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Without hesitation we cordially thank Dr Verbeek1 for his comments on our article about temporary threshold shift (TTS) at 4 kHz as a predictor of noise induced hearing loss (NIHL).2 This gives us the opportunity to discuss some important issues in greater detail.
Dr Verbeek correctly mentioned that we have chosen to predict hearing level rather than hearing loss. This choice was taken due to the fact that the hearing level is what guides the decisions in occupational examinations. However, from a more fundamental perspective, hearing loss would definitely be the more important parameter to predict. Especially if workers with previous noise exposure and …
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