[1] Ruhr Univ Bochum, Dept Hyg Social & Environm Med, D-44801 Bochum, Germany
[2] Ruhr Univ Bochum, Res Inst Occupat Med, Berufsgenossenschaften BGFA, D-44801 Bochum, Germany
[3] Univ Clin Otorhinolaryngol Head & Neck Surg, St Elizabeth Hosp, Bochum, Germany