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High frequency audiometry in tinnitus patients with normal hearing in conventional audiometry

Abstract

Context

Hearing loss is the most important risk factor of tinnitus, but this relation is not straightforward; some patients with severe tinnitus have normal hearing, whereas many patients with hearing loss do not have tinnitus.

Aims

The aim was to determine if high frequency audiometry (HFA) may reveal significant differences between normal hearing participants with and without tinnitus.

Settings and design

This is a case–control study.

Participants and methods

HFA was done on two groups of participants with normal hearing sensitivity. The first group was composed of 20 adults with tinnitus, whereas the control group was 15 age-matched and sex-matched participants, not suffering from tinnitus.

Statistical analysis

Data were analyzed using SPSS software package version 20.0. Significance of the results was judged at the 5% level. χ2 with Fisher’s exact as a correction, Kruskal–Wallis, Mann–Whitney, and Pearson’s coefficient tests were used.

Results

HFA showed no significant difference between the two studied groups.

Conclusion

Tinnitus in normal hearing participants does not necessarily indicate corresponding damage in the cochlea

References

  1. Ahlf S, Tziridis K, Korn S, Strohmeyer I, Schulze H. Predisposition for and prevention of subjective tinnitus development. PLoS One 2012; 7:e44519.

    Article  CAS  Google Scholar 

  2. Kim DK, Park SN, Kim HM, Son HR, Kim NG, Park KH, et al. Prevalence and significance of high-frequency hearing loss in subjectively normal-hearing patients with tinnitus. Ann Otol Rhinol Laryngol 2011; 120:523–528.

    Article  Google Scholar 

  3. Konig O, Schaette R, Kempter R, Gross M. Course of hearing loss and occurrence of tinnitus. Hear Res 2006; 221:59–64.

    Article  Google Scholar 

  4. Martines F, Bentivegna D, Martines E, Sciacca V, Martinciglio G. Assessing audiological, pathophysiological and psychological variables in tinnitus patients with or without hearing loss. Eur Arch Otorhinolaryngol 2010; 267:1685–1693.

    Article  Google Scholar 

  5. Norena A, Micheyl C, Chery-Croze S, Collet L. Psychoacoustic characterization of the tinnitus spectrum: implications for the underlying mechanisms of tinnitus. Audiol Neurootol 2002; 7:358–369.

    Article  Google Scholar 

  6. Schecklmann M, Vielsmeier V, Steffens T, Landgrebe M, Langguth B, Kleinjung T. Relationship between Audiometric slope and tinnitus pitch in tinnitus patients: insights into the mechanisms of tinnitus generation. PLoS One 2012; 7:e34878.

    Article  CAS  Google Scholar 

  7. Schaette R, McAlpine D. Tinnitus with a normal audiogram: physiological evidence for hidden hearing loss and computational model. J Neurosci 2011; 31:13452–13457.

    Article  CAS  Google Scholar 

  8. Rodriguez Valiente A, Trinidad A, Garcia Berrocal JR, Gorriz C, Ramirez Camacho R. Extended high-frequency (9–20 kHz) audiometry reference thresholds in 645 healthy subjects. Int J Audiol 2014; 53:531–545.

    Article  CAS  Google Scholar 

  9. Best V, Carlile S, Jin C, van Schaik A. The role of high frequencies in speech localization. J Acoust Soc Am 2005; 118:353–363.

    Article  Google Scholar 

  10. Rodriguez Valiente A, Perez Sanz C, Gorriz C, Juarez A, Monfort M, Garcia Berrocal JR, et al. Designing a new tool for hearing exploration. Acta Otorrinolaringol Esp 2009; 60:43–48.

    Article  Google Scholar 

  11. Weisz N, Muller S, Schlee W, Dohrmann K, Hartmann T, Elbert T. The neural code of auditory phantom perception. J Neurosci 2007; 27:1479–1484.

    Article  CAS  Google Scholar 

  12. Fabijanska A, Smurzynski J, Hatzopoulos S, Kochanek K, Bartnik G, Raj-Koziak D, et al. The relationship between distortion product otoacoustic emissions and extended high-frequency audiometry in tinnitus patients. Part 1: normally hearing patients with unilateral tinnitus. Med Sci Monit 2012; 18:765–770.

    Google Scholar 

  13. Kaltenbach JA, Zhang J, Finlayson P. Tinnitus as a plastic phenomenon and its possible neural underpinnings in the dorsal cochlear nucleus. Hear Res 2005; 206:200–226.

    Article  Google Scholar 

  14. Saunders JC. The role of central nervous system plasticity in tinnitus. J Commun Disord 2007; 40:313–334.

    Article  Google Scholar 

  15. American National Standards Institute (ANSI). Methods for manual puretone thresholds audiometry. New York: ANSI; 2004.

    Google Scholar 

  16. Goldstein B, Shulman A. Tinnitus evaluation. In Shulman A, Aran J, Tonndorf J, Feldman H, Vernon JA, editors. Tinnitus: diagnosis/ treatment. San Diego: Singular Publishing Group, Inc 1997. 293–318

    Google Scholar 

  17. Henry JA, Meikle MB. Psychoacoustic measures of tinnitus. J Am Acad Audiol 2000; 11:138–155.

    CAS  PubMed  Google Scholar 

  18. Kirkpatrick LA, Feeney BC. A simple guide to IBM SPSS statistics for version 20.0. Student ed. Belmont: Wadsworth, Cengage Learning 2013.

    Google Scholar 

  19. Kotz S, Balakrishnan N, Read CB, Vidakovic B. Encyclopedia of statistical sciences. 2nd ed. Hoboken: Wiley-Interscience 2006.

    Google Scholar 

  20. Nondahl DM, Cruickshanks KJ, Huang GH, Klein BE, Klein R, Nieto FJ, et al. Tinnitus and its risk factors in the Beaver Dam offspring study. Int J Audiol 2011; 50:313–320.

    Article  Google Scholar 

  21. Davis A, El Rafaie A. Epidemiology of tinnitus. In: Tyler RS, editor. Tinnitus handbook. San Diego: Singular, Thomson Learning; 2000. 1–23

    Google Scholar 

  22. Frank T. High-frequency hearing thresholds in young adults using a commercially available audiometer. Ear Hear 1990; 11:450–454.

    Article  CAS  Google Scholar 

  23. Wiley TL, Cruickshanks KJ, Nondahl DM, Tweed TS, Klein R, Klein R, et al. Aging and high-frequency hearing sensitivity. J Speech Lang Hear Res 1998; 41:1061–1072.

    Article  CAS  Google Scholar 

  24. Barnea G, Attias J, Gold S, Shahar A. Tinnitus with normal hearing sensitivity: extended high-frequency audiometry and auditory-nerve brain-stem-evoked responses. Audiology 1990; 29:36–45.

    Article  CAS  Google Scholar 

  25. Shim HJ, Kim SK, Park CH, Lee SH, Yoon SW, Ki AR, et al. Hearing abilities at ultra-high frequency in patients with tinnitus. Clin Exp Otorhinolaryngol 2009; 2:169–174.

    Article  Google Scholar 

  26. Henry JA, Dennis KC, Schechter MA. General review of tinnitus: prevalence, mechanisms, effects, and management. J Speech Lang Hear Res 2005; 48:1204–1235.

    Article  Google Scholar 

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Correspondence to Doaa M. Elmoazen MD.

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Elmoazen, D.M., Kozou, H.S. & Mohamed, A.A. High frequency audiometry in tinnitus patients with normal hearing in conventional audiometry. Egypt J Otolaryngol 34, 308–315 (2018). https://doi.org/10.4103/ejo.ejo_44_18

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