Normal İşiten Tinnitus Hastalarında Yüksek Frekans Odyometrinin Rolü

Öz

Amaç Konvansiyonel odyometri testi normal olan tinnitus hastalarında yüksek frekans odyometri testinin önemini ve olası patolojilerin erken saptanmasındaki rolünü araştırmak. Gereç ve Yöntem Ocak 2018-Ocak 2021 tarihleri arasında İzmir Bakırçay Üniversitesi Çiğli Eğitim ve Araştırma Hastanesi KBB Kliniğine belirgin işitme kaybı olmaksızın uğultu ve çınlama şikayeti ile başvuran ve konvansiyonel odyometri sonuçları normal olan 18-45 yaş arası 60 hasta ile herhangi bir şikayeti olmayan konvansiyonel odyometri sonuçları normal olan 54 hasta çalışmaya dahil edildi. Çalışmaya dahil edilen tüm hastalara yüksek frekanslı odyometri de yapıldı. Bulgular Çalışmaya katılan tüm hastaların sağ ve sol kulakları için saf ses ve yüksek frekans ortalamaları karşılaştırıldığında, her iki kulakta saf ses ve yüksek frekans değerleri arasında istatistiksel olarak anlamlı fark bulundu. Tartışma Mevcut bulgular ışığında saf ses odyometrinin koklea ve işitmeyi tam olarak değerlendiremediği görülmektedir. Yüksek frekanslı odyometride tespit edilen bulguların tinnituslu hastaların tedavisine yönelik yapılacak araştırmalar için ufuk açıcı olduğuna ve yüksek frekans odyometrinin işitme kaybının erken teşhisi için değerli veriler sağladığına inanıyoruz. Sonuç Kurulacak yeni odyometri ünitelerinde ve mevcut altyapının modernizasyonunda mutlaka yüksek frekanslı odyometri cihazlarının ekipmanlara dahil edilmesi gerektiğini düşünüyoruz.

Anahtar Kelimeler

• Tinnitus
• Yüksek Frekans Odyometri
• Saf Ses Odyometri

The Role of the High Frequency Audiometry in Tinnitus Patients with Normal Hearing

Öz

Aim To investigate the importance of high frequency audiometry test and its role in early detection of possible pathologies in tinnitus patients with normal conventional audiometry test. Material Methods 60 patients, aged between 18-45 years, who applied to İzmir Bakırçay University Çiğli Training and Research Hospital ENT Clinic between January 2018 and January 2021 with the complaint of buzzing and ringing in the ear without significant hearing loss and had normal conventional audiometry results, also 54 patients who had normal conventional audiometry results without any complaints were included in the study. High frequency audiometry was also performed on all patients included in the study. Results When pure tone and high frequency averages for the right and left ears of all patients participating in the study were compared, a statistically significant difference was found between pure tone and high frequency values in both ears. Discussion In the light of current findings, it can be seen that pure tone audiometry cannot fully evaluate the cochlea and hearing. We believe that the findings detected in high frequency audiometry are stimulating for research to be conducted on the treatment of patients with tinnitus and that high frequency audiometry provides valuable data for the early diagnosis of hearing loss. Conclusion We think that high frequency audiometry devices should definitely be included in the equipment in the new audiometry units to be established and the modernization of the existing infrastructure.

Anahtar Kelimeler

• Tinnitus
• High Frequency Audiometry
• Pure Tone Audiometry

Kaynakça

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