Characteristics of Tinnitus Induced by Acute Acoustic Trauma: A Long-Term Follow-Up

Mrena, Roderik; Savolainen, Seppo; Kuokkanen, J; Ylikoski, Jukka

doi:10.1159/000057660

Cited by 74 publications

(41 citation statements)

References 21 publications

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“…Os acúfenos são os sintomas mais encontrados em vários outros estudos, sendo que no presente estudo foi relatado em apenas 16,49% dos sujeitos. Segundo Mrena et al 17 , os acúfenos e perdas auditivas são os sintomas mais comuns de serem relatados após ruído intenso causador do trauma acústico. Os acúfenos podem desaparecer após algum tempo ou persistirem por um longo período, afetando a qualidade de vida da pessoa 17 .…”

Section: Discussionunclassified

Avaliação do perfil auditivo de militares de um quartel do Exército Brasileiro

Silva¹,

Costa

Rodrigues

et al. 2004

Rev. Bras. Otorrinolaringol.

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No serviço militar, os sujeitos estão expostos a ruídos contínuos em oficinas e a ruídos de impacto provenientes de armas de fogo e detonações. Estes ruídos indesejáveis são capazes de causar lesão ao sistema auditivo, muitas vezes irreversível, além de outros efeitos em todo o organismo. Objetivo: Avaliar os perfis auditivos de um grupo de militares e, em face dos resultados, incentivar a implementação de medidas preventivas para perdas auditivas, como programa de conservação auditiva. Forma de estudo: Coorte transversal. Material e Método: Avaliação auditiva de 97 sujeitos que trabalham em uma organização militar do Exército, por meio de entrevista, otoscopia e exames audiométricos. Resultados: 38,1% dos militares examinados apresentaram alterações audiométricas supostamente induzidas por ruído, predominantemente nos artilheiros, com predomínio da perda auditiva unilateral. 64,5% dos militares examinados não utilizava proteção adequada. Conclusão: A grande ocorrência da perda auditiva entre os militares e a falta de proteção adequada à exposição ao ruído indica a necessidade de se implantarem, nesta categoria, medidas de prevenção de perda auditiva.

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Section: Discussionunclassified

Avaliação do perfil auditivo de militares de um quartel do Exército Brasileiro

Silva¹,

Costa

Rodrigues

et al. 2004

Rev. Bras. Otorrinolaringol.

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“…Noiseinduced tinnitus is most commonly characterized as a high-pitched tonal or hissing sound [36]. Although tinnitus symptoms resulting from blast and/or impulse noise exposure may resolve, persistent symptoms occur in some patients, with many of these patients reporting greater disability from the tinnitus than from the associated hearing loss [40]. Cave et al stated, "Tinnitus can be particularly prevalent for patients who suffer from it secondary to blast injury to their ears, because of the sudden onset of tinnitus in the case of blast injury, instead of the gradual onset of tinnitus developing slowly with progressive hearing loss" [41].…”

Section: Tinnitusmentioning

confidence: 99%

Auditory and vestibular dysfunction associated with blast-related traumatic brain injury

Fausti¹,

Wilmington²,

Gallun³

et al. 2009

JRRD

187

117

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Abstract-The dramatic escalation of blast exposure in military deployments has created an unprecedented amount of traumatic brain injury (TBI) and associated auditory impairment. Auditory dysfunction has become the most prevalent individual service-connected disability, with compensation totaling more than 1 billion dollars annually. Impairment due to blast can include peripheral hearing loss, central auditory processing deficits, vestibular impairment, and tinnitus. These deficits are particularly challenging in the TBI population, as symptoms can be mistaken for posttraumatic stress disorder, mentalhealth issues, and cognitive deficits. In addition, comorbid factors such as attention, cognition, neuronal loss, noise toxicity, etc., can confound assessment, causing misdiagnosis. Furthermore, some auditory impairments, such as sensorineural hearing loss, will continue to progress with age, unlike many other injuries. In the TBI population, significant clinical challenges are the accurate differentiation of auditory and vestibular impairments from multiple, many times overlapping, symptoms and the development of multidisciplinary rehabilitation strategies to improve treatment outcomes and quality of life for these patients.

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“…The correlation reported between the severity of tinnitus and degree of accompanying hearing loss depends on the investigator [3,13] . In many cases, patients consider tinnitus to be even more disabling than hearing impairment, or they suffer from tinnitus without any discomfort or sense of hearing disturbance [14] . However, the impact of tinnitus induced by acoustic trauma is underestimated unless it is accompanied with hearing impairment.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Long-Term Outcome of Intratympanic Dexamethasone Therapy between Acute Noise-Induced Tinnitus and Acute Idiopathic Tinnitus

Shim

Lee²,

An³

et al. 2017

Int Adv Otol

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OBJECTIVE:To compare the long-term outcomes of acute noise-induced tinnitus (ANT) and acute idiopathic tinnitus (AIT) to intratympanic dexamethasone (ITD) therapy. MATERIALS and METHODS:Patients treated for tinnitus occurring immediately after noise exposure comprised the ANT group (n=20) and patients treated for idiopathic tinnitus comprised the AIT group (n=39). All patients were treated with ITD within 3 months of the onset of tinnitus. Quantitative assessment of the improvement in tinnitus using questionnaires and changes in hearing thresholds were compared between the two groups. RESULTS:Mean follow-up durations were 75.90±69.83 weeks in the ANT group and 93.41±101.43 weeks in the AIT group. Patients with ANT were younger in age than those with AIT (38.30±18.28 vs. 53.56±14.08, p=0.00) and were predominately male (Male: Female, M:F 13:7 vs. 13:26, p=0.02, respectively). The subjective tinnitus loudness, time of tinnitus awareness, and Tinnitus Handicap Inventory score improved in both groups, although the changes in these parameters were not significantly different between the groups. The cure and overall improvement rates of the ANT group were and 10.00% and 25.00%, respectively. The cure and overall improvement rates of the AIT groups were 25.64% and 35.90%, respectively and there were no significant differences between the two groups in terms of the cure and overall improvement rates (p=0.19 and 0.40, respectively). CONCLUSION:The long-term outcome in terms of control of tinnitus with ITD in the ANT group was similar to that in the AIT group. Thus, ITD injection may be a useful treatment option for acute tinnitus caused by noise trauma.

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Characteristics of Tinnitus Induced by Acute Acoustic Trauma: A Long-Term Follow-Up

Cited by 74 publications

References 21 publications

Avaliação do perfil auditivo de militares de um quartel do Exército Brasileiro

Avaliação do perfil auditivo de militares de um quartel do Exército Brasileiro

Auditory and vestibular dysfunction associated with blast-related traumatic brain injury

Comparison of Long-Term Outcome of Intratympanic Dexamethasone Therapy between Acute Noise-Induced Tinnitus and Acute Idiopathic Tinnitus

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