Characterization of tinnitus in the elderly and its possible related disorders

Ferreira, Lidiane Maria de Brito Macedo; Ramos, Alberto Novaes; Mendes, Eveline Pereira

doi:10.1016/s1808-8694(15)30786-2

Cited by 35 publications

(56 citation statements)

References 9 publications

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“…The main symptoms experienced by the patients were hearing loss (88.4%), tinnitus (79.7%), vertigo (33.3%) and otalgia (24.6%). This is similar to those found in other studies on the elderly with hearing impairment [18][19][20] . Each of these symptoms could make sufferers experience not only physical discomfort but could also affect them emotionally thus making life miserable.…”

Section: Discussionsupporting

confidence: 92%

Clinical and audiometric features of presbycusis in Nigerians

Sogebi¹,

Olusoga-Peters²,

Oluwapelumi³

2014

Afr H. Sci.

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Background: Presbycusis is the most common sensory impairment associated with ageing and it presents with variability of symptoms. Physicians need to recognize early clinical and audiometric signs of presbycusis in order to render adequate and quality care to patients and reduce associated morbidities. Objective: To characterize the clinical modes of presentation and the typical audiometric tracings among patients with presbycusis. Methods: This descriptive, prospective hospital-based study was conducted in the Ear, Nose and Throat (ENT) clinic of Olabisi Onabanjo University Teaching Hospital, (OOUTH) Sagamu, Nigeria. Patients with clinical diagnosis of presbycusis confirmed with bilateral sensorineural hearing loss (SNHL) on diagnostic audiometry were administered with questionnaires. Information obtained was analyzed using SPSS statistical package version 17.0 and presented in descriptive forms as percentages, means and graphs. Results: Sixty-nine patients were diagnosed with presbycusis (M:F =1.6:1). Modal age group was 71-80 years. Hearing loss 88.4%, tinnitus 79.7% and vertigo 33.3% were the major symptoms on presentation. The average duration of symptoms before presentation was 2.6 years. There was positive history of ototoxic drugs usage in 24.6 %, family history in 11.6 %, hypertension in 34.8% and osteoarthritis in 13.0%. The most common type of audiometric pattern was strial. Hearing losses increased with age both at the speech and at the higher frequencies of sounds. Conclusions: We found hearing impairment affected both speech and higher frequencies and the strial type of audiometric pattern was most common. The need for screening for hearing impairment from early middle age in symptomatic individuals is emphasized.

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Section: Discussionsupporting

confidence: 92%

Clinical and audiometric features of presbycusis in Nigerians

Sogebi¹,

Olusoga-Peters²,

Oluwapelumi³

2014

Afr H. Sci.

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“…Tinnitus can be present in patients with or without hearing loss, and its cause may be multifactorial. Although it is well known that the prevalence of tinnitus increases in subjects with hearing loss, such as presbycusis [Zagólski, 2006;Ferreira et al, 2009;Terao et al, 2011], chronic acoustic trauma [Mazurek et al, 2010;Dawes et al, 2014], hereditary hearing loss, or other hearing disorders [König et al, 2006;Roberts et al, 2010;Sheppard et al, 2014;Ralli et al, 2016;Ryan and Bauer, 2016;Shore et al, 2016], tinnitus can also be present in the absence of hearing loss [Schaette and McAlpine, 2011;Modh et al, 2014;Plack et al, 2014] and can have its roots in other factors, such as somatic [Levine, 1999;Cacace, 2003;Shore et al, 2007;Dehmel et al, 2008;Simmons et al, 2008;Shore, 2011] and psychological dysfunctions [Belli et al, 2008;Langguth et al, 2011;Salviati et al, 2014].…”

Section: Introductionmentioning

confidence: 99%

Somatosensory Tinnitus: Correlation between Cranio-Cervico-Mandibular Disorder History and Somatic Modulation

et al. 2016

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In a subpopulation of patients, tinnitus can be modulated by movements of the jaw or head and neck due to complex somatosensory-auditory interactions. In some of these subjects, tinnitus could be related to an underlying temporomandibular (TMJ) or craniocervical (NECK) dysfunction that, if correctly identified, could streamline treatment and increase chances of tinnitus improvement. However, it is still unclear whether somatic modulation of tinnitus could be used as a screening tool for identifying such patients. In this study, we included 310 tinnitus patients with normal hearing, no psychiatric comorbidities, and a positive history of TMJ and/or NECK dysfunction and/or a positive modulation of tinnitus to evaluate the characteristics of somatic modulation, investigate the relationship between positive history and positive modulation, and identify factors most strongly associated with somatic modulation. Tinnitus modulation was present in 79.67% of the patients. We found a significant association within the same subjects between a positive history and a positive tinnitus modulation for the same region, mainly for TMJ in unilateral tinnitus patients and for TMJ + NECK in bilateral tinnitus patients. A strong correlation between history and modulation in the same somatic region within the same subgroups of subjects was also identified. Most TMJ maneuvers resulted in an increased loudness, while NECK maneuvers showed an increase in tinnitus loudness in about 59% of cases. High-pitched tinnitus and male gender were associated with a higher prevalence of modulation; no differences were found for tinnitus onset, Tinnitus Handicap Inventory score, and age. In this paper, we report a strong association between history and modulation for the same regions within the same patients; such an association should always be investigated to improve chances of a correct diagnosis of somatosensory tinnitus.

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“…Tinnitus prevalence increases with age up to 65-69 years, after which it decreases [8][9][10][11][12][13][14] . Social factors, such as lower income, poor education or occupational and recreational activity associated with noise exposure may influence the prevalence of tinnitus 15 .…”

Section: Introductionmentioning

confidence: 99%

Somatic Tinnitus

Ralli¹,

Greco²,

Cialente³

et al. 2017

The International Tinnitus Journal

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Modulation of tinnitus characteristics such as pitch and loudness has been extensively described following movements of the head, neck and limbs, vertical or horizontal eye gaze, pressure on myofascial trigger points, cutaneous stimulation of the hands, electrical stimulation of the median nerve, and transcranial direct current stimulation. Modulation of tinnitus follows complex interactions between auditory and somatosensory afferents and can be favored by underlying somatic disorders. When tinnitus appears to be preceded or strictly linked to a somatic disorder, and therefore related to problems of the musculoskeletal system rather than of the ear, it is defined somatic tinnitus. A correct diagnosis and treatment of somatic disorders underlying tinnitus play a central role for a correct management of somatic tinnitus. However, the identification of somatic tinnitus may be complex in some cases. In this paper, after a general review of the current evidences for somatic tinnitus available in the literature, we present and discuss some cases of patients in which somatic modulation of tinnitus played a role-although different from case to case-in their tinnitus, describing the diagnostic and therapeutic approaches followed in each individual case and the results obtained, also highlighting unexpected findings and pitfalls that may be encountered when approaching somatic tinnitus patients.

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Characterization of tinnitus in the elderly and its possible related disorders

Cited by 35 publications

References 9 publications

Clinical and audiometric features of presbycusis in Nigerians

Clinical and audiometric features of presbycusis in Nigerians

Somatosensory Tinnitus: Correlation between Cranio-Cervico-Mandibular Disorder History and Somatic Modulation

Somatic Tinnitus

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