Tinnitus and cell phones: the role of electromagnetic radiofrequency radiation

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dc.contributorSistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP
dc.contributor.authorMEDEIROS, Luisa Nascimento
dc.contributor.authorSANCHEZ, Tanit Ganz
dc.date.accessioned2016-07-04T13:56:48Z
dc.date.available2016-07-04T13:56:48Z
dc.date.issued2016
dc.description.abstractIntroduction: Tinnitus is a multifactorial condition and its prevalence has increased on the past decades. The worldwide progressive increase of the use of cell phones has exposed the peripheral auditory pathways to a higher dose of electromagnetic radiofrequency radiation (EMRFR). Some tinnitus patients report that the abusive use of mobiles, especially when repeated in the same ear, might worsen ipsilateral tinnitus. Objective: The aim of this study was to evaluate the available evidence about the possible causal association between tinnitus and exposure to electromagnetic waves. Methods: A literature review was performed searching for the following keywords: tinnitus, electromagnetic field, mobile phones, radio frequency, and electromagnetic hypersensitivity. We selected 165 articles that were considered clinically relevant in at least one of the subjects. Results: EMRFR can penetrate exposed tissues and safety exposure levels have been established. These waves provoke proved thermogenic effects and potential biological and genotoxic effects. Some individuals are more sensitive to electromagnetic exposure (electrosensitivity), and thus, present earlier symptoms. There may be a common pathophysiology between this electrosensitivity and tinnitus. Conclusion: There are already reasonable evidences to suggest caution for using mobile phones to prevent auditory damage and the onset or worsening of tinnitus.
dc.description.abstractIntrodução Zumbido é uma condição multifatorial cuja prevalência vem aumentando nas últimas décadas. Em todo o mundo, o aumento progressivo do uso de telefones celulares tem exposto as orelhas a uma maior carga de radiação eletromagnética de radiofrequência (REM-RF). Alguns pacientes com zumbido referem que o uso excessivo do telefone celular, especialmente quando sempre na mesma orelha, é um fator de piora do zumbido ipsilateral. Objetivo O objetivo deste trabalho foi avaliar as evidências disponíveis sobre a possível associação causal entre zumbido e exposição a ondas eletromagnéticas. Método Foi realizada uma revisão de literatura com palavras-chave como: tinnitus, electromagnectic field, cellular phone, radiofrequency, electromagnectic hypersensitivity. Foram selecionados 165 artigos com maior relevância clínica em pelo menos um dos assuntos. Resultados As REM-RF podem penetrar tecidos expostos e existem níveis seguros de exposição. Apresentam efeitos termogênicos comprovados e potenciais efeitos biológicos e genotóxicos. Alguns indivíduos são mais sensíveis à exposição eletromagnética (eletrossensibilidade) e, portanto, adquirem sintomas precocemente. A fisiopatologia da eletrossensibilidade pode ser semelhante à do zumbido. Conclusão Consideramos que há evidências suficientes que sugerem maior cautela para o uso desses aparelhos e assim prevenir lesões na via auditiva e o aparecimento/agravamento do zumbido.
dc.description.indexMEDLINE
dc.identifier.citationBRAZILIAN JOURNAL OF OTORHINOLARYNGOLOGY, v.82, n.1, p.97-104, 2016
dc.identifier.doi10.1016/j.bjorl.2015.04.013
dc.identifier.eissn1808-8686
dc.identifier.issn1808-8694
dc.identifier.urihttps://observatorio.fm.usp.br/handle/OPI/13951
dc.languagepor
dc.language.isoeng
dc.publisherASSOC BRASILEIRA OTORRINOLARINGOLOGIA & CIRURGIA CERVICOFACIAL
dc.relation.ispartofBrazilian Journal of Otorhinolaryngology
dc.rightsopenAccess
dc.rights.holderCopyright ASSOC BRASILEIRA OTORRINOLARINGOLOGIA & CIRURGIA CERVICOFACIAL
dc.subjectCellular phone
dc.subjectElectromagnetic radiation
dc.subjectTinnitus
dc.subjectTelefone celular
dc.subjectRadiação eletromagnética
dc.subjectZumbido
dc.subject.othermagnetic-field exposure
dc.subject.othermobile phone
dc.subject.otherquestionnaire survey
dc.subject.otheradaptive response
dc.subject.otherhypersensitivity
dc.subject.otherprevalence
dc.subject.othersymptoms
dc.subject.otherchildren
dc.subject.otherinsomnia
dc.subject.othersearch
dc.subject.wosOtorhinolaryngology
dc.titleTinnitus and cell phones: the role of electromagnetic radiofrequency radiation
dc.title.alternativeZumbido e telefones celulares: o papel da radiação eletromagnética de radiofrequência
dc.typearticle
dc.type.categoryreview
dc.type.versionpublishedVersion
dspace.entity.typePublication
hcfmusp.author.externalMEDEIROS, Luisa Nascimento:Univ Sao Paulo, Fac Med, Dept Otolaryngol, BR-05508 Sao Paulo, SP, Brazil; Assoc Interdisciplinary Res & Divulgat Tinnitus, Sao Paulo, SP, Brazil
hcfmusp.citation.scopus19
hcfmusp.contributor.author-fmusphcTANIT GANZ SANCHEZ
hcfmusp.description.beginpage97
hcfmusp.description.endpage104
hcfmusp.description.issue1
hcfmusp.description.volume82
hcfmusp.origemWOS
hcfmusp.origem.pubmed26602000
hcfmusp.origem.scieloSCIELO:S1808-86942016000100097
hcfmusp.origem.scopus2-s2.0-84958775831
hcfmusp.origem.wosWOS:000371652200015
hcfmusp.publisher.citySAO PAULO
hcfmusp.publisher.countryBRAZIL
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