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Assessment of tinnitus with tinnitus severity index, tinnitus handicap inventory and distortion product otoacoustic emissions in patients with normal hearing and hearing loss

Year 2014, Volume: 24 Issue: 1, 11 - 16, 15.02.2014

Abstract

Objectives: This study aims to assess ears with tinnitus and without distortion product otoacoustic emissions DPOAE in patients with and without hearing loss and to classify the tinnitus symptoms on the basis of tinnitus severity index TSI and tinnitus handicap inventory THI in both groups. Patients and Methods: A total of 102 patients with tinnitus symptoms were included in the study. Of these patients, 48 had 32 males, 16 females; mean age 45±8.9 years normal hearing and 54 patients 42 males, 12 females; mean age 52±12.1 years had hearing loss. Pure tone audiogram, high-frequency audiometer and DPOAE were applied to patients. Tinnitus symptoms of patients were assessed with TSI and THI. Results: Significantly higher tinnitus severity was monitored in group with hearing loss compared with group with normal hearing p=0.024 . There was a significant similarity in the frequencies affected from tinnitus between the groups p<0.001 . The TSI and THI showed significant similar results between two groups p<0.001 . A significant decrease was found in ears with tinnitus in frequencies of 1000 Hz, 2000 Hz, 3000 Hz, 4000 Hz and 6000 Hz with DPOAE compared to the ears without tinnitus in group with normal hearing p<0.05 . Conclusion: Our study results show that patients with TSI and THI are affected by tinnitus at the same rate in daily life whether they have hearing loss or not, but those with hearing loss have a higher tinnitus severity. Decreased DPOAE responses can be found in patients with normal hearing, which can be more profound in low-frequency tinnitus, particularly.

References

  • Davis A, El-Refaie EA. Epidemiolgy of tinnitus. In: Tyler RS, editor. Tinnitus Handbook. San Diego: Singular; 2000. p. 1-23.
  • Jastreboff PJ, Gray WC, Mattox DE. Tinnitus and hyperacusis. In: Cummings CW, editor. Otolaryngology Head and Neck Surgery. 3rd ed. St. Louis: Mosby-Year Book; 1998. p. 3198-222.
  • Nelson JJ, Chen K. The relationship of tinnitus, hyperacusis, and hearing loss. Ear Nose Throat J 2004;83:472-6.
  • Andersson G. Psychological aspects of tinnitus and the application of cognitive-behavioral therapy. Clin Psychol Rev 2002;22:977-90.
  • Bucking ED, Vrabec J, Quinn J. Tinnitus. Resident Physician 1999;20:134-26.
  • Noel CA, Meyer WL. Tinnitus: Diagnosis and treatment of this Elusive Symptom. Geriatrics 2003;58:28-32.
  • Jastreboff PJ, Hazell JW. A neurophysiological approach to tinnitus: clinical implications. Br J Audiol 1993;27:7-17.
  • Briner W, House J, O’Leary M. Synthetic prostaglandin E1 misoprostol as a treatment for tinnitus. Arch Otolaryngol Head Neck Surg 1993;119:652-4.
  • Tyler SR. The Psychoacoustical measurement of tinnitus. In: Tyler R, editor. Tinnitus Handbook. San Diego: Singular Pub; 2000. p. 149-72.
  • Tyler RS, Coelho C, Noble W. Tinnitus: standard of care, personality differences, genetic factors. ORL J Otorhinolaryngol Relat Spec 2006;68:14-19.
  • Yilmaz I, Akkuzu B, Cakmak O, Ozlüoglu LN. Misoprostol in the treatment of tinnitus: a double-blind study. Otolaryngol Head Neck Surg 2004;130:604-10.
  • Axelsson A, Ringdahl A. Tinnitus--a study of its prevalence and characteristics. Br J Audiol 1989;23:53-62.
  • Dauman R, Cazals Y. Auditory frequency selectivity and tinnitus. Arch Otorhinolaryngol 1989;246:252-5.
  • Spoendlin H. Inner ear pathology and tinnitus. In: Feldmann H, editor. Proceedings of the Third International Tinnitus Seminar. Karlsruhe: Harsch Verlag Karlsrehe; 1987. p. 42-51.
  • Stouffer JL, Tyler RS, Kileny PR, Dalzell LE. Tinnitus as a function of duration and etiology: counselling implications. Am J Otol 1991;12:188-94.
  • Kannan PM, Lipscomb DM. Letter: Bilateral hearing asymmetry in a large population. J Acoust Soc Am 1974;55:1092-4.
  • Nageris BI, Raveh E, Zilberberg M, Attias J. Asymmetry in noise-induced hearing loss: relevance of acoustic reflex and left or right handedness. Otol Neurotol 2007;28:434-7.
  • Schmidt CM, Knief A, Lagosch AK, Deuster D, am Zehnhoff-Dinnesen A. Left-right asymmetry in hearing loss following cisplatin therapy in children- -the left ear is slightly but significantly more affected. Ear Hear 2008;29:830-7.
  • Shulman A. Epidemiolgy of tinnitus. In: Vernon JA, Moller AR, editors. Tinnitus Diagnosis and Treatment. Philadelphia: Lea and Febiger Pres; 1991. p. 237-45.
  • Buckingham ED, Vrabec J. Tinnitus. In: Quinn F, editor. Dr. Quinn's Online Textbook of Otolaryngology: Grand Rounds Archive. Texas: The University of Texas Medical Branch at Galveston; 1999. p. 1-11.
  • Shulman A. Introduction, definition and classification of tinnitus. In: Kithara M, editor. Tinnitus Pathophysiology and Management. Tokyo: Igaku- Shoin Ltd; 1988. p. 1-6.
  • Heller AJ. Classification and epidemiology of tinnitus. Otolaryngol Clin North Am 2003;36:239-48.
  • Folmer RL. Long-term reductions in tinnitus severity. BMC Ear Nose Throat Disord 2002;2:3.
  • Moller AR. Pathophysiology of tinnitus. In: Vernon JA, Moller AR, editors. Mechanisms of Tinnitus. Boston: Allyn and Bacon; 1995. p. 207-17.
  • Sztuka A, Pospiech L, Gawron W, Dudek K. DPOAE in estimation of the function of the cochlea in tinnitus patients with normal hearing. Auris Nasus Larynx 2010;37:55-60.
  • Mauermann M, Uppenkamp S, van Hengel PW, Kollmeier B. Evidence for the distortion product frequency place as a source of distortion product otoacoustic emission (DPOAE) fine structure in humans. II. Fine structure for different shapes of cochlear hearing loss. J Acoust Soc Am 1999;106:3484-91.
  • Linke R, Mazurek B, Matschke RG. Distortion products of otoacoustic emissions (DPOAE) in acute tinnitus aurium. Laryngorhinootologie 2000;79:517-22. [Abstract]

İşitmesi normal olan ve işitme kaybı olan hastalarda tinnitus şiddet indeksi, tinnitus handicap envanteri ve distorsiyon ürünü otoakustik emisyonları ile tinnitus değerlendirmesi

Year 2014, Volume: 24 Issue: 1, 11 - 16, 15.02.2014

Abstract

Amaç: Bu çalışmada işitmesi normal olan ve işitme kaybı olan hastalarda tinnitus olan ve distorsiyon ürünü otoakustik emisyon DPOAE olmayan kulaklar değerlendirildi ve tinnitus semptomları tinnitus şiddet indeksi TSI ve tinnitus handikap envanterine THI göre her iki grupta da sınıflandırıldı.Hastalar ve Yöntemler: Çalışmaya tinnitus semptomu olan toplam 102 hasta dahil edildi. Bu hastaların 48’inin 32 erkek, 16 kadın; ort. yaş 45±8.9 yıl işitmesi normal olup, 54’ünde 42 erkek, 12 kadın; ort. yaş 52±12.1 yıl işitme kaybı vardı. Hastalara pür ton odyogram, yüksek frekanslı odyometre ve DPOAE uygulandı. Hastaların tinnitus semptomları TSI ve THI ile değerlendirildi.Bulgular: İşitmesi normal olan gruba kıyasla, işitme kaybı olan grupta anlamlı düzeyde daha yüksek tinnitus şiddeti gözlendi p=0.024 . Gruplar arasında tinnitustan etkilenen frekans açısından anlamlı bir benzerlik vardı p

References

  • Davis A, El-Refaie EA. Epidemiolgy of tinnitus. In: Tyler RS, editor. Tinnitus Handbook. San Diego: Singular; 2000. p. 1-23.
  • Jastreboff PJ, Gray WC, Mattox DE. Tinnitus and hyperacusis. In: Cummings CW, editor. Otolaryngology Head and Neck Surgery. 3rd ed. St. Louis: Mosby-Year Book; 1998. p. 3198-222.
  • Nelson JJ, Chen K. The relationship of tinnitus, hyperacusis, and hearing loss. Ear Nose Throat J 2004;83:472-6.
  • Andersson G. Psychological aspects of tinnitus and the application of cognitive-behavioral therapy. Clin Psychol Rev 2002;22:977-90.
  • Bucking ED, Vrabec J, Quinn J. Tinnitus. Resident Physician 1999;20:134-26.
  • Noel CA, Meyer WL. Tinnitus: Diagnosis and treatment of this Elusive Symptom. Geriatrics 2003;58:28-32.
  • Jastreboff PJ, Hazell JW. A neurophysiological approach to tinnitus: clinical implications. Br J Audiol 1993;27:7-17.
  • Briner W, House J, O’Leary M. Synthetic prostaglandin E1 misoprostol as a treatment for tinnitus. Arch Otolaryngol Head Neck Surg 1993;119:652-4.
  • Tyler SR. The Psychoacoustical measurement of tinnitus. In: Tyler R, editor. Tinnitus Handbook. San Diego: Singular Pub; 2000. p. 149-72.
  • Tyler RS, Coelho C, Noble W. Tinnitus: standard of care, personality differences, genetic factors. ORL J Otorhinolaryngol Relat Spec 2006;68:14-19.
  • Yilmaz I, Akkuzu B, Cakmak O, Ozlüoglu LN. Misoprostol in the treatment of tinnitus: a double-blind study. Otolaryngol Head Neck Surg 2004;130:604-10.
  • Axelsson A, Ringdahl A. Tinnitus--a study of its prevalence and characteristics. Br J Audiol 1989;23:53-62.
  • Dauman R, Cazals Y. Auditory frequency selectivity and tinnitus. Arch Otorhinolaryngol 1989;246:252-5.
  • Spoendlin H. Inner ear pathology and tinnitus. In: Feldmann H, editor. Proceedings of the Third International Tinnitus Seminar. Karlsruhe: Harsch Verlag Karlsrehe; 1987. p. 42-51.
  • Stouffer JL, Tyler RS, Kileny PR, Dalzell LE. Tinnitus as a function of duration and etiology: counselling implications. Am J Otol 1991;12:188-94.
  • Kannan PM, Lipscomb DM. Letter: Bilateral hearing asymmetry in a large population. J Acoust Soc Am 1974;55:1092-4.
  • Nageris BI, Raveh E, Zilberberg M, Attias J. Asymmetry in noise-induced hearing loss: relevance of acoustic reflex and left or right handedness. Otol Neurotol 2007;28:434-7.
  • Schmidt CM, Knief A, Lagosch AK, Deuster D, am Zehnhoff-Dinnesen A. Left-right asymmetry in hearing loss following cisplatin therapy in children- -the left ear is slightly but significantly more affected. Ear Hear 2008;29:830-7.
  • Shulman A. Epidemiolgy of tinnitus. In: Vernon JA, Moller AR, editors. Tinnitus Diagnosis and Treatment. Philadelphia: Lea and Febiger Pres; 1991. p. 237-45.
  • Buckingham ED, Vrabec J. Tinnitus. In: Quinn F, editor. Dr. Quinn's Online Textbook of Otolaryngology: Grand Rounds Archive. Texas: The University of Texas Medical Branch at Galveston; 1999. p. 1-11.
  • Shulman A. Introduction, definition and classification of tinnitus. In: Kithara M, editor. Tinnitus Pathophysiology and Management. Tokyo: Igaku- Shoin Ltd; 1988. p. 1-6.
  • Heller AJ. Classification and epidemiology of tinnitus. Otolaryngol Clin North Am 2003;36:239-48.
  • Folmer RL. Long-term reductions in tinnitus severity. BMC Ear Nose Throat Disord 2002;2:3.
  • Moller AR. Pathophysiology of tinnitus. In: Vernon JA, Moller AR, editors. Mechanisms of Tinnitus. Boston: Allyn and Bacon; 1995. p. 207-17.
  • Sztuka A, Pospiech L, Gawron W, Dudek K. DPOAE in estimation of the function of the cochlea in tinnitus patients with normal hearing. Auris Nasus Larynx 2010;37:55-60.
  • Mauermann M, Uppenkamp S, van Hengel PW, Kollmeier B. Evidence for the distortion product frequency place as a source of distortion product otoacoustic emission (DPOAE) fine structure in humans. II. Fine structure for different shapes of cochlear hearing loss. J Acoust Soc Am 1999;106:3484-91.
  • Linke R, Mazurek B, Matschke RG. Distortion products of otoacoustic emissions (DPOAE) in acute tinnitus aurium. Laryngorhinootologie 2000;79:517-22. [Abstract]
There are 27 citations in total.

Details

Primary Language English
Journal Section Research Article
Authors

Alper Yenigün This is me

Remzi Doğan This is me

Fadlullah Aksoy This is me

Servet Akyüz This is me

Hakan Dabak This is me

Publication Date February 15, 2014
Published in Issue Year 2014 Volume: 24 Issue: 1

Cite

APA Yenigün, A., Doğan, R., Aksoy, F., Akyüz, S., et al. (2014). Assessment of tinnitus with tinnitus severity index, tinnitus handicap inventory and distortion product otoacoustic emissions in patients with normal hearing and hearing loss. The Turkish Journal of Ear Nose and Throat, 24(1), 11-16.
AMA Yenigün A, Doğan R, Aksoy F, Akyüz S, Dabak H. Assessment of tinnitus with tinnitus severity index, tinnitus handicap inventory and distortion product otoacoustic emissions in patients with normal hearing and hearing loss. Tr-ENT. February 2014;24(1):11-16.
Chicago Yenigün, Alper, Remzi Doğan, Fadlullah Aksoy, Servet Akyüz, and Hakan Dabak. “Assessment of Tinnitus With Tinnitus Severity Index, Tinnitus Handicap Inventory and Distortion Product Otoacoustic Emissions in Patients With Normal Hearing and Hearing Loss”. The Turkish Journal of Ear Nose and Throat 24, no. 1 (February 2014): 11-16.
EndNote Yenigün A, Doğan R, Aksoy F, Akyüz S, Dabak H (February 1, 2014) Assessment of tinnitus with tinnitus severity index, tinnitus handicap inventory and distortion product otoacoustic emissions in patients with normal hearing and hearing loss. The Turkish Journal of Ear Nose and Throat 24 1 11–16.
IEEE A. Yenigün, R. Doğan, F. Aksoy, S. Akyüz, and H. Dabak, “Assessment of tinnitus with tinnitus severity index, tinnitus handicap inventory and distortion product otoacoustic emissions in patients with normal hearing and hearing loss”, Tr-ENT, vol. 24, no. 1, pp. 11–16, 2014.
ISNAD Yenigün, Alper et al. “Assessment of Tinnitus With Tinnitus Severity Index, Tinnitus Handicap Inventory and Distortion Product Otoacoustic Emissions in Patients With Normal Hearing and Hearing Loss”. The Turkish Journal of Ear Nose and Throat 24/1 (February 2014), 11-16.
JAMA Yenigün A, Doğan R, Aksoy F, Akyüz S, Dabak H. Assessment of tinnitus with tinnitus severity index, tinnitus handicap inventory and distortion product otoacoustic emissions in patients with normal hearing and hearing loss. Tr-ENT. 2014;24:11–16.
MLA Yenigün, Alper et al. “Assessment of Tinnitus With Tinnitus Severity Index, Tinnitus Handicap Inventory and Distortion Product Otoacoustic Emissions in Patients With Normal Hearing and Hearing Loss”. The Turkish Journal of Ear Nose and Throat, vol. 24, no. 1, 2014, pp. 11-16.
Vancouver Yenigün A, Doğan R, Aksoy F, Akyüz S, Dabak H. Assessment of tinnitus with tinnitus severity index, tinnitus handicap inventory and distortion product otoacoustic emissions in patients with normal hearing and hearing loss. Tr-ENT. 2014;24(1):11-6.