, who visited the outpatient clinic with the complaint of tinnitus and who completed a physical examination, medical history survey, questionnaire survey for measuring subjective discomfort due to tinnitus, and underwent full-scale audiometry. Patients with ear infection (e.g., otitis media, myringitis, mastoiditis), previous ear surgery, a history of trauma, uncertain history, or vague manifestations of tinnitus were excluded from the study. Acute tinnitus was defined as symptom duration less than 3 months and chronic tinnitus as symptom duration longer than 3 months. Patients with subacute tinnitus patients who experienced tinnitus from 3 weeks to 3 months were considered to have Clinical and Audiologic Characteristics of Tinnitus in Subjects Aged <65 and ≥65 Years OBJECTIVE: This study compared the characteristics of tinnitus, by audiologic tests and questionnaires, in older and younger subjects.
MATERIALS and METHODS:Medical records of 258 outpatients with tinnitus were retrospectively reviewed. Characteristics compared in subjects aged <65 and ≥65 years included patient history and the results of physical examinations, questionnaires, and audiologic tests.
RESULTS:Fifty-nine patients were aged 65 years and older (older group), and 199 were less than 65 years old (younger group). The prevalence of chronic tinnitus was significantly higher in the older group (p<0.05). Assessments of audiologic configuration showed that the rate of high frequency steeply sloping configuration was significantly higher (p<0.05). The rate of sensorineural hearing loss was significantly higher in the older group (p<0.05). On tinnitograms, loudness was significantly higher in the older group (p<0.05). Auditory brainstem responses analysis showed that V latency was longer in the older group (p<0.05). The older group showed lower responses at every frequency on distortion product otoacoustic emissions (p<0.05) and lower signal-to-noise ratio at every frequency on transient evoked otoacoustic emissions (p<0.05).
CONCLUSION:The clinical manifestations of tinnitus and audiological results differ between older and younger subjects with tinnitus.