Pengaruh Paparan Kebisingan di Tempat Kerja terhadap Risiko Benign Paroxysmal Positional Vertigo (BPPV): Suatu Tinjauan Naratif

Ayu Zahrani; Tishya Fadiliafasha; Alif Rachman Chresandiputra; Najwa Chindykia Yuliasta; Moch Althof Naufal Ardhi; Yusuf Alam Romadhon

doi:10.55606/jurrike.v5i1.7430

Authors

Ayu Zahrani Universitas Muhammadiyah Surakarta, Indonesia
Tishya Fadiliafasha Universitas Muhammadiyah Surakarta, Indonesia
Alif Rachman Chresandiputra Universitas Muhammadiyah Surakarta, Indonesia
Najwa Chindykia Yuliasta Universitas Muhammadiyah Surakarta, Indonesia
Moch Althof Naufal Ardhi Universitas Muhammadiyah Surakarta, Indonesia
Yusuf Alam Romadhon Universitas Muhammadiyah Surakarta, Indonesia

DOI:

https://doi.org/10.55606/jurrike.v5i1.7430

Keywords:

BPPV Risks, Damage, Disfungsi Vestibular, Noise Exposure, Occupational Health

Abstract

Benign Paroxysmal Positional Vertigo (BPPV) is the most common cause of peripheral vertigo, characterized by brief episodes of vertigo due to otoconia displacement. Although most previous studies have focused on intrinsic factors such as age, gender, osteoporosis, and metabolic disorders, evidence regarding the role of environmental factors, particularly occupational noise exposure, is limited. Chronic noise has the potential to affect vestibular function through both sensory and vascular mechanisms. This study aims to narratively review the effect of occupational noise exposure on the risk of BPPV by integrating clinical, epidemiological, and experimental findings. The method used is a literature-based narrative review of the PubMed, Scopus, Web of Science, and Google Scholar databases without year restrictions, using the keywords "BPPV", "occupational noise exposure", "vestibular dysfunction", "VEMP", and "otoconia displacement". The search results obtained 25 relevant articles linking BPPV to otolith, hormonal, vascular, lifestyle factors, and occupational noise exposure. The results indicate that chronic noise can cause sensory damage (otoconia and vestibular hair cells), vascular disorders (hypertension, cardiovascular disorders, and inner ear microvascular circulation disorders), and exacerbate lifestyle comorbidities (sedentary lifestyle, osteoporosis, hypertension, diabetes). The discussion confirms that these multifactorial mechanisms explain the susceptibility of industrial workers to BPPV despite normal hearing function. The conclusion of this study is that workplace noise exposure has been shown to play a significant role as a risk factor for BPPV, therefore, prevention strategies, vestibular health monitoring, and healthy lifestyle interventions need to be optimized in occupational health programs.

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References

Abdulrahim, R., Bhandary, B. S. K., Rajeshwary, A., Goutham, M. K., Bhat, V., & Saldanha, M. (2022). The role of video head impulse test (vHIT) in diagnosing benign paroxysmal positional vertigo (BPPV). Indian Journal of Otolaryngology and Head and Neck Surgery, 74, 506–510. https://doi.org/10.1007/s12070-020-02351-5

Acri, G., Anfuso, C., Vermiglio, G., & Hartwig, V. (2022). Assessment of exposure to time-varying magnetic fields in magnetic resonance environments using pocket dosimeters. Electronics, 11(17). https://doi.org/10.3390/electronics11172796

Alqudah, S. (2019). The effect of noise exposure on the vestibular systems of dental technicians. Noise and Health, 21(103), 223–231. https://doi.org/10.4103/nah.NAH_51_19

Andersson, H., Jablonski, G. E., Nordahl, S. H. G., Nordfalk, K., Helseth, E., Martens, C., Røysland, K., & Goplen, F. K. (2022). The risk of benign paroxysmal positional vertigo after head trauma. Laryngoscope, 132(2), 443–448. https://doi.org/10.1002/lary.29851

Bazoni, J. A., Mendes, W. S., Meneses-Barriviera, C. L., Melo, J. J., Costa, V. S. P., Teixeira, D. C., & Marchiori, L. L. M. (2014). Physical activity in the prevention of benign paroxysmal positional vertigo: Probable association. International Archives of Otorhinolaryngology, 18(4), 387–390. https://doi.org/10.1055/s-0034-1384815

Cao, L., Jiang, B., & Liao, Y. (2021). Analysis of clinical characteristics and risk factors in patients with benign paroxysmal positional vertigo. Journal of Clinical Otorhinolaryngology Head and Neck Surgery, 35(10), 905–909. https://doi.org/10.13201/j.issn.2096-7993.2021.10.009

Eyal, Y., Tsur, N., Trotzky, Z. A., Pachys, G., & Trotzky, D. (2025). Earbuds induced benign paroxysmal positional vertigo? Ear, Nose and Throat Journal. https://doi.org/10.1177/01455613251329718

Fong, M. L., Paik, C. B., Quiñones, P. M., Walker, C. B., Serafino, M. J., Pan, D. W., Martinez, E., Wang, J., Phillips, G. W., Applegate, B. E., Gratton, M. A., & Oghalai, J. S. (2024). Endolymphatic hydrops and cochlear synaptopathy after noise exposure. Scientific Reports, 14(1). https://doi.org/10.1038/s41598-024-77154-7

Fu, C. Y., Zhang, Z. Z., Chen, J., Jaiswal, S. K., & Yan, F. L. (2020). Unhealthy lifestyle is an important risk factor of idiopathic BPPV. Frontiers in Neurology, 11, 950. https://doi.org/10.3389/fneur.2020.00950

Fujimoto, C., Kawahara, T., Kinoshita, M., Kikkawa, Y. S., Sugasawa, K., Yagi, M., Yamasoba, T., Iwasaki, S., & Murofushi, T. (2018). Aging is a risk factor for utricular dysfunction in idiopathic benign paroxysmal positional vertigo. Frontiers in Neurology, 9. https://doi.org/10.3389/fneur.2018.01049

Gan, W. Q., Davies, H. W., & Demers, P. A. (2011). Exposure to occupational noise and cardiovascular disease in the United States. Occupational and Environmental Medicine, 68(3), 183–190. https://doi.org/10.1136/oem.2010.055269

Ghosh, A., & Dorasala, S. (2023). Epidemiology of benign paroxysmal positional vertigo and risk factors for secondary BPPV. Egyptian Journal of Otolaryngology, 39(1). https://doi.org/10.1186/s43163-023-00456-6

Guo, X., Davies, H. W., & Karim, M. E. (2024). The intensity and duration of occupational noise exposure and cardiovascular disease in the United States. Annals of Work Exposures and Health, 68(1), 36–47. https://doi.org/10.1093/annweh/wxad065

Han, J. S., Lee, Y. H., Lim, J. H., Lee, D. H., Kwak, S. H., & Seo, J. H. (2025). Risk factors associated with the occurrence and recurrence of benign paroxysmal positional vertigo in Koreans. Clinical and Experimental Otorhinolaryngology, 18(2), 123–133. https://doi.org/10.21053/ceo.2024.00207

Imai, T., & Inohara, H. (2022). Benign paroxysmal positional vertigo. Auris Nasus Larynx, 49(5), 737–747. https://doi.org/10.1016/j.anl.2022.03.012

Kim, C. H., Shin, J. E., Park, H. J., Koo, J. W., & Lee, J. H. (2014). Concurrent posterior semicircular canal BPPV in patients with ipsilateral sudden sensorineural hearing loss. Medical Hypotheses, 82(4), 424–427. https://doi.org/10.1016/j.mehy.2014.01.015

Li, S., Wang, Z., Liu, Y., Cao, J., Zheng, H., Jing, Y., Han, L., Ma, X., Xia, R., & Yu, L. (2022). Risk factors for the recurrence of benign paroxysmal positional vertigo: A systematic review and meta-analysis. Ear, Nose and Throat Journal, 101(3), NP112–NP134. https://doi.org/10.1177/0145561320943362

Liu, Y., Wang, W., & Gong, S. S. (2016). Related factors of benign paroxysmal positional vertigo. Journal of Clinical Otorhinolaryngology Head and Neck Surgery, 30(9), 748–750. https://doi.org/10.13201/j.issn.1001-1781.2016.09.020

Mao, J. J., Lin, H. C., Lin, S. T., Lin, P. C., Chang, C. H., Chien, W. C., Chung, C. H., Chen, Y. J., & Chen, J. W. (2024). Incidence of subsequent injuries after BPPV diagnosis. Journal of Clinical Medicine, 13(15). https://doi.org/10.3390/jcm13154561

Martínez Pascual, P., & Amaro Merino, P. (2019). Otolithic damage study in BPPV patients. Acta Otorrinolaringologica (English Edition), 70(3), 131–135. https://doi.org/10.1016/j.otoeng.2018.04.002

Messina, A., Casani, A. P., Manfrin, M., & Guidetti, G. (2017). Italian survey on benign paroxysmal positional vertigo. Acta Otorhinolaryngologica Italica, 37(4), 328–335. https://doi.org/10.14639/0392-100X-1121

Molnár, A., Maihoub, S., Tamás, L., & Szirmai, Á. (2022). A possible objective test to detect BPPV. Journal of Otology, 17(1), 46–49. https://doi.org/10.1016/j.joto.2021.11.001

Nadri, H., Khavanin, A., Kim, I. J., Akbari, M., & Nadri, F. (2023). Occupational noise-induced hearing loss and vestibular dysfunction. Iranian Journal of Public Health, 52(4), 683–694.

Niu, X., Han, P., Duan, M., Chen, Z., Hu, J., Chen, Y., Xu, M., Ren, P., & Zhang, Q. (2022). Bilateral dysfunction of otolith pathway in unilateral idiopathic BPPV. Frontiers in Neurology, 13. https://doi.org/10.3389/fneur.2022.921133

Ogun, O. A., Janky, K. L., Cohn, E. S., Büki, B., & Lundberg, Y. W. (2014). Gender-based comorbidity in BPPV. PLoS ONE, 9(9). https://doi.org/10.1371/journal.pone.0105546

Pollak, L., Kushnir, M., & Goldberg, H. S. (2011). Physical inactivity and idiopathic BPPV. Acta Oto-Laryngologica, 131(6), 624–627. https://doi.org/10.3109/00016489.2011.552524

Rim, H. S., Lee, R., Oh, I. H., Yeo, S. G., & Kim, S. H. (2025). Association of tinnitus with BPPV. Journal of Clinical Medicine, 14(7). https://doi.org/10.3390/jcm14072473

Rodríguez Gutiérrez, C., & Rodríguez Gómez, E. (2007). Positional vertigo after maxillary dental implant surgery. Medicina Oral, Patología Oral y Cirugía Bucal, 12(2), 113–115.

Sakthivel, R., Kamalakannan, L. P., Shanmugam, R., & Venugopal, V. (2025). Nonauditory impacts of industrial noise. Safety and Health at Work, 16(2), 243–248. https://doi.org/10.1016/j.shaw.2025.01.004

Santhraya, M., Suvarna, A., & George, R. (2021). Comparison of Semont’s and Epley’s maneuvers. Indian Journal of Otology, 27(4), 193–197. https://doi.org/10.4103/indianjotol.indianjotol_81_20

Swain, S. K. (2023). Diagnostic criteria of benign paroxysmal positional vertigo. Matrix Science Medica, 7(4), 85–89. https://doi.org/10.4103/mtsm.mtsm_4_23

Thakur, B., Raj, P., Singh, K., & Anand, V. (2024). Recovery rates of modified Epley’s vs Semont’s maneuver. European Archives of Oto-Rhino-Laryngology, 281(9), 4641–4648. https://doi.org/10.1007/s00405-024-08657-2

Vadlamani, S., Dorasala, S., & Dutt, S. N. (2022). Diagnostic positional tests and therapeutic maneuvers. Indian Journal of Otolaryngology and Head and Neck Surgery, 74, 475–487. https://doi.org/10.1007/s12070-020-02292-z

Varghese, S. S., Varghese, A., & Kumar, N. (2024). Adoption of vestibular disorder classification criteria. European Archives of Oto-Rhino-Laryngology, 281(11), 5717–5721. https://doi.org/10.1007/s00405-024-08794-8

Yang, Y., Zhang, E., Zhang, J., Chen, S., Yu, G., Liu, X., Peng, C., Lavin, M. F., Du, Z., & Shao, H. (2018). Occupational noise exposure and cardiovascular disease in China. Medicine, 97(30). https://doi.org/10.1097/MD.0000000000011720

Zhou, F., Shrestha, A., Mai, S., Tao, Z., Li, J., Wang, Z., & Meng, X. (2019). Occupational noise exposure and hypertension. American Journal of Industrial Medicine, 62(11), 961–968. https://doi.org/10.1002/ajim.23034