Pitch and Loudness Tinnitus in Individuals with Presbycusis

Seimetz, Bruna Macangnin; Teixeira, Adriane Ribeiro; Rosito, Letícia Petersen Schmidt; Flores, Letícia Sousa; Pappen, Carlos Henrique; Dall’Igna, Celso

doi:10.1055/s-0035-1570311

Cited by 19 publications

(12 citation statements)

References 26 publications

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“…We requested the patient to answer when realizing that the sound presented was similar to their tinnitus, and in the frequency indicated by the patient as similar to their tinnitus, the stimulus was presented noise, with an initial intensity of 10 dBHL below the patient's threshold. We increased the intensity in steps of 2 dBHL, and the patients realized that the intensity was similar to the presented tinnitus [11,12]. The results of these tests were compared to those of patients with noise-induced hearing loss and presbycusis.…”

Section: Subjectsmentioning

confidence: 99%

Analysis of Chronic Tinnitus in Noise-Induced Hearing Loss and Presbycusis

Kang

Kim

et al. 2021

JCM

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The most frequent causes of tinnitus associated with hearing loss are noise-induced hearing loss and presbycusis. The mechanism of tinnitus is not yet clear, although several hypotheses have been suggested. Therefore, we aimed to analyze characteristics of chronic tinnitus between noise-induced hearing loss and presbycusis. Materials and Methods: This paper is a retrospective chart review and outpatient clinic-based study of 248 patients with chronic tinnitus from 2015 to 2020 with noise-induced or presbycusis. Pure tone audiometry (PTA), auditory brainstem response (ABR), distortion product otoacoustic emissions (DPOAE), transient evoked otoacoustic emissions (TEOAE), and tinnitograms were conducted. Results: PTA showed that hearing thresholds at all frequencies were higher in patients with noise-induced hearing loss than the presbycusis group. ABR tests showed that patients with presbycusis had longer wave I and III latencies (p < 0.05 each) than patients with noise-induced hearing loss. TEOAE tests showed lower values in patients with noise-induced hearing loss than presbycusis at 1.5, 2, 3, and 4 kHz (p < 0.05 each). DPOAE tests showed that response rates in both ears at 1.5, 2, and 3 kHz were significantly higher in patients with presbycusis than noise-induced hearing loss (p < 0.05 each). Discussion: This study showed that hearing thresholds were higher, the loudness of tinnitus was smaller, and the degree of damage to outer hair cells was lower in patients with presbycusis than with noise-induced hearing loss. Moreover, wave I and III latencies were more prolonged in patients with presbycusis despite their having lower hearing thresholds. These phenomena may reflect the effects of aging or degeneration of the central nervous system with age. Further studies are needed to evaluate the etiologies of tinnitus.

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Section: Subjectsmentioning

confidence: 99%

Analysis of Chronic Tinnitus in Noise-Induced Hearing Loss and Presbycusis

Kang

Kim

et al. 2021

JCM

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“…The correspondence of loudness was expressed in dBSL. Seimetz, Teixeira, Rosito, Flores, Pappen, Dall'igna, 2016 20 To analyze the existence of an association between hearing thresholds, the tone and the intensity of T in patients with presbyacusis, according to gender.…”

Section: Research On Pitchmentioning

confidence: 99%

“…In the international literature, pure tone 20,22 , noise 20 and pulsatile 21 stimuli were used to determine the pitch and loudness of tinnitus. Moreover, we observed the applicability of the Minimum Masking Level (MML) in the characterization and the measurement of tinnitus on the different protocols which were found to be used.…”

Section: Concordance Of Pitchmentioning

confidence: 99%

Recording of tinnitus psychoacoustic measurements: an integrative literature review

Guijo

Fonseca²,

Horiuti

et al. 2019

Rev. CEFAC

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Purpose: to review both the national and international literature as well as to describe the methods used to collect psychoacoustic measurements in tinnitus patients. Methods: the current integrative review was conducted on articles in specialized national and international journals, in both the Portuguese and English languages, available in the PubMed/Medline, BVS - LILACS and SCIELO databases. The following keywords and descriptors were used: hearing, tinnitus, psychoacoustic measurements, acuphenometry, and assessment, in both the Portuguese and English languages. The retrieved articles were read and selected for the review according to the eligibility criteria, which included the use of psychoacoustic measurements in tinnitus patients and the presence of a detailed methodological description of the protocol employed, in individuals with normal hearing and those with hearing loss. Results: a total of 12 articles, in which psychoacoustic measures were used for the characterization and the measurement of tinnitus in individuals with normal hearing and in those with hearing loss, were reviewed. The main findings were associated with the sample characterization and the way in which the psychoacoustic measures were performed. Conclusion:given the grouping of several protocols for tinnitus evaluation, which were determined following an integrative literature review, a great heterogeneity in the methods used to perform psychoacoustic measurements for tinnitus assessment for both clinical and scientific purposes was noted.

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“…9 The definition of tinnitus implies the perception of a sound originated in the ear without an actual external source of sound stimulus. 13 It is a symptom that can be present in a myriad of otologic and non-otologic pathologies. The former include presbycusis, chronic otitis media, arteriovenous malformations, middle-ear paragangliomas, otosclerosis, amongst others; and the latter include metabolic, cardiovascular, psychiatric, neurological, as well as temporomandibular disorders.…”

Section: Introductionmentioning

confidence: 99%

“…Acuphenometry is an exam that aims to find the frequency and intensity that match the pitch and loudness of the tinnitus respectively. 13,14 Nonetheless, it is not widely used in the audiology routine given the high variability of the tinnitus itself: some patients have two or more tinnitus sounds, and it is not always easy for the patient to establish the predominant one; it can vary over the time in terms of pitch and loudness; low-pitched tinnitus is easily masked by daily sounds, which makes pitch matching difficult. 14 On the other hand, tinnitus with the same features may generate different feelings and sensations in different patients, and the assessesment of its subjective impact is also an important evaluation.…”

Section: Introductionmentioning

confidence: 99%

Tinnitus and Otosclerosis: An Exploratory Study about the Prevalence, Features and Impact in Daily Life

Lima

Moreira

Costa

et al. 2021

Int Arch Otorhinolaryngol

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Introduction Tinnitus is experienced by a significant part of the patients suffering from otosclerosis. Objective To assess the prevalence of tinnitus in otosclerosis, its main features, and the impact on the daily life. Methods Patients diagnosed with otosclerosis in 2019 in a tertiary hospital were enrolled in the study. Demographic data were retrieved and, besides a regular audiometric evaluation, the patients underwent acuphenometry to assess the psychoacoustic measurements (pitch and loudness), and the Tinnitus Handicap Inventory (THI). Results In total, 66 patients fulfilled the inclusion criteria, with a female predominance (63.6%; n = 42), and a mean age of 48.7 years. The mean air-bone gap was of 26.3 dB. A total of 72.7% complained of tinnitus; it was mostly unilateral, identified in the low frequencies, namely 500 Hz, with median loudness of 7.5 dB. The median score on the THI score was of 37; most patients had a mild handicap (33.3%, n = 16), followed by those with a severe handicap (22.9%; n = 11). The female gender had a statistically significant association with the presence of tinnitus. The THI scores were higher in middle-aged patients (age groups: 40 to 49 and 50 to 59 years), which was statistically significant. No correlation was found between audiometry results and the prevalence of tinnitus or score on the THI. On the other hand, high-pitched tinnitus, compared to low pitched-tinnitus, was associated with larger air-bone gaps. Conclusion The prevalence of tinnitus in our population was in line with the prevalences reported in the literature. It caused a catastrophic handicap in 22.9% of the patients. High-pitched tinnitus was associated with higher handicap. Nonetheless, the existence of tinnitus and its severity were not associated with the degree of hearing loss.

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Pitch and Loudness Tinnitus in Individuals with Presbycusis

Cited by 19 publications

References 26 publications

Analysis of Chronic Tinnitus in Noise-Induced Hearing Loss and Presbycusis

Analysis of Chronic Tinnitus in Noise-Induced Hearing Loss and Presbycusis

Recording of tinnitus psychoacoustic measurements: an integrative literature review

Tinnitus and Otosclerosis: An Exploratory Study about the Prevalence, Features and Impact in Daily Life

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