Characteristics of tinnitus with or without hearing loss: Clinical observations in Sicilian tinnitus patients

Martines, Francesco; Bentivegna, Daniela; Martines, Enrico; Sciacca, Vincenzo; Martinciglio, Gioacchino

doi:10.1016/j.anl.2010.03.008

Cited by 40 publications

(40 citation statements)

References 21 publications

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“…Acufenometry included pitch masking (matching the frequency of the tinnitus with a variety of stimuli) and loudness matching (estimating the loudness of tinnitus with a pure tone or noise); the difference between the hearing threshold and the sensation level was considered tinnitus loudness (0-5 dB, 5, 10, 15, [15 dB above the hearing threshold) [17][18][19][20].…”

Section: Methodsmentioning

confidence: 99%

Audiologic profile of OSAS and simple snoring patients: the effect of chronic nocturnal intermittent hypoxia on auditory function

Martines

Ballacchino

Sireci

et al. 2015

Eur Arch Otorhinolaryngol

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The objective of this work was to study the effect of nocturnal intermittent hypoxia on auditory function of simple snoring patients and subjects affected by OSAS; we compared the audiologic profile with the severity of OSAS to detect early signs of cochlear damage. One hundred-sixty patients underwent overnight polysomnography, micro-otoscopy, multi-frequency audiometry, acufenometry, TEOAE recording and d-ROMs test. All subjects were divided in four groups, based on presence/absence of AHI (simple snoring without OSAS, mild OSAS, moderate OSAS, severe OSAS). Sixty (37.5 %) patients were not affected by OSAS, 58 (36.25 %) presented a mild OSAS, 18 (11.25 %) a moderate OSAS and 24 (15 %) a severe OSAS; the 57.14 % of moderate to severe OSAS suffered from tinnitus with respect to the 31.03 % of mild OSAS (P = 0.024). A higher percentage (41.66 %) of hearing loss was found among individuals with moderate to severe degree of OSAS (P \ 0.0001). All groups were characterized by a mean hearing threshold \25 dB HL for 0.25-3 kHz frequencies and a progressive decrease in hearing sensitivity, particularly for 6-16 kHz frequencies (P \ 0.05). The analysis of otoacoustic emissions SNR mean values evidenced a significant difference between simple snoring and severe OSAS individuals for 3 and 4 kHz frequencies (P \ 0.05). d-ROM levels resulted higher in patients with severe OSAS with respect to simple snoring subjects (P = 0.004). Our data underline the key role of chronic nocturnal intermittent hypoxia in the development of an early cochlear damage and a more marked high-frequency hearing loss in case of severe OSAS (P \ 0.05).

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Section: Methodsmentioning

confidence: 99%

Audiologic profile of OSAS and simple snoring patients: the effect of chronic nocturnal intermittent hypoxia on auditory function

Martines

Ballacchino

Sireci

et al. 2015

Eur Arch Otorhinolaryngol

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“…Audiometric threshold was considered as the pure tone average for the frequencies 0.5-1-2-4 kHz (PTA 0.5-4 kHz ) and divided in: normal hearing (\20 dB); light hearing loss (21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36)(37)(38)(39)(40) TEOAE measurements were evaluated in reproducibility (expressed as the correlation between two waveforms, namely for responses stored in buffers A and B, acquired alternately) and were done using defined criteria as response detection in 4/5 different frequency bands (1, 1.5, 2, 3, and 4 kHz); a minimum signal-to-noise ratio (SNRs) of 6 dB for each frequency band was chosen. The instrument used was the 'SENTIERO by Path Medical GmbH', that is based on the nonlinear cross-correlation method (ILO88) of TEOAE recording.…”

Section: Methodsmentioning

confidence: 99%

“…This leads to a total score ranging from 0 (indicating no tinnitus handicap) to 100 (indicating the worst patients' annoyance). Classically it grades five categories of tinnitus severity: slight (0-16); mild (18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31)(32)(33)(34)(35)(36); moderate (38-56); severe (58-76); catastrophic (78-100).…”

Section: Methodsmentioning

confidence: 99%

Clinical observations and risk factors for tinnitus in a Sicilian cohort

Martines

Sireci

Cannizzaro

et al. 2014

Eur Arch Otorhinolaryngol

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The aims of this study were to determine the distribution of risk factors associated with tinnitus analysing their role in the development of tinnitus and the effects of their interaction; to evidence the importance of a suitable and adequate clinical and audiologic assessment to avoid those modifiable risk factors responsible for cochlear dysfunction and tinnitus onset. 46 subjects with tinnitus and 74 controls were studied according to: age, sex, Body Mass Index (BMI), neck circumference, tobacco smoking, feeling fatigue or headache, self reporting snoring, hypertension, diabetes, coronary heart disease, and/or hyperlipidemia, and laboratory finding as lipid profile and levels of reactive oxygen metabolites (d-ROM). Audiological assessment was performed by multi-frequency audiometry (PTA 0.5-16 kHz ) and transient-evoked otoacoustic emissions (TEOAE diagnostic). Univariate analysis was performed to examine the association between determinants and occurrence of tinnitus; Mantel-Haenszel test (G.or) was used to investigate the joint effect of determinants on tinnitus. Tinnitus was more frequent among males with age [50 years; BMI [30 kg/m 2 , neck circumference [40 cm, headache, hypertension, hypercholesterolemia resulted significant risk factors for tinnitus (P \ 0.0001). Tinnitus group had more comorbidity (P \ 0.0001) and worse audiometric thresholds (60.87 Vs 21.62 % hearing loss; P \ 0.0001) with respect to control group. The interaction between hypertension-BMI C 30 kg/m 2 (G.or = 8.45) and smoking-hypercholesterolemia (G.or = 5.08) increases the risk of tinnitus (P \ 0.0001). Our results underline that several factors either individually or jointly contribute to tinnitus onset; a comprehensive knowledge about tinnitus risk factors and associated clinical conditions could contribute to minimizing this disorder.

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“…It consists of a sense defined as illusory, which can be characterized as noise like the sound of rain, sea, running water, bells, insects, whistling, squeaking, doorbells, pulsation and others. This feeling can be continuous or intermittent, have different tonal characteristics, be intense or mild and is perceived in the ears or head (5) .…”

Section: Introductionmentioning

confidence: 99%

“…The symptom was observed in 22% of the sample, with a higher prevalence in females, increasing significantly with age, producing severe discomfort in 34% of the group (6) . It can be said that tinnitus is commonly associated with acoustic trauma, ear disease, head and neck trauma, cardiovascular, metabolic, neurological, psychiatric disorders, dental factors, side effects of ototoxic drugs, caffeine abuse, nicotine and alcohol (5,7) . It is also associated with hearing loss, and 78% to 90% of patients with tinnitus have changes in audiometric thresholds (7) .…”

Section: Introductionmentioning

confidence: 99%

Correlação entre percepção de fala e zumbido antes e após o uso de amplificação

Mondelli

Argentim

Rocha

2016

Audiol., Commun. Res.

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Purpose: To assess the degree of annoyance of tinnitus through the Tinnitus Handicap Inventory (THI) and correlate it with the perception of speech using the Hearing in Noise Test (HINT) before and after the fitting of a hearing aid (HA). Methods: There were 27 patients with bilateral sensorineural hearing loss, continuous bilateral tinnitus (minimum six months) without experience of amplification. The subjects answered the anamnesis, the THI questionnaire, underwent a HINT, were fitted with hearing aids, and were again evaluated after three months. The results were statistically analyzed. Results: Pre and post THI adaptation of hearing aids indicated benefits from amplification in relation to decreased sensation of tinnitus. The pre and post HINT adaptation of hearing aids presented a significant difference. There were differences in the correlation between the THI and HINT before the fitting of the hearing aids. Conclusion: There was an improvement in the degree of tinnitus annoyance after the fitting of the hearing aids. There was no significant correlation between speech perception before and after the use of hearing aids. Resultados: O THI pré e pós-adaptação de AASI indicou benefício com amplificação em relação à diminuição da sensação do zumbido. O HINT pré e pós-adaptação de AASI não obteve diferença significativa. Houve diferença na correlação do THI e HINT antes da adaptação do AASI. Conclusão: Houve melhora em relação ao grau de incômodo do zumbido, após a adaptação do AASI. Não houve correlação significativa entre a percepção de fala, antes e após a utilização do AASI. Keywords

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Characteristics of tinnitus with or without hearing loss: Clinical observations in Sicilian tinnitus patients

Cited by 40 publications

References 21 publications

Audiologic profile of OSAS and simple snoring patients: the effect of chronic nocturnal intermittent hypoxia on auditory function

Audiologic profile of OSAS and simple snoring patients: the effect of chronic nocturnal intermittent hypoxia on auditory function

Clinical observations and risk factors for tinnitus in a Sicilian cohort

Correlação entre percepção de fala e zumbido antes e após o uso de amplificação

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