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Extended high frequency hearing loss in tinnitus‐positive chronic suppurative otitis media patient

OBJECTIVES: To determine the association between extended high frequency hearing loss and tinnitus in normal cochlear function based on a conventional audiometry chronic suppurative otitis media (CSOM) patient. DESIGN AND METHODS: A cross‐sectional study was conducted on 220 ears diagnosed as having...

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Autores principales: Mohd Salehuddin, Nur Syazwani, Md Daud, Mohd Khairi, Nik Othman, Nik Adilah, Abd Rahman, Normastura
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons, Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8513419/
https://www.ncbi.nlm.nih.gov/pubmed/34667858
http://dx.doi.org/10.1002/lio2.651
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author Mohd Salehuddin, Nur Syazwani
Md Daud, Mohd Khairi
Nik Othman, Nik Adilah
Abd Rahman, Normastura
author_facet Mohd Salehuddin, Nur Syazwani
Md Daud, Mohd Khairi
Nik Othman, Nik Adilah
Abd Rahman, Normastura
author_sort Mohd Salehuddin, Nur Syazwani
collection PubMed
description OBJECTIVES: To determine the association between extended high frequency hearing loss and tinnitus in normal cochlear function based on a conventional audiometry chronic suppurative otitis media (CSOM) patient. DESIGN AND METHODS: A cross‐sectional study was conducted on 220 ears diagnosed as having CSOM with an equal number of tinnitus and without tinnitus groups. Only those with normal cochlear function based on conventional pure tone audiometry (250 Hz to 8 kHz) were included. They were further tested for hearing at extended high frequencies of up to 16 kHz. The severity of tinnitus was tested using a tinnitus questionnaire. RESULTS: The prevalence of extended high frequency hearing loss in the normal cochlear function CSOM patients with tinnitus was 81.8% (95% CI 74.5%, 89.1%), whereas the prevalence in the tinnitus negative group was 30.0% (95% CI 21.3%, 38.7%). There was a significant association between extended high frequency hearing loss and tinnitus in CSOM patients (P < .001). The average thresholds were significantly higher in the tinnitus group at all extended high frequencies tested with an increasing trend of significance toward the higher frequencies. However, this study did not observe any association between the severity of tinnitus and extended high frequency hearing loss. CONCLUSION: The development of tinnitus among normal cochlear function CSOM patients indicates that the damage has occurred at a higher frequency level. However, the severity of tinnitus does not predict the degree of higher frequency hearing loss. Therefore, the presence of tinnitus warrants more aggressive monitoring and treatment to prevent sensorineural hearing loss from developing into the speech frequencies. LEVEL OF EVIDENCE: 4.
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spelling pubmed-85134192021-10-18 Extended high frequency hearing loss in tinnitus‐positive chronic suppurative otitis media patient Mohd Salehuddin, Nur Syazwani Md Daud, Mohd Khairi Nik Othman, Nik Adilah Abd Rahman, Normastura Laryngoscope Investig Otolaryngol Otology, Neurotology, and Neuroscience OBJECTIVES: To determine the association between extended high frequency hearing loss and tinnitus in normal cochlear function based on a conventional audiometry chronic suppurative otitis media (CSOM) patient. DESIGN AND METHODS: A cross‐sectional study was conducted on 220 ears diagnosed as having CSOM with an equal number of tinnitus and without tinnitus groups. Only those with normal cochlear function based on conventional pure tone audiometry (250 Hz to 8 kHz) were included. They were further tested for hearing at extended high frequencies of up to 16 kHz. The severity of tinnitus was tested using a tinnitus questionnaire. RESULTS: The prevalence of extended high frequency hearing loss in the normal cochlear function CSOM patients with tinnitus was 81.8% (95% CI 74.5%, 89.1%), whereas the prevalence in the tinnitus negative group was 30.0% (95% CI 21.3%, 38.7%). There was a significant association between extended high frequency hearing loss and tinnitus in CSOM patients (P < .001). The average thresholds were significantly higher in the tinnitus group at all extended high frequencies tested with an increasing trend of significance toward the higher frequencies. However, this study did not observe any association between the severity of tinnitus and extended high frequency hearing loss. CONCLUSION: The development of tinnitus among normal cochlear function CSOM patients indicates that the damage has occurred at a higher frequency level. However, the severity of tinnitus does not predict the degree of higher frequency hearing loss. Therefore, the presence of tinnitus warrants more aggressive monitoring and treatment to prevent sensorineural hearing loss from developing into the speech frequencies. LEVEL OF EVIDENCE: 4. John Wiley & Sons, Inc. 2021-09-04 /pmc/articles/PMC8513419/ /pubmed/34667858 http://dx.doi.org/10.1002/lio2.651 Text en © 2021 The Authors. Laryngoscope Investigative Otolaryngology published by Wiley Periodicals LLC on behalf of The Triological Society. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Otology, Neurotology, and Neuroscience
Mohd Salehuddin, Nur Syazwani
Md Daud, Mohd Khairi
Nik Othman, Nik Adilah
Abd Rahman, Normastura
Extended high frequency hearing loss in tinnitus‐positive chronic suppurative otitis media patient
title Extended high frequency hearing loss in tinnitus‐positive chronic suppurative otitis media patient
title_full Extended high frequency hearing loss in tinnitus‐positive chronic suppurative otitis media patient
title_fullStr Extended high frequency hearing loss in tinnitus‐positive chronic suppurative otitis media patient
title_full_unstemmed Extended high frequency hearing loss in tinnitus‐positive chronic suppurative otitis media patient
title_short Extended high frequency hearing loss in tinnitus‐positive chronic suppurative otitis media patient
title_sort extended high frequency hearing loss in tinnitus‐positive chronic suppurative otitis media patient
topic Otology, Neurotology, and Neuroscience
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8513419/
https://www.ncbi.nlm.nih.gov/pubmed/34667858
http://dx.doi.org/10.1002/lio2.651
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