Synergistic effects of noise and hand-arm vibration on distortion product otoacoustic emissions in healthy subjects

An experimental study has been performed on the effect of exposure to noise (N), vibration (V), and combined noise and vibration (NV), on the distortion product otoacoustic emission (DPOAE) level. The aim of the study is investigating the possible synergistic effect of noise and vibration, increasing the risk of damage to the hearing function due to noise only.