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This study aims to analyze and compare the cabin noise levels of the Mitsubishi Destinator Ultimate variant (sunroof) and Exceed variant (non-sunroof) under various driving speed conditions. Measurements were conducted using a Sound Level Meter inside the cabin at idle, 10, 30, 50, 70, 90, and 100 km/h. Results indicate that the Ultimate (sunroof) variant consistently produces higher noise levels than the Exceed (non-sunroof) variant across all speed variations. The largest noise difference was recorded at 100 km/h at 6.50 dB, while the smallest occurred at idle at 0.05 dB. Noise levels in both variants increased significantly with increasing speed, with the sunroof variant reaching 70.00 dB and the non-sunroof variant reaching 63.50 dB at 100 km/h. This difference is attributed to gaps and seals in the sunroof panel, which allow greater noise penetration from the external environment.

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.