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Given the significant risk of NIHL due to firearm and other noise sources, there is an interest in, and demand for, interventions to prevent and\/or treat NIHL in high-risk populations. However, research and clinical trial designs assessing NIHL prevention have varied due to inconsistent data from the literature, specifically with end point definitions, study protocols, and assessment methodologies. This article presents a scoping review of the literature pertaining to auditory changes following firearm noise exposure. Meta-analysis was not possible due to heterogeneity of the study designs. Recommendations regarding audiologic test approach and monitoring of populations at risk for NIHL are presented based on critical review of the existing literature.<\/jats:p>","DOI":"10.1121\/10.0009675","type":"journal-article","created":{"date-parts":[[2022,3,17]],"date-time":"2022-03-17T11:37:33Z","timestamp":1647517053000},"page":"1769-1791","update-policy":"https:\/\/doi.org\/10.1063\/aip-crossmark-policy-page","source":"Crossref","is-referenced-by-count":12,"title":["Auditory changes following firearm noise exposure, a review"],"prefix":"10.1121","volume":"151","author":[{"given":"Kristine","family":"Sonstrom Malowski","sequence":"first","affiliation":[{"name":"School of Speech-Language Pathology and Audiology, The University of Akron 1 , Akron, Ohio 44325, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lindsay H.","family":"Gollihugh","sequence":"additional","affiliation":[{"name":"School of Speech-Language Pathology and Audiology, The University of Akron 1 , Akron, Ohio 44325, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heather","family":"Malyuk","sequence":"additional","affiliation":[{"name":"School of Speech-Language Pathology and Audiology, The University of Akron 1 , Akron, Ohio 44325, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Colleen G.","family":"Le Prell","sequence":"additional","affiliation":[{"name":"Department of Speech, Language, and Hearing, The University of Texas at Dallas 2 , Richardson, Texas 75080, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"231","published-online":{"date-parts":[[2022,3,17]]},"reference":[{"issue":"4","key":"2023081003023116800_c2","doi-asserted-by":"publisher","first-page":"245","DOI":"10.1093\/occmed\/51.4.245","article-title":"High-frequency (10\u201318 kHz) hearing thresholds: Reliability, and effects of age and occupational noise exposure","volume":"51","year":"2001","journal-title":"Occup. 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