TY - JOUR A1 - Weiß, Roxanne A1 - Guchlerner, Leon A1 - Weißgerber, Tobias A1 - Filmann, Natalie A1 - Haake, Birgit A1 - Zacharowski, Kai A1 - Wolf, Timo A1 - Wicker, Sabine A1 - Kempf, Volkhard A. J. A1 - Ciesek, Sandra A1 - Stöver, Timo A1 - Diensthuber, Marc T1 - Powered air-purifying respirators used during the SARS-CoV-2 pandemic significantly reduce speech perception T2 - Journal of occupational medicine and toxicology N2 - Background: Due to the coronavirus disease 2019 (COVID-19) pandemic, interventions in the upper airways are considered high-risk procedures for otolaryngologists and their colleagues. The purpose of this study was to evaluate limitations in hearing and communication when using a powered air-purifying respirator (PAPR) system to protect against severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2) transmission and to assess the benefit of a headset. Methods: Acoustic properties of the PAPR system were measured using a head and torso simulator. Audiological tests (tone audiometry, Freiburg speech test, Oldenburg sentence test (OLSA)) were performed in normal-hearing subjects (n = 10) to assess hearing with PAPR. The audiological test setup also included simulation of conditions in which the target speaker used either a PAPR, a filtering face piece (FFP) 3 respirator, or a surgical face mask. Results: Audiological measurements revealed that sound insulation by the PAPR headtop and noise, generated by the blower-assisted respiratory protection system, resulted in significantly deteriorated hearing thresholds (4.0 ± 7.2 dB hearing level (HL) vs. 49.2 ± 11.0  KW - COVID-19 KW - SARS-CoV-2 KW - Personal protective equipment KW - Powered air-purifying respirator KW - PAPR KW - FFP3 respirator Y1 - 2021 UR - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/63470 UR - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-634701 SN - 1745-6673 N1 - The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. N1 - Open Access funding enabled and organized by Projekt DEAL. VL - 16 IS - 43 SP - 1 EP - 11 PB - BioMed Central CY - London ER -