Hostname: page-component-8448b6f56d-xtgtn Total loading time: 0 Render date: 2024-04-20T02:41:09.941Z Has data issue: false hasContentIssue false
  • English
  • Français

The significance of extended high-frequency audiometry in tinnitus patients with normal hearing as evaluated via conventional pure tone audiometry

Published online by Cambridge University Press:  24 May 2023

Xiaoyan Ma Open the ORCID record for Xiaoyan Ma [Opens in a new window] ,
Weidong Shen ,
Shiming Yang  and
Fangyuan Wang
Xiaoyan Ma
Affiliation:
First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China Senior Department of Otolaryngology – Head and Neck Surgery, Sixth Medical Center of People's Liberation Army General Hospital, Beijing, China National Clinical Research Center for Otolaryngologic Diseases, Beijing, China State Key Lab of Hearing Science, Ministry of Education, Beijing, China Beijing Key Lab of Hearing Impairment Prevention and Treatment, Beijing, China
Weidong Shen
Affiliation:
Senior Department of Otolaryngology – Head and Neck Surgery, Sixth Medical Center of People's Liberation Army General Hospital, Beijing, China National Clinical Research Center for Otolaryngologic Diseases, Beijing, China State Key Lab of Hearing Science, Ministry of Education, Beijing, China
Shiming Yang
Affiliation:
Senior Department of Otolaryngology – Head and Neck Surgery, Sixth Medical Center of People's Liberation Army General Hospital, Beijing, China National Clinical Research Center for Otolaryngologic Diseases, Beijing, China State Key Lab of Hearing Science, Ministry of Education, Beijing, China
Fangyuan Wang*
Affiliation:
Senior Department of Otolaryngology – Head and Neck Surgery, Sixth Medical Center of People's Liberation Army General Hospital, Beijing, China National Clinical Research Center for Otolaryngologic Diseases, Beijing, China State Key Lab of Hearing Science, Ministry of Education, Beijing, China
*
Corresponding author: Fangyuan Wang; Email: fyw0530@126.com
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

This study was designed to determine whether extended high-frequency audiometry was capable of better differentiating between participants with normal hearing who did or did not have subjective tinnitus.

Methods

A total of 96 study participants were enrolled: 36 patients with unilateral tinnitus, 28 patients with bilateral tinnitus and 32 volunteers as controls. All 96 participants exhibited normal audiometry findings and hearing thresholds. Extended high-frequency audiometry was used to evaluate these patients.

Results

There were differences between the extended high-frequency hearing thresholds of affected and unaffected ears in those with unilateral tinnitus, and in the 20–29-year-old bilateral tinnitus group, at 11.2, 12.5 and 14 kHz. Unilateral tinnitus subgroups had higher extended high-frequency hearing thresholds than those in control subjects, at all extended high frequencies.

Conclusion

Extended high-frequency audiometry can offer additional information regarding the hearing status of patients with tinnitus who exhibit normal pure tone thresholds when analysed via conventional hearing thresholds.

Keywords

Tinnitusaudiometrypure-toneextended high frequency
Type
Main Article
Information
The Journal of Laryngology & Otology , Volume 138 , Issue 4 , April 2024 , pp. 381 - 387
Copyright
Copyright © The Author(s), 2023. Published by Cambridge University Press on behalf of J.L.O. (1984) LIMITED

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Footnotes

Xiaoyan Ma takes responsibility for the integrity of the content of the paper

References

Lockwood, AH, Salvi, RJ, Burkard, RF. Tinnitus. N Engl J Med 2002;347:904–10CrossRefGoogle ScholarPubMed
Baguley, D, McFerran, D, Hall, D. Tinnitus. Lancet 2013;382:1600–7CrossRefGoogle ScholarPubMed
Nondahl, DM, Cruickshanks, KJ, Huang, G-H, Klein, BE, Klein, R, Javier Nieto, F et al. Tinnitus and its risk factors in the Beaver Dam offspring study. Int J Audiol 2011;50:313–20CrossRefGoogle ScholarPubMed
Vernon, J. Attempts to relieve tinnitus. J Am Audiol Soc 1977;2:124–31Google Scholar
Xiong, B, Liu, Z, Liu, Q, Peng, Y, Wu, H, Lin, Y et al. Missed hearing loss in tinnitus patients with normal audiograms. Hear Res 2019;384:107826CrossRefGoogle ScholarPubMed
Schaette, R, McAlpine, D. Tinnitus with a normal audiogram: physiological evidence for hidden hearing loss and computational model. J Neurosci 2011;31:13452–7CrossRefGoogle ScholarPubMed
Fabijańska, A, Smurzyński, 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:Cr765–70CrossRefGoogle ScholarPubMed
Mehrparvar, A, Mirmohammadi, S, Ghoreyshi, A, Mollasadeghi, A, Loukzadeh, Z. High-frequency audiometry: a means for early diagnosis of noise-induced hearing loss. Noise Health 2011;13:402–6CrossRefGoogle ScholarPubMed
Elmoazen, D, Kozou, H, Mohamed, A. High frequency audiometry in tinnitus patients with normal hearing in conventional audiometry. Egypt J Otolaryngol 2018;34:308–15CrossRefGoogle Scholar
Mujdeci, B, Dere, H. The results of high-frequency audiometry in tinnitus patients. Hear Balance Commun 2019;17:266–9CrossRefGoogle Scholar
Sakata, T, Ueno, T, Takase, H, Shiraishi, K, Nakagawa, T. Acute idiopathic sensorineural hearing impairment at frequency exceeding 8 kHz. Acta Otolaryngol 2010;130:1141–6CrossRefGoogle Scholar
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;2:169–74CrossRefGoogle ScholarPubMed
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;29:36–45CrossRefGoogle ScholarPubMed
American Speech-Language-Hearing Association. Guidelines for Manual Pure-Tone Threshold Audiometry. Rockville, MD: American Speech-Language-Hearing Association, 2005Google Scholar
Newman, CW, Sandridge, SA, Jacobson, GP. Assessing outcomes of tinnitus intervention. J Am Acad Audiol 2014;25:76–105Google ScholarPubMed
Roberts, LE, Moffat, G, Bosnyak, DJ. Residual inhibition functions in relation to tinnitus spectra and auditory threshold shift. Acta Otolaryngol 2006;126:27–33CrossRefGoogle Scholar
Shiomi, Y, Tsuji, J, Naito, Y, Fujiki, N, Yamamoto, N. Characteristics of DPOAE audiogram in tinnitus patients. Hear Res 1997;108:83–8CrossRefGoogle ScholarPubMed
Song, Z, Wu, Y, Tang, D, Lu, X, Qiao, L, Wang, J et al. Tinnitus is associated with extended high-frequency hearing loss and hidden high-frequency damage in young patients. Otol Neurotol 2021;42:377–83CrossRefGoogle ScholarPubMed
König, O, Schaette, R, Kempter, R, Gross, M. Course of hearing loss and occurrence of tinnitus. Hear Res 2006;221:59–64CrossRefGoogle ScholarPubMed
Hunter, LL, Monson, BB, Moore, DR, Dhar, S, Wright, BA, Munro, KJ et al. Extended high frequency hearing and speech perception implications in adults and children. Hear Res 2020;397:107922CrossRefGoogle ScholarPubMed
Mishra, SK, Saxena, U, Rodrigo, H. Extended high-frequency hearing impairment despite a normal audiogram: relation to early aging, speech-in-noise perception, cochlear function, and routine earphone use. Ear Hear 2022;43:822–35CrossRefGoogle ScholarPubMed
Löppönen, H, Laitakari, K, Sorri, M. High-frequency audiometry accelerometric findings with electric bone-conduction audiometry. Scand Audiol 1991;20:61–7CrossRefGoogle ScholarPubMed