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Correlation of Tinnitus Loudness and Onset Duration with Audiological Profile Indicating Variation in Prognosis

机译:耳鸣响度和发作持续时间与听觉特征表明预后差异的相关性

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摘要

Purpose. Subjective tinnitus has different forms and degrees of severity. Many studies in the literature have assessed psychoacoustic characteristics of tinnitus but hardly any of them had focused on the association of audiological profile with onset duration and loudness perception. The aim of this study was to evaluate existence of any association between tinnitus loudness/onset duration and audiological profile to explain differences in prognosis. Method. Study design was prospective. The sample consisted of 26 subjects having tinnitus, which was divided into tinnitus and nontinnitus ears. Audiological profile included pure-tone audiometry, speech audiometry, tympanometry, acoustic reflex test, and auditory evoked potentials (early and middle latency). Unpaired t-test was applied to compare two subgroups. Correlation and association between tinnitus onset duration/loudness perception and audiological profile were also assessed by calculating Spearman's coefficient and Fischer exact value. Results. The two subgroups had significant differences for pure-tone and speech audiometry hearing thresholds. A significant association was observed between the high frequency/extended high frequency and tinnitus loudness/onset duration. Conclusion. The changes in hearing thresholds and auditory pathway are associated with an increase in tinnitus loudness and its onset duration. This knowledge would be helpful to differentiate between severity and chronicity of the patients for planning therapeutic management and predicting prognosis.
机译:目的。主观耳鸣具有不同的形式和程度。文献中的许多研究都评估了耳鸣的心理声学特征,但几乎没有任何研究集中在听觉特征与发作持续时间和响度感知的关系上。这项研究的目的是评估耳鸣响度/发作持续时间与听觉特征之间的任何关联,以解释预后的差异。方法。研究设计是前瞻性的。该样本由26名耳鸣受试者组成,耳鸣分为耳鸣耳和非耳鸣耳。听觉特征包括纯音听力测验,语音听力测验,鼓室测验,听觉反射测验和听觉诱发电位(早期和中期潜伏期)。使用未配对的t检验比较两个亚组。还通过计算Spearman系数和Fischer精确值来评估耳鸣发作持续时间/响度知觉与听觉特征之间的相关性和关联性。结果。这两个亚组的纯音和语音测听听力阈值存在显着差异。在高频/扩展高频和耳鸣响度/发作持续时间之间观察到显着关联。结论。听力阈值和听觉通路的变化与耳鸣响度及其发作持续时间的增加有关。该知识将有助于区分患者的严重程度和慢性病,以计划治疗管理和预测预后。

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