scholarly journals Decreased Sound Tolerance in Tinnitus Patients

Life ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. 87
Author(s):  
Danuta Raj-Koziak ◽  
Elżbieta Gos ◽  
Justyna Kutyba ◽  
Henryk Skarzynski ◽  
Piotr H. Skarzynski
Keyword(s):  
Pure Tone ◽  
Pure Tone Audiometry ◽  
Significant Problem ◽  
Tinnitus Handicap Inventory ◽  
Impedance Audiometry ◽  
Tinnitus Severity ◽  
Visual Analogue Scales ◽  
Patient Interviews ◽  
The Relationship ◽  
Analogue Scales

(1) Background: Decreased sound tolerance is a significant problem in tinnitus sufferers. The aim of the study was to evaluate the relationship between tinnitus and decreased sound tolerance (hyperacusis and misophonia). (2) Methods: The study sample consisted of 74 patients with tinnitus and decreased sound tolerance. The procedure comprised patient interviews, pure tone audiometry, impedance audiometry, measurement of uncomfortable loudness levels, and administration of the Hyperacusis Questionnaire, Tinnitus Handicap Inventory, and Visual Analogue Scales. (3) Results: The majority (69%) of the patients reported that noise aggravated their tinnitus. The correlation between tinnitus and hyperacusis was found to be statistically significant and positive: r = 0.44; p < 0.01. The higher the tinnitus severity, the greater the hyperacusis. There was no correlation between misophonia and hyperacusis (r = 0.18; p > 0.05), or between misophonia and tinnitus (r = 0.06; p > 0.05). (4) Conclusions: For tinnitus patients the more significant problem was hyperacusis rather than misophonia. The diagnosis and treatment of decreased sound tolerance should take into account not only audiological, but also psychological problems of the patients.

A controlled trial of acupuncture in tinnitus

1984 ◽  
Vol 98 (11) ◽  
pp. 1103-1109 ◽  
Author(s):  
N. J. Marks ◽  
P. Emery ◽  
C. Onisiphorou
Keyword(s):  
Statistical Analysis ◽  
Active Treatment ◽  
Acupuncture Treatment ◽  
Controlled Trial ◽  
Double Blind ◽  
Visual Analogue Scales ◽  
Relationship Of ◽  
The Relationship ◽  
Analogue Scales

AbstractThe relationship of tinnitus to pain is examined and a theoretical case made out for the possible use of acupuncture in the treatment of tinnitus. A double-blind cross-over controlled trial is described. The use of Visual Analogue Scales (V.A.S.) is discussed in this context. 35 per cent of patients described some benefit from the active treatment only, although we were unable to demonstrate this objectively. Statistical analysis of the group as a whole revealed no significant differences between placebo and active acupuncture treatment.

scholarly journals The Relevance of the High Frequency Audiometry in Tinnitus Patients with Normal Hearing in Conventional Pure-Tone Audiometry

2015 ◽  
Vol 2015 ◽  
pp. 1-5 ◽  
Author(s):  
Veronika Vielsmeier ◽  
Astrid Lehner ◽  
Jürgen Strutz ◽  
Thomas Steffens ◽  
Peter M. Kreuzer ◽  
...  
Keyword(s):  
Hearing Loss ◽  
High Frequency ◽  
Pure Tone ◽  
Pure Tone Audiometry ◽  
Normal Hearing ◽  
High Frequency Hearing Loss ◽  
Additional Information ◽  
Tinnitus Severity ◽  
Hearing Thresholds ◽  
High Frequency Audiometry

Objective. The majority of tinnitus patients suffer from hearing loss. But a subgroup of tinnitus patients show normal hearing thresholds in the conventional pure-tone audiometry (125 Hz–8 kHz). Here we explored whether the results of the high frequency audiometry (>8 kHz) provide relevant additional information in tinnitus patients with normal conventional audiometry by comparing those with normal and pathological high frequency audiometry with respect to their demographic and clinical characteristics.Subjects and Methods. From the database of the Tinnitus Clinic at Regensburg we identified 75 patients with normal hearing thresholds in the conventional pure-tone audiometry. We contrasted these patients with normal and pathological high-frequency audiogram and compared them with respect to gender, age, tinnitus severity, pitch, laterality and duration, comorbid symptoms and triggers for tinnitus onset.Results. Patients with pathological high frequency audiometry were significantly older and had higher scores on the tinnitus questionnaires in comparison to patients with normal high frequency audiometry. Furthermore, there was an association of high frequency audiometry with the laterality of tinnitus.Conclusion. In tinnitus patients with normal pure-tone audiometry the high frequency audiometry provides useful additional information. The association between tinnitus laterality and asymmetry of the high frequency audiometry suggests a potential causal role for the high frequency hearing loss in tinnitus etiopathogenesis.

Audiological characteristics in patients with varying severity of tinnitus

2021 ◽  
Vol 20 (4) ◽  
pp. 15-20
Author(s):  
A. R. Gilaeva ◽  
◽  
S. B. Mosikhin ◽  
G. I. Safiullina ◽  
◽  
...  
Keyword(s):  
Negative Pressure ◽  
Measurement Data ◽  
Noise Measurement ◽  
Trigeminal System ◽  
Tinnitus Handicap Inventory ◽  
Auditory Tube ◽  
Tinnitus Severity ◽  
Large Pressure ◽  
Neurophysiological Studies ◽  
The Relationship

The purpose of the work is to identify the existence of a relationship between the severity of ear noise according to THI (Tinnitus Handicap Inventory) and the results of audiological and neurophysiological studies. Materials and methods: As participants in the study, 100 patients from the main group with complaints of tinnitus were selected: 69 women and 31 men; the average age was 48.1 ± 9.3 years. Otolaryngological examination, audiological and neurophysiological (registration of trigeminal induced potentials) examination of 100 patients with complaints of tinnitus or in the head was carried out. Results: The correlation between THI and noise measurement data is undefined. The relationship between the degree of aggravation of ear noise and impedancebarometry data in the Toynbee and Valsalva maneuvers was revealed. Patients with medium tinnitus severity show a greater shift towards negative pressure compared to moderate patients. Conclusions: The degree of aggravation of tinnitus does not affect the indicators of noise measurement. Large pressure shifts during the Toynbee test in some patients are likely due to the effect on the function of the auditory tube muscles of certain forms of rhinitis. Secondary tension of the muscles of the auditory tube against the background of increased excitability of the trigeminal system in patients with more pronounced tinnitus is not excluded.

scholarly journals A clinical study to determine the effects of adenoidectomy in cases of secretory otitis media in school going children

2020 ◽  
Vol 5 (8) ◽  
pp. 200-206
Author(s):  
Dr. B Krishna Santosh ◽  
◽  
Dr. K Krishna Sumanth ◽  
Dr. Panda Veeranjaneyulu ◽  
Dr. B Deepthi ◽  
...  
Keyword(s):  
Otitis Media ◽  
Pure Tone ◽  
Pure Tone Audiometry ◽  
Secretory Otitis Media ◽  
Female Ratio ◽  
Impedance Audiometry ◽  
Tube Obstruction ◽  
The Past ◽  
Male Female Ratio ◽  
Ear Effusion

Introduction: Secretory Otitis media (SOM) is the leading cause of hearing loss in children. Despitenumerous studies on the prevention and treatment of SOM during the past decades, itsmanagement remains challenging and controversial. A study was conducted to find the effect ofadenoidectomy in cases of SOM with hypertrophied adenoids and to determine the effect ofadenoidectomy on hearing as assessed by the pure tone and impedance audiometry. Material andMethods: Children aged 5 – 12 years, diagnosed as SOM with adenoid hypertrophy were included.The study was conducted from April 2019 to May 2020, in the department of ENT, GSL MedicalCollege. A detailed history and clinical examination were done. Investigations such as pure toneaudiogram, impedance audiometry, X-ray nasopharynx, and diagnostic nasal endoscopy were carriedout to confirm the diagnosis. Results: Out of the 50 participants, a maximum (60%) belonged tothe 5 – 7 years age group, the male-female ratio was 1.2. Hard of hearing was a common symptomin 66%, tonsillitis, and sinusitis in 36% and 18% respectively. On pure tone audiometry, the averagehearing loss was 24.95dB. Conclusion: Adenoidectomy in children having hypertrophied adenoidswith SOM, not only relieves Eustachian tube obstruction but also removes the source of infection.This leads to clearance of middle ear effusion and improvement in hearing postoperatively.

scholarly journals A clinical study to determine the effects of adenoidectomy in cases of secretory otitis media in school going children

2018 ◽  
Vol 4 (6) ◽  
pp. 1427
Author(s):  
M. Rama Sridhar
Keyword(s):  
Otitis Media ◽  
Pure Tone ◽  
Pure Tone Audiometry ◽  
P Value ◽  
Speech Impairment ◽  
Secretory Otitis Media ◽  
Impedance Audiometry ◽  
Medical College ◽  
Middle Ear Infection ◽  
Male Preponderance

<p><strong>Background: </strong>Secretory otitis media (SOM) is common otological symptom in children. If left untreated it leads to hearing and speech impairment. Surgical management is effective in serious cases. The present study was done with the objective<strong> </strong>to assess the effect of adenoidectomy by pure tone and impedance audiometry in cases of SOM with hypertrophied adenoids.</p><p><strong>Methods: </strong>This study comprised 50 cases, who were aged 5-12 years and diagnosed as SOM with adenoid hypertrophy. It was carried out for a period one and half years from December 2015 to July 2017 at Mamata Medical College and Research Hospital, Khammam, Telangana. After detailed history and clinical examination, investigations such as pure tone audiogram, impedance audiometry, X-ray nasopharynx and diagnostic nasal endoscopy were carried out to confirm the diagnosis. All patients were posted for adenoidectomy and when indication was present tonsillectomy was also done. They were followed up at 1st, 3rd and 6th month for pure tone audiometry and impedance was done at 6th month of surgery.</p><p><strong>Results: </strong>In this study, maximum number (60%) of cases belonged to 5-7 years age group, with slight male preponderance (56%). On pure tone audiometry 68% had 16-25 dB and 32% had 26-40 dB hearing loss and average being 24.95 dB. On impedance only 14% had peak preoperatively. Postoperatively, no peak/peak conversion was seen in 33% of cases and mean A-B gap improvement at 1st, 3rd and 6th month was 13 dB, 13.2 dB and 12.7 dB respectively (p value is 0.0001,&lt;5%) when compared to preoperative findings.</p><p><strong>Conclusion: </strong>Adenoidectomy is effective in the management of middle ear infection in children having hypertrophied adenoids.</p>

Audiological Evaluation of Patients With Somatosensory Tinnitus Attributed to Temporomandibular Disorders

2020 ◽  
Vol 29 (4) ◽  
pp. 930-934
Author(s):  
Priscila Brenner Hilgenberg-Sydney ◽  
Aline Dantas Diógenes Saldanha ◽  
Andréa Cintra Lopes ◽  
Paulo César Rodrigues Conti
Keyword(s):  
Quality Of Life ◽  
Temporomandibular Disorders ◽  
High Frequency ◽  
Pure Tone ◽  
Temporomandibular Disorder ◽  
Pure Tone Audiometry ◽  
Tinnitus Handicap Inventory ◽  
High Frequency Audiometry ◽  
The Impact

Purpose Tinnitus and temporomandibular disorders have already been associated in the literature, but despite many studies, it is still an intriguing discussion point. This study aimed to evaluate the prevalence of hearing loss among somatosensory tinnitus patients with temporomandibular disorders and to assess the influence of tinnitus on patients' quality of life. Method An otolaryngologist examined 585 patients in order to detect and evaluate the presence of tinnitus. Subjects were evaluated using the Portuguese version of the Research Diagnostic Criteria for Temporomandibular Disorders. An analysis of the somatic component of tinnitus was performed. Tinnitus was rated according to its onset (at least 6 months) and intensity with a visual analog scale. The sample was composed of 100 patients with somatosensory tinnitus divided into two groups: Group 1 (with temporomandibular disorder, n = 85) and Group 2 (without temporomandibular disorder, n = 15). The audiological evaluation was composed of pure-tone audiometry, high-frequency audiometry, tympanometry, and transient-evoked otoacoustic emissions. The impact of tinnitus on quality of life was assessed by the Tinnitus Handicap Inventory adapted and validated to Portuguese language. Results Pure-tone audiometry did not differ with statistical significance between groups ( p = .29), neither did the high-frequency audiometry results ( p = .74). Tinnitus Handicap Inventory scores also did not show any differences between Groups 1 and 2 ( p = .67). Conclusions Subjects with somatosensory tinnitus, who also have temporomandibular disorders, do not seem to have hearing impairment. Also, they do not have a higher quality of life handicap when compared to those without tinnitus and temporomandibular disorder.

scholarly journals A Prospective Study to Evaluate Effectiveness of a Tinnitus Relief Device in a Clinical Setup

2019 ◽  
Vol 02 (01) ◽  
pp. 27-32
Author(s):  
Nitin Aggarwal ◽  
Soniya Gupta ◽  
Prashant Goyal
Keyword(s):  
Quality Of Life ◽  
Hearing Loss ◽  
Prospective Study ◽  
Pure Tone ◽  
Pure Tone Audiometry ◽  
Medical Field ◽  
Tinnitus Handicap Inventory ◽  
Score Following ◽  
A Prospective Study

Abstract Introduction Tinnitus has been shown to decrease the quality of life of a person. Being a less understood domain of the medical field, there are no definitive established therapies that can be applied to all patients of tinnitus. The current study is an effort to evaluate the effectiveness of the Tinnitus Relief device in the patients of tinnitus. Aim To evaluate the effectiveness of Tinnitus Relief device TRx in treatment of tinnitus. Methods A prospective study involving 67 participants suffering from tinnitus was conducted in a clinical setup at Delhi, Chandigarh, and Mumbai. These participants were subjected to pure tone audiometry (PTA) and an interview using Tinnitus Handicap Inventory (THI) questionnaire. These participants were advised to use Tinnitus Relief device TR201, TR301, TR401 for more than 6 to 10 months. Improvement in tinnitus in terms of percentage, questions pertaining to THI, and overall improvement in life (subjective) were evaluated after discontinuation of the use of the device in each participant. Results It was found that there was significant improvement in mean THI score, following treatment with Tinnitus Relief TRx. This device was also able to completely alleviate 5 out of 12 associated complaints of tinnitus. No association could be found between the use of Tinnitus Relief therapy and hearing loss. Conclusion Tinnitus Relief TRx can emerge as an effective tool for treatment of the tinnitus and can improve the life of the sufferer.

scholarly journals HEARING IMPAIRMENT, COGNITIVE PERFORMANCE, AND BETA-AMYLOID DEPOSITION IN THE ARIC-PET AMYLOID IMAGING STUDY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S551-S551
Author(s):  
Jennifer A Deal ◽  
Andreea Rawlings ◽  
A Richey Sharrett ◽  
Nicholas Reed ◽  
Joshua Betz ◽  
...  
Keyword(s):  
Hearing Impairment ◽  
Cognitive Performance ◽  
Pure Tone ◽  
Hearing Threshold ◽  
Standardized Uptake Value ◽  
Pure Tone Audiometry ◽  
Amyloid Deposition ◽  
Hearing Level ◽  
Cognitive Score ◽  
The Relationship

Abstract Hearing impairment is a risk factor for dementia but the mechanism underlying this association is unknown. We investigated the relationship between hearing and cognitive performance and brain β-amyloid deposition in 252 adults aged 67-88 years (37% black race) without dementia from three U.S. communities. Global cortical standardized uptake value ratios (SUVRs) were calculated from florbetapir-positron emission tomography scans, with elevated SUVR defined as &gt;1.2 (the median value). Air conduction hearing threshold levels for the frequencies of 0.5, 1, 2 and 4 kHz were obtained by pure tone audiometry and averaged for the better-hearing ear to yield a pure tone average (PTA) in decibels hearing level (dB). A composite cognitive score was created from ten neuropsychological tests summarized using latent variable methods. Multivariable-adjusted linear and Poisson regression with robust standard errors were used to estimate the average difference in cognitive scores and prevalence of elevated SUVR, respectively, by hearing impairment status. In analyses adjusted for age, sex, education and APOE ε4 status, hearing was not associated with elevated SUVR [prevalence ratio per 10 db increase (worse hearing) = 0.94 (95% CI: 0.84, 1.04)]. Results did not differ by race. In contrast, each 10 db increase in hearing impairment was associated with 0.08 standard deviation (95% CI: 0.02, 0.15) lower cognitive score, after adjustment for demographic and cardiovascular factors. Poorer hearing is associated with poorer cognitive performance but not with amyloid deposition, suggesting that the mechanism underlying the relationship between hearing and cognition may be independent of Alzheimer’s-related pathologic brain changes.

scholarly journals Speech Perception Across The Lifespan by Means of Artificial Intelligence

2021 ◽  
Author(s):  
Ulrich Hoppe ◽  
Thomas Hocke ◽  
Heinrich Iro
Keyword(s):  
Hearing Loss ◽  
Speech Perception ◽  
Pure Tone ◽  
Age Groups ◽  
Pure Tone Audiometry ◽  
Data Set ◽  
Percentage Points ◽  
Age Related ◽  
The Relationship ◽  
Communicative Abilities

Abstract Hearing loss is one of the most common diseases worldwide. It affects communicative abilities in all age groups. However, it is well known that elderly people suffer more frequently from hearing loss. The aim of this study was to describe the relationship between hearing loss, age, and speech perception. The model that we employed used Random Forest Regression. It was applied to a large clinical data set of 19,801 ears, covering all degrees of hearing loss. It allows the estimation of age-related decline in speech perception in quiet, with the effect of pure-tone hearing loss completely separated. Our results show that speech scores depend on the specific type of hearing loss and age. We found age effects for all degrees of hearing loss. A deterioration in speech perception of up to 25 percentage points across the whole life span was observed. The largest decrease was 10 percentage points per life decade. The decline can be attributed to a distortion component of presbyacusis, which is not measured by pure-tone audiometry.

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