Tinnitus: causes and clinical management

2009

Acta …, 2012

Tinnitus represents one of the most frequent symptoms observed in the general population in association with different pathologies, although often its etiology remains unclear. Objective of this work is to evidence the main aspects concerning epidemiology, causes, audiological characteristics and psychological consequences of tinnitus.

Trends in Neurosciences, 2004

Journal of the Association for Research in Otolaryngology

A curative therapy for tinnitus currently does not exist. One may actually exist but cannot currently be causally linked to tinnitus due to the lack of consistency of concepts about the neural correlate of tinnitus. Depending on predictions, these concepts would require either a suppression or enhancement of brain activity or an increase in inhibition or disinhibition. Although procedures with a potential to silence tinnitus may exist, the lack of rationale for their curative success hampers an optimization of therapeutic protocols. We discuss here six candidate contributors to tinnitus that have been suggested by a variety of scientific experts in the field and that were addressed in a virtual panel discussion at the ARO round table in February 2021. In this discussion, several potential tinnitus contributors were considered: (i) inhibitory circuits, (ii) attention, (iii) stress, (iv) unidentified sub-entities, (v) maladaptive information transmission, and (vi) minor cochlear deaff...

Auris Nasus Larynx, 2011

Objectives: Tinnitus can be accompanied by depression, anxiety, insomnia, problems with auditory perception and poor general and mental health. This work was designed to evaluate the cognitive and psychological status in tinnitus patients using different subjective and objective measures. Methods: This work included 40 patients complaining of tinnitus without any vestibular complaints. Those patients were compared with 40 healthy age and sex matched controls. All subjects were evaluated through: basic audiologic evaluation, electrophysiological test (P300), oculomotor tests (smooth-pursuit, optokinetic, gaze and saccadic eye movements) and psychological evaluation (Hamilton depression and anxiety scales, Mini Mental Status Examination and Trail making tests). Results: Patients with tinnitus showed abnormalities at both electrophysiological and psychological levels when compared with normal subjects. Conclusion: This study provides evidences that different pathological mechanisms are involved in tinnitus generation which are more extensive than we thought.

Journal Riphah College of Rehabilitation Sciences, 2024

Objectives: To determine the characteristics of tinnitus and its association with clinical and demographic variables including psychological health. Methodology: This cross-sectional study recruited 80 tinnitus cases from ENT outpatients of District Head Quarter Hospital Chakwal from over a period of 6 months from 1st Jan 2019 to 31st June, 2019, using convenience sampling. Sample included both genders, aged 18-75 years with tinnitus for at least three months. Tinnitus Handicap Inventory (THI) & Depression Anxiety and Stress Scale 21 (DASS-21) were used for data collection & analysis done using SPSS-version 20. Anova statistics & Pearsons correlation was determined for THI and DASS-21. Chi-square test was used to see any association with clinic-demographic variables. P<0.05 was considered significant. Results: Study revealed 30(37.5%) cases with mild, 20(25%) each with moderate and severe while least 4(5%) catastrophic tinnitus. Tinnitus severity was significant associated with gender (p=0.005), age (p=0.035), educational level (p=0.049), occupation (p=0.002), duration of tinnitus (p=0.038), site of tinnitus (P<0.001) and type of tinnitus sound (P=0.003). Duration of tinnitus was associated with anxiety (p=0.024), site of tinnitus was associated with THI (p=0.016), anxiety (p=0.021), stress (p<0.001) and depression (p=0.02) and total DASS-21 (p=0.005). A significant positive correlation was present between tinnitus handicap, Anxiety, stress, depression and DASS-21 total score (P<0.001). Conclusion: Mild tinnitus was most prevalent (37.5%) with Tinnitus severity having significant association with gender, age, educational level, occupation, duration of tinnitus, site of tinnitus, and type of tinnitus sound. Duration of tinnitus was also associated with anxiety while site of tinnitus has association with THI, anxiety, stress, depression and total DASS-21. Significant positive correlation is present between THI and Anxiety, stress, depression and DASS-21 total score.

The International Tinnitus Journal, 2013

2020

Bartels, H. (2008a). General conclusions, discussion and future perspectives. In H. Bartels (Ed.), Tinnitus: new insights into pathophysiology, diagnosis and treatment. (pp. 159-171). Groningen: Ponsen & Looijen b.v. Bartels, H. (2008b). General introduction and outline of the thesis. In H. Bartels (Ed.), Tinnitus: new insights into pathophysiology, diagnosis and treatment. (pp. 11-17). Groningen: Ponsen & Looijen b.v.

Hno, 2019

ICD-10 Symptom Rating questionnaire for assessment of psychological comorbidities in patients with chronic tinnitus Background The term "tinnitus" (Latintinnire = ringing) refers to the condition in which people perceive sounds in the absence of external acoustic stimuli. There are two types of tinnitus: subjective and objective. "Objective" tinnitus can be perceived with aids-and sometimes even by the examiner. Possible causes comprise vascular malformations, arteriovenous (AV) fistulas, or paragangliomas. "Subjective" tinnitus, however, is far more common. It can only be perceived by the patient and cannot be objectified by conventional audiological diagnostics. Causes for subjective tinnitus are manifold and not always diagnosable. Possible risk factors are, for example, frequent noise exposure, ototoxic drugs, arterial hypertension, or otitis media [1]. Tinnitus is common in the general population. Langguth et al. [2] estimated the prevalence of tinnitus as ranging from 10 to 15%. Epidemiological studies show that chronic tinnitus is highly associated with psychological comorbidities [3, 4]. Common conditions include sleep difficulties, depression, or anxiety disorders that can lead to adverse effects across almost all domains of life for tinnitus sufferers. Depression and anxiety disor-The German version of this article can be found under

Progress in Brain Research, 2021

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