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J Audiol Otol > Epub ahead of print
DOI: https://doi.org/10.7874/jao.2024.00192    [Epub ahead of print] Published online March 12, 2025.
Ear Symptoms and Earphone Usage: A Web-Based Survey Study
Ga-Young Kim1,2,3  , Mini Jo1  , Young Sang Cho1,4  , Il Joon Moon1,2,5 
1Hearing Research Laboratory, Samsung Medical Center, Seoul, Korea
2Medical Research Institute, Sungkyunkwan University School of Medicine, Suwon, Korea
3Department of Digital Health, SAIHST, Sungkyunkwan University, Seoul, Korea
4Department of Otorhinolaryngology-Head and Neck Surgery, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul, Korea
5SAIHST, Sungkyunkwan University, Seoul, Korea
Correspondence  Il Joon Moon ,Tel: +82-2-3410-3579, Fax: +82-2-3410-3879, Email: moonij@skku.edu
Submitted: March 27, 2024  Accepted after revision: May 28, 2024
Abstract
Background and Objectives
This study aimed to investigate the potential impact of earphone use on the occurrence of otitis externa (OE) by conducting a survey.
Subjects and Methods
This study included 517 participants. The questionnaire comprised 22 items divided into three categories; general information, earphone use, and OE. The questionnaire was designed using Google Forms and distributed through a notice posted on a hospital bulletin board. This notice included a QR code that enabled any interested individual to participate, and the responses were collected automatically.
Results
The proportion of respondents who had experienced OE at least once was 21%. Among them, 33.7% experienced OE within the preceding month. For “adhering to the recommendation usage time,” individuals who responded “likely” had a 0.440 (odds ratio=0.440, 95% confidence interval=0.195-0.993) times higher likelihood; they were at lower risk of experiencing OE compared to those who responded “very unlikely.”
Conclusions
Our findings suggest that proper earphone use can reduce the risk of OE. Despite the lack of a significant relationship between earphone type, physical activity, and cleaning practices, continued adherence to these factors is recommended to prevent OE.
Keywords: Ear carnal; Otitis externa; Infections; Earphone; Earbuds
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