Nowhere in any of ADEL's marketing - or in any of our posts regarding ADEL - is it ever mentioned that ADEL somehow makes you immune to the effects of excessive SPL. It's about as stupid as someone putting on oven mits and placing their hands in a raging furnace because the mits "protect you from heat." I even made it a point that ADEL's loss in isolation and resolution may encourage users to increase listening volumes and counteract the benefits of ADEL. This is why I recommended ADEL users either get used to the isolation drop, or only use ADEL IEMs in quieter environments.
How ADEL claims to protect your hearing is by allowing you to maintain higher perceived listening volumes for longer periods of time. In my experience, when I listen to non-ADEL IEMs and hearing fatigue starts to set in, it becomes more difficult to focus during critical listening and everything suddenly sounds more "dull". The first impulse is to then increase the volume, exposing the user to increasingly-dangerous SPL. Now, don't get me wrong, this does occur with ADEL IEMs too if you listen for extremely long periods of time at a moderate-to-high loudness level, but it happens at a slower rate.
Now, unfortunately, subjective personal impressions are as far as I can go with regards to ADEL, because I lack the scientific know-how to talk about it at a technical scale. However, now that
@PinkyPowers has introduced
@Cotnijoe's statements regarding ADEL - which are
by far the most technical yet - into the thread, I'd like to know your perspective as someone in the field of medicine; is what Lawrence is saying sensible and factually correct, or are there inaccuracies in his argument that we should take note of? The post is below:
I have often been blasted around these parts for my skepticism on the ADEL technology. But if you would like my medical opinion on this, cotnijoe is not too far off.
Here's why I think ADEL does not work.
Let's talk about noise induced hearing loss. If you check out audio grams of individuals with NHL, you see a 4K notc. There is a reason that you have this. It is the natural resonance frequency of the ear, and as such, 4k sounds are amplified beyond others.
Hearing loss comes about with increased trauma to the hair cells in the cochlear. The cochlear is this snail shaped thing containing fluid and lots of hair cells capable of sensing vibrations from 20hz to 20khz thereabouts. Given the 4k resonance peak, there is most trauma to the hair cells detecting rhe 4khz frequency and thus the accelerated damage.
What does adel do? Adel claims to relieve pressure preventing the triggering of the stapedius reflex. Some say the stapedius reflex causes listening fatigue. That's not medically accurate. Listening fatigue is something that is not quantified Nor defined medically, it is not objective and therefore cannot be used to measure or quantify the objective effects of ADEL. The stapedius is NOT a muscle you can feel.
Now the stapedius reflex is described as a sort of that evil causes you to turn up the volume more. This is again thoroughly inaccurate.
Let us now examine how sound gets transferred to the cochlear. The tympanic membrane (eardrum) vibrates as sound enters. The vibrations are passed down through the ossicles (little bones acting as an amplifying lever system) to the cochlear, which vibrate the fluid inside and allow the hair cells to pick them up. When the stapedius reflex is triggered, it TENSES the tympanic membrane. This means that the same amplitude of vibrations externally (same volume) actually causes a smaller amplitude of vibrations in the tympanic membrane (TM), and as such the effective amplitude of vibrations reaching the cochlear is actually decreased, decreasing trauma to the hair cells. Thus despite what ADEL says, the stapedius reflex does NOT simply reduce perceived volume. It effectively cuts down the amplitude and trauma to the hair cells by damping away some of the vibrational amplitude.
The claim by asius is that pressure triggers the stapedius reflex. Firstly, I'm not all certain if it does, I have never read that in my medical studies (do correct me if I am wrong). Secondly, say it does, what does it mean? It means that playing at the same volume causes you to hear things louder with ADEL not because of 'perceived' volume but because a higher amplitude is actually being conducted to the cochlear. This means higher levels of trauma, simple as that, and accelerated hearing loss. So one can argue that having ADEL actually worsens noise induced hearing loss if you play at the sameness volume on the player with and without ADEL.
But wait a minute, it's not so simple is it? Am I saying that ADEL accelerates hearing loss? No. So assuming ADEL really reduces the stapedius reflex and makes things sound louder what happens when you have ADEL? Assuming asius is right so far, you will turn down the volume till it sounds as loud as it did without ADEL. At this point you hear the same volume in both situations, with or without ADEL, despite playing at a lower volume with ADEL. Does this mean your ears are protected? No it doesn't. Because in the case where the stapedius reflex is activated, the TM damps some of the volume away ensuring that the ultimate level of trauma to the inner ear is reduced.
And what does this all mean? It means that it makes no difference whatsoever to otological health whether ADEL is installed or not.
Feel free to ask me any questions and I will be more than happy to answer. I'm not an ENT surgeon myself but my Brother is training to be one and I can certainly clarify these things with him.