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The aim of the study was to evaluate the hearing status of operators of low-frequency ultrasonic devices compared to employees exposed to audible noise at a similar A-weighted sound pressure level (SPL) but without ultrasonic components. Standard pure-tone audiometry, extended high-frequency audiometry (EHFA), transient-evoked otoacoustic emissions (TEOAE), and distortion-product otoacoustic emissions (DPOAE), as well as questionnaire surveys were conducted among 148 subjects, aged 43.1±10.8 years, working as ultrasonic device operators