Patients with tinnitus and normal hearing showed similar characteristics when compared to those with hearing loss. However, the age of the patients and the interference over concentration and emotional status were significantly lower in this group.

Pat ients with tinnitus and normal hearing constitute an important group, given that findings do not suffer influence of the hearing loss. However, this group is rarely studied, so we do not know whether its clinical characteristics and interference in daily life are the same of those of the patients with tinnitus and hearing loss. Aim: To compare tinnitus characteristics and interference in daily life among patients with and without hearing loss. Study design: historic cohort. Material and Method: Among 744 tinnitus patients seen at a Tinnitus Clinic, 55 with normal audiometry were retrospectively evaluated. The control group consisted of 198 patients with tinnitus and hearing loss, following the same protocol. We analyzed the patients' data as well as the tinnitus characteristics and interference in daily life. Results: The mean age of the studied group (43.1 ± 13.4 years) was significantly lower than that of the control group (49.9 ± 14.5 years). In both groups, tinnitus was predominant in women, bilateral, single tone and constant, but there were no differences between both groups. The interference in concentration and emotional status (25.5% and 36.4%) was significantly lower in the studied group than that of the control group (46% and 61.6%), but it did not happen in regard to interference over sleep and social life. Conclusions: Patients with tinnitus and normal hearing showed similar characteristics when compared to those with hearing loss. However, the age of the patients and the interference over concentration and emotional status were significantly lower in this group.

Bilateral vestibular loss after caloric irrigation: clinical aplication of vestibular rehabilitation Resumo / SummaryA perda bilateral da função vestibular é rara em pacientes com vertigem e desequilíbrio, porém os sintomas muitas vezes são incapacitantes e seu tratamento é tema controverso na literatura. Objetivo: Nosso objetivo foi avaliar e descrever a resposta clínica de pacientes com distúrbio do equilíbrio corporal secundário à arreflexia vestibular pós-calórica bilateral, documentada pela eletronistagmografia, submetidos à Reabilitação Vestibular. Forma de estudo: Retrospectivo, inclui um desenho de descrição de casos. Método: Foram avaliadas as respostas de 8 pacientes portadores de arreflexia pós-calórica bilateral submetidos à Reabilitação Vestibular, observando-se a relação entre os resultados de exame e sintomas pré e pós-tratamento. A avaliação da resposta clínica foi feita por meio de escala analógico-visual. Resultados: Após a Reabilitação Vestibular, 7 (87,5%) dos 8 pacientes submetidos à terapia apresentaram melhora clínica. Conclusão: embora não seja esperada melhora completa do equilíbrio corporal, a Reabilitação Vestibular é uma terapia eficaz na recuperação desses pacientes.

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