Assessment of Hidden Hearing Loss in Normal Hearing Individuals with and Without Tinnitus

Autor: Karakol Sn, Akbulut Aa, Kara H, Durmaz S, Aydın K, Haydar Murat Yener, Eyup Kara, Emine Deniz Gözen
Přispěvatelé: İÜC, Sağlık Bilimleri Fakültesi, Odyoloji Bölümü
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
Distortion product
Visual Analog Scale
Cochlear synaptopathy
Audiology
Tinnitus
0302 clinical medicine
Hearing
030223 otorhinolaryngology
Depression (differential diagnoses)
medicine.diagnostic_test
General Medicine
Middle Aged
lcsh:Otorhinolaryngology
lcsh:RF1-547
Cochlea
Speech Perception
Audiometry
Pure-Tone
Original Article
Female
medicine.symptom
Adult
medicine.medical_specialty
Visual analogue scale
Hearing loss
Otoacoustic Emissions
Spontaneous
03 medical and health sciences
Hair Cells
Auditory
medicine
otorhinolaryngologic diseases
Evoked Potentials
Auditory
Brain Stem
Humans
tinnitus
Hearing Loss
Cochlear Nerve
high-frequency audiometry
ECochG
business.industry
hidden hearing loss
Auditory Threshold
TEN test
Audiometry
Evoked Response
Otorhinolaryngology
Case-Control Studies
Speech audiometry
Audiometry
business
Audiometry
Speech
Noise
030217 neurology & neurosurgery
Zdroj: Journal of International Advanced Otology, Vol 16, Iss 1, Pp 87-92 (2020)
J Int Adv Otol
ISSN: 2148-3817
1308-7649
Popis: Akbulut, Ahmet Alperen/0000-0002-3273-6632; KARA, Eyyup/0000-0002-4015-4560; Kara, Halide Cetin/0000-0002-6747-7212; Karakol, Sare Nur/0000-0002-3481-5342; Aydin, Kubra/0000-0003-2746-1555 WOS:000531858400018 PubMed ID: 32209515 OBJECTIVES: To evaluate the functions of cochlear structures and the distal part of auditory nerve as well as dead regions within the cochlea in individuals with normal hearing with or without tinnitus by using electrophysiological tests. MATERIALS and METHODS: Nine individuals (ages: 21-59 years) with normal hearing with tinnitus were included in the study group. Thirteen individuals (ages: 25-60 years) with normal hearing without tinnitus were included in the control group. Immitancemetric examination, pure-tone audiometry (125Hz-16kHz), speech audiometry in quiet and noise environments, transient evoked otoacoustic emissions (TEOAEs), distortion product otoacoustic emissions (DPOAEs), threshold equalizing noise (TEN test (500Hz-4kHz), and ECochG tests, Beck Depression Questionnaire, Tinnitus Handicap Questionnaire, and Visual Analog Scale were performed. RESULTS:In the study group, three patients were found to have a minimal depression and six were found to have a mild depression. In pure-tone audiometry, the threshold (6-16 kHz) in the study group was significantly higher than that of the control group at all frequencies. In the study group, lower performance scores were obtained in speech discrimination in noise in both ears. In the control group, no dead region was detected in the TEN test whereas 75% of subjects in the study group had dead regions. DPOAE and TEOAE responses between study and control group subjects were not different. In the ECochG test, subjects in the study group showed an increase In the summating potential/action potential (SP/AP) ratio in both ears. CONCLUSION: Determination of the SP/AP ratio in patients with tinnitus may be useful in diagnosing hidden hearing loss. Detection of dead regions in 75% of patients in the TEN test may indicate that inner hair cells may be responsible for tinnitus.
Databáze: OpenAIRE
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