Polysomnography Applied to Patients with Tinnitus: A Review
09 November 2016
01 April 2017
16 June 2017 (eFirst)
Introduction Tinnitus has been defined as an “auditory phantom perception,” meaning that tinnitus results from an abnormal activity within the nervous system, in the absence of any internal or external acoustic stimulation. About 10 to 15% of the adult population is affected by tinnitus, and a relevant percentage of tinnitus sufferers experience symptoms severe enough to significantly affect quality of life, including sleep disturbances, work impairment, and, in some cases, psychiatric distress. The self-rated complaints about tinnitus focus on emotional distress, auditory perceptual difficulties, and sleep disturbances.
Objectives To evaluate the works that show sleep disorders in patients with tinnitus, and sleep disorders assessed by polysomnography.
Data Synthesis We found four studies with polysomnography to assess sleep disorders in patients with tinnitus. The first study evaluated 80 patients who were military personnel without major psychiatric disturbances, and their tinnitus was associated with noise-induced permanent hearing. The second study was a prospective, case-control, nonrandomized study of 18 patients affected by chronic tinnitus who were compared with a homogeneous control group consisting of 15 healthy subjects. The last work evaluated questionnaires mailed to patients before their initial appointment at the Oregon Health Sciences University Tinnitus Clinic between 1994 and 1997. These questionnaires requested information pertaining to insomnia, tinnitus severity, and loudness. Follow-up questionnaires were mailed to 350 patients 1 to 4 years (mean 5 ± 2.3 years) after their initial appointment at the clinic.
Conclusion There are few studies with polysomnography for the evaluation of patients with sleep disorders caused by tinnitus. This shows the need for more studies on this subject.
- 1 Henry JA, Dennis KC, Schechter MA. General review of tinnitus: prevalence, mechanisms, effects, and management. J Speech Lang Hear Res 2005; 48 (05) 1204-1235
- 2 Gurr P, Owen G, Reid A, Canter R. Tinnitus in pregnancy. Clin Otolaryngol Allied Sci 1993; 18 (04) 294-297
- 3 Meyerhoff WL, Cooper JC. Tinnitus. In: Paparella MM. , ed. Otolaryngology. 3d ed. Philadelphia: Saunders; 1991: 1169-75 . 2
- 4 Schleuning II AJ. Management of the patient with tinnitus. Med Clin North Am 1991; 75 (06) 1225-1237
- 5 Blakley BW. Tinnitus Treatment Trends. Otol Neurotol 2016; 37 (07) 991-995
- 6 Jastreboff PJ. Phantom auditory perception (tinnitus): mechanisms of generation and perception. Neurosci Res 1990; 8 (04) 221-254
- 7 Noreña AJ, Eggermont JJ. Changes in spontaneous neural activity immediately after an acoustic trauma: implications for neural correlates of tinnitus. Hear Res 2003; 183 (1-2): 137-153
- 8 Gilles A, Goelen S, Van de Heyning P. Tinnitus: a cross-sectional study on the audiologic characteristics. Otol Neurotol 2014; 35 (03) 401-406
- 9 Riga M, Papadas T, Werner JA, Dalchow CV. A clinical study of the efferent auditory system in patients with normal hearing who have acute tinnitus. Otol Neurotol 2007; 28 (02) 185-190
- 10 Folmer RL, Griest SE. Tinnitus and insomnia. Am J Otolaryngol 2000; 21 (05) 287-293
- 11 Fioretti AB, Fusetti M, Eibenstein A. Association between sleep disorders, hyperacusis and tinnitus: evaluation with tinnitus questionnaires. Noise Health 2013; 15 (63) 91-95
- 12 Somers VK, White DP, Amin R. , et al. Sleep apnea and cardiovascular disease: an American Heart Association/American College of Cardiology Foundation Scientific Statement from the American Heart Association Council for High Blood Pressure Research Professional Education Committee, Council on Clinical Cardiology, Stroke Council, and Council on Cardiovascular Nursing. J Am Coll Cardiol 2008; 52 (08) 686-717
- 13 Hébert S, Fullum S, Carrier J. Polysomnographic and quantitative electroencephalographic correlates of subjective sleep complaints in chronic tinnitus. J Sleep Res 2011; 20 (1 Pt 1): 38-44
- 14 Attanasio G, Russo FY, Roukos R, Covelli E, Cartocci G, Saponara M. Sleep architecture variation in chronic tinnitus patients. Ear Hear 2013; 34 (04) 503-507
- 15 Burgos I, Feige B, Hornyak M. , et al. Chronic tinnitus and associated sleep disturbances. Somnologie (Berl) 2005; 9 (03) 133-138