However, there was no significant difference in the prevalence of hearing loss, hyperacusis, and tinnitus between classical and pop\/rock musicians.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>At least one in three musicians reports tinnitus or hyperacusis, while approximately one in four has hearing loss. This evidence suggests otolaryngologists treating musicians should consider routine auditory assessments and preventive counseling.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ohn.70094","type":"journal-article","created":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T13:07:02Z","timestamp":1767186422000},"page":"305-316","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Auditory Symptoms Among Musicians: A Systematic Review and Meta\u2010analysis"],"prefix":"10.1002","volume":"174","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-2700-2721","authenticated-orcid":false,"given":"Lauren R.","family":"McCray","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Medical University of South Carolina Charleston South Carolina USA"},{"name":"Baylor College of Medicine Houston Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1272-2281","authenticated-orcid":false,"given":"Asher T.","family":"Ripp","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Medical University of South Carolina Charleston South Carolina USA"},{"name":"SUNY Downstate Health Sciences University College of Medicine Brooklyn New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0664-4571","authenticated-orcid":false,"given":"Shaun A.","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Medical University of South Carolina Charleston South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Justin C.","family":"Pelic","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Medical University of South Carolina Charleston South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert F.","family":"Labadie","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Medical University of South Carolina Charleston South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ted A.","family":"Meyer","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2013Head and Neck Surgery Medical University of South Carolina Charleston South Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,12,31]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.mm6605e3"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1616601"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1539\/joh.16-0217-OA"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2025.1497674"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.3109\/14992020309078347"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1121\/1.400719"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph15102120"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1000097"},{"key":"e_1_2_9_10_1","volume-title":"Explanation of the 2011 Oxford Centre for Evidence\u2010Based Medicine (OCEBM) Levels of Evidence (Background Document)","author":"Howick JCI","year":"2014"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.11124\/JBISRIR-D-19-00099"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l4898"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.envint.2024.108602"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.11124\/JBIES-24-00103"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.315.7109.629"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0895-4356(01)00377-8"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2014.00973"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otorri.2021.10.002"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003446-199506000-00001"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.21091\/mppa.2010.4036"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.21091\/mppa.2011.2014"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000003279"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2022.886861"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2021.06.021"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.1258\/002221504772784577"},{"issue":"6","key":"e_1_2_9_26_1","first-page":"36","article-title":"Collegiate musicians' noise exposure and attitudes on hearing protection","volume":"18","author":"Callahan AJ","year":"2011","journal-title":"Hear Rev"},{"issue":"1","key":"e_1_2_9_27_1","first-page":"3260","article-title":"An auditive protection for professional musicians","volume":"41","author":"C\u00e2ndido PE","year":"2012","journal-title":"Work"},{"issue":"1","key":"e_1_2_9_28_1","first-page":"235","article-title":"Audiological and noise exposure findings among members of a Brazilian folklore music group","volume":"68","author":"Carneiro Muniz CMD","year":"2021","journal-title":"Work"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.21091\/mppa.2000.1007"},{"key":"e_1_2_9_30_1","doi-asserted-by":"crossref","DOI":"10.1177\/2331216519885571","article-title":"Hearing difficulties and tinnitus in construction, agricultural, music, and finance industries: contributions of demographic, health, and lifestyle factors","volume":"23","author":"Couth S","year":"2019","journal-title":"Trends Hear"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.heares.2020.108021"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1080\/14992027.2022.2035831"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1121\/10.0026024"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.4081\/audiores.2018.198"},{"issue":"2","key":"e_1_2_9_35_1","first-page":"145","article-title":"A comparison of the digits\u2010in\u2010noise test and extended high frequency response between formally trained musicians and non\u2010musicians","volume":"32","author":"Dreyer B","year":"2023","journal-title":"Audit Vestib Res"},{"key":"e_1_2_9_36_1","doi-asserted-by":"publisher","DOI":"10.4103\/1463-1741.113520"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00405-021-07122-8"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijpsycho.2009.07.009"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1808-8694(15)31175-7"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.21091\/mppa.2006.2011"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00420-008-0317-1"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1044\/1059-0889(2012\/11-0030)"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.4103\/1463-1741.31643"},{"key":"e_1_2_9_44_1","doi-asserted-by":"publisher","DOI":"10.1080\/14992020801886770"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bjorl.2014.05.010"},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.5935\/0946-5448.20160009"},{"key":"e_1_2_9_47_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0104-56872008000100009"},{"key":"e_1_2_9_48_1","doi-asserted-by":"publisher","DOI":"10.1080\/19338244.2020.1828241"},{"key":"e_1_2_9_49_1","doi-asserted-by":"publisher","DOI":"10.21091\/mppa.2007.4034"},{"key":"e_1_2_9_50_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12070-024-04901-7"},{"key":"e_1_2_9_51_1","doi-asserted-by":"publisher","DOI":"10.1111\/nyas.14671"},{"key":"e_1_2_9_52_1","doi-asserted-by":"publisher","DOI":"10.4103\/1463-1741.134920"},{"key":"e_1_2_9_53_1","doi-asserted-by":"publisher","DOI":"10.21091\/mppa.2016.1006"},{"key":"e_1_2_9_54_1","doi-asserted-by":"publisher","DOI":"10.3109\/01050398909042202"},{"key":"e_1_2_9_55_1","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/9672185"},{"key":"e_1_2_9_56_1","doi-asserted-by":"publisher","DOI":"10.1093\/occmed\/kqt026"},{"issue":"1","key":"e_1_2_9_57_1","first-page":"55","article-title":"Exposure to excessive sounds and hearing status in academic classical music students","volume":"30","author":"Pawlaczyk\u2010\u0141uszczy\u0144ska M","year":"2017","journal-title":"Int J Occup Med Environ Health"},{"key":"e_1_2_9_58_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18031313"},{"key":"e_1_2_9_59_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0b013e31819769fc"},{"key":"e_1_2_9_60_1","doi-asserted-by":"publisher","DOI":"10.21091\/mppa.2003.3020"},{"issue":"1","key":"e_1_2_9_61_1","first-page":"1","article-title":"Patterns of noise exposure and prevalence of hearing loss amongst Cape Town Minstrel Carnival musicians","volume":"68","author":"Ramma L","year":"2021","journal-title":"S Afr J Commun Disord"},{"key":"e_1_2_9_62_1","doi-asserted-by":"publisher","DOI":"10.1177\/216507991206000104"},{"key":"e_1_2_9_63_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvoice.2021.02.005"},{"key":"e_1_2_9_64_1","doi-asserted-by":"publisher","DOI":"10.4103\/1463-1741.93314"},{"key":"e_1_2_9_65_1","doi-asserted-by":"publisher","DOI":"10.1136\/oemed-2014-102172"},{"key":"e_1_2_9_66_1","doi-asserted-by":"publisher","DOI":"10.1097\/AUD.0000000000000594"},{"key":"e_1_2_9_67_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.aud.0000224737.34907.5e"},{"key":"e_1_2_9_68_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-024-79875-1"},{"key":"e_1_2_9_69_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0038-1641744"},{"key":"e_1_2_9_70_1","doi-asserted-by":"publisher","DOI":"10.13005\/bpj\/1598"},{"key":"e_1_2_9_71_1","doi-asserted-by":"publisher","DOI":"10.3109\/00206099809072960"},{"key":"e_1_2_9_72_1","doi-asserted-by":"publisher","DOI":"10.21091\/mppa.2018.2019"},{"key":"e_1_2_9_73_1","doi-asserted-by":"publisher","DOI":"10.4103\/1463-1741.74001"},{"key":"e_1_2_9_74_1","doi-asserted-by":"publisher","DOI":"10.5935\/0946-5448.20210017"},{"key":"e_1_2_9_75_1","doi-asserted-by":"publisher","DOI":"10.1016\/bs.pbr.2020.08.002"},{"key":"e_1_2_9_76_1","doi-asserted-by":"publisher","DOI":"10.1001\/archotol.1981.00790480037010"},{"key":"e_1_2_9_77_1","doi-asserted-by":"publisher","DOI":"10.1080\/15459624.2013.818227"},{"key":"e_1_2_9_78_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0034-1368140"},{"key":"e_1_2_9_79_1","doi-asserted-by":"publisher","DOI":"10.21091\/mppa.2001.4023"},{"key":"e_1_2_9_80_1","doi-asserted-by":"publisher","DOI":"10.21091\/mppa.2020.3022"},{"key":"e_1_2_9_81_1","doi-asserted-by":"publisher","DOI":"10.1080\/14992027.2017.1405289"},{"key":"e_1_2_9_82_1","doi-asserted-by":"publisher","DOI":"10.1121\/1.5110238"},{"key":"e_1_2_9_83_1","doi-asserted-by":"publisher","DOI":"10.1177\/0305735618812238"},{"key":"e_1_2_9_84_1","doi-asserted-by":"publisher","DOI":"10.1080\/14992027.2021.1951852"},{"key":"e_1_2_9_85_1","first-page":"1","article-title":"Safe sound: highlighting electronic dance music attendees' unique hearing protection practices","author":"Ayo\u2010Ajibola O","year":"2025","journal-title":"Laryngoscope"},{"issue":"8","key":"e_1_2_9_86_1","first-page":"11","article-title":"Unperceived hearing loss among Canadians aged 40 to 79","volume":"30","author":"Ramage\u2010Morin PL","year":"2019","journal-title":"Health Rep"},{"key":"e_1_2_9_87_1","doi-asserted-by":"crossref","DOI":"10.1177\/23312165241293762","article-title":"A survey on hearing health of musicians in professional and amateur orchestras","volume":"28","author":"Hake R","year":"2024","journal-title":"Trends Hear"},{"key":"e_1_2_9_88_1","doi-asserted-by":"publisher","DOI":"10.1097\/JOM.0000000000001423"},{"key":"e_1_2_9_89_1","doi-asserted-by":"publisher","DOI":"10.1080\/14992027.2024.2418354"},{"key":"e_1_2_9_90_1","volume-title":"StatPearls","author":"Grossan M","year":"2025"},{"key":"e_1_2_9_91_1","doi-asserted-by":"publisher","DOI":"10.1152\/jn.00184.2013"},{"key":"e_1_2_9_92_1","doi-asserted-by":"publisher","DOI":"10.12688\/f1000research.11310.1"},{"key":"e_1_2_9_93_1","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2015.00105"}],"container-title":["Otolaryngology\u2013Head and Neck Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ohn.70094","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ohn.70094","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ohn.70094","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T18:27:10Z","timestamp":1786386430000},"score":1,"resource":{"primary":{"URL":"https:\/\/aao-hnsfjournals.onlinelibrary.wiley.com\/doi\/10.1002\/ohn.70094"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,31]]},"references-count":92,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1002\/ohn.70094"],"URL":"https:\/\/doi.org\/10.1002\/ohn.70094","archive":["Portico"],"relation":{},"ISSN":["0194-5998","1097-6817"],"issn-type":[{"value":"0194-5998","type":"print"},{"value":"1097-6817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,31]]},"assertion":[{"value":"2025-08-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-31","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}