225">Noise-induced OHC dysfunction is triggered by reactive oxygen species (ROS) overload.
ROS overload affects membrane structural organization through lipid peroxidation.
Noise-induced NAD(P)H oxidation is more pronounced in outer row OHCs.
Lipid peroxidation is linked to decrease of OHC plasma membrane fluidity.
Therapeutic intervention may target NAD(P)H redox state and lipid peroxidation.