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DOI: 10.1055/s-0035-1571271
The Influence of Tinnitus on the Audiometric Threshold of Sufferers
Publication History
06 September 2015
23 October 2015
Publication Date:
15 February 2016 (online)
Abstract
Introduction Tinnitus is a worldwide problem.
Objective The objective of this study is to evaluate the audiometric hearing thresholds of adult patients with ongoing tinnitus as their only otological symptom.
Methods We evaluated the hearing thresholds of 43 adult patients with ongoing tinnitus and no history of hearing loss from the otolaryngology department of a tertiary health institution at speech and high frequencies. A total of 56 tinnitus ears were compared against 30 contralateral normal ears as well as with the 100 ears of 50 healthy volunteers.
Results The study group consisted of 11 (25.6%) males and 32 (74.4%) females with a mean age of 40.9 ± 11.7. The mean Pure Tone Average of the 56 tinnitus ears was 14.8 ± 9, while that of the 100 control ears was 11.2 ± 6 (U = 2078, p = 0.008). The mean pure tone average of the control was also significantly lower than that of the 30 contralateral normal ears of the tinnitus sufferers (U = 1136, p = 0.02). We observed mild to moderate hearing loss in 10 (23%) of the participants. We observed no hearing loss among the control group.
Conclusion A proportion of tinnitus sufferers with self-professed normal hearing are likely to have mildly elevated pure tone audiometric thresholds. In patients with unilateral tinnitus, such elevated pure tone hearing thresholds are likely to be in the tinnitus ear and the contralateral non-tinnitus ear.
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References
- 1 Axelsson A, Ringdahl A. Tinnitus—a study of its prevalence and characteristics. Br J Audiol 1989; 23 (1) 53-62
- 2 Aaron GB, Wayne KR. Inner ear: tinnitus. Emed 2013;
- 3 Martines F, Bentivegna D, Martines E, Sciacca V, Martinciglio G. Assessing audiological, pathophysiological and psychological variables in tinnitus patients with or without hearing loss. Eur Arch Otorhinolaryngol 2010; 267 (11) 1685-1693
- 4 Frank M, Marie BT, Barry L , et al. Auditory hallucinations: An audiological perspective. Hearing J 2007; 60: 32-52
- 5 Santos RMR, Sanchez TG, Bento RF, Lucia MC. Auditory hallucinations in tinnitus patients: Emotional relationships and depression. Int Arch Otorhinolaryngol 2012; 16 (3) 322-327
- 6 Cima R, Joore M, Maes I , et al. Cost-effectiveness of multidisciplinary management of Tinnitus at a specialized Tinnitus centre. BMC Health Serv Res 2009; 9: 29
- 7 Ogunleye AO, Labaran AO. Presbycusis in Nigerians at the University College Hospital, Ibadan. Afr J Med Med Sci 2005; 34 (3) 293-296
- 8 Adobamen PO, Ogisi FO. Symptoms Associated With Hearing Loss As Seen In the University Of Benin Teaching Hospital, Benin City, Nigeria. Gomal J Med Sci 2011; 9: 159-162
- 9 Monzani D, Genovese E, Marrara A , et al. Validity of the Italian adaptation of the Tinnitus Handicap Inventory; focus on quality of life and psychological distress in tinnitus-sufferers. Acta Otorhinolaryngol Ital 2008; 28 (3) 126-134
- 10 Snow JB. Tinnitus: theory and management. Hamilton, London: BC Decker; 2004: 16-63
- 11 Schlee W, Kleinjung T, Hiller W, Goebel G, Kolassa IT, Langguth B. Does tinnitus distress depend on age of onset?. PLoS ONE 2011; 6 (11) e27379
- 12 Bauer CA. Mechanisms of tinnitus generation. Curr Opin Otolaryngol Head Neck Surg 2004; 12 (5) 413-417
- 13 World Health Organization. Prevention of Blindness and deafness: Grades of HearingImpairment. http://www.who.int/pbd/deafness/hearing_impairment_grades/en/index.html 2002 (accessed 17th April 2012).
- 14 Park JP, Lim HW, Shim BS , et al. Interaural differences of distortion product otoacoustic emission amplitudes in patients with unilateral tinnitus. Otolaryngol Head Neck Surg 2013; 148 (3) 456-459
- 15 Gopinath B, McMahon CM, Rochtchina E, Karpa MJ, Mitchell P. Incidence, persistence, and progression of tinnitus symptoms in older adults: the Blue Mountains Hearing Study. Ear Hear 2010; 31 (3) 407-412
- 16 Shargorodsky J, Curhan GC, Farwell WR. Prevalence and characteristics of tinnitus among US adults. Am J Med 2010; 123 (8) 711-718
- 17 Martines F, Bentivegna D, Di Piazza F, Martines E, Sciacca V, Martinciglio G. Investigation of Tinnitus Patients in Italy: Clinical and Audiological Characteristics. Int J Otolaryngol 2010; 20 (10) 265861
- 18 Granjeiro RC, Kehrle HM, de Oliveira TS, Sampaio ALL, de Oliveira CA. Is the degree of discomfort caused by tinnitus in normal-hearing individuals correlated with psychiatric disorders?. Otolaryngol Head Neck Surg 2013; 148 (4) 658-663
- 19 Ami M, Abdullah A, Awang MA, Liyab B, Saim L. Relation of distortion product otoacoustic emission with tinnitus. Laryngoscope 2008; 118 (4) 712-717