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Pediatric and Geriatric Tinnitus
1Otolaryngology, Head & Neck Surgery Department, Bnai-Zion Medical Center, and Technion-B. Rappaport Faculty of Medicine, Haifa, Israel.
The International Tinnitus Journal
|January 1, 1997
Summary
Tinnitus is often overlooked in children and the elderly. This review highlights its prevalence, causes, and treatments in these age groups, emphasizing the need for greater attention to pediatric and geriatric tinnitus.
Area of Science:
- Otolaryngology
- Audiology
- Gerontology
Background:
- Tinnitus in pediatric and geriatric populations is underrepresented in scientific literature.
- Children often do not spontaneously report tinnitus, while it is overshadowed by other health issues in the elderly.
- Presbytinnitus, linked to age-related hearing loss (presbycusis), is classified into two types based on cochlear aging and co-existing conditions.
Purpose of the Study:
- To review the existing literature on tinnitus in children and the elderly.
- To explore the incidence, characteristics, and potential treatments for tinnitus in these specific demographics.
Main Methods:
- Literature review focusing on pediatric and geriatric tinnitus.
- Analysis of tinnitus incidence, gender predilection, and correlations with noise exposure and hypertension.
- Review of various treatment modalities for geriatric tinnitus, including sound masking, medication, and surgical interventions.
Main Results:
- Tinnitus affects 11% of individuals with presbycusis, with severity correlating with noise exposure.
- Hypertension was associated with a lower incidence of tinnitus compared to normotension or hypotension.
- Pediatric tinnitus incidence ranges from 13% to 60% depending on audiological status, with behavioral issues noted despite low spontaneous reporting.
Conclusions:
- Tinnitus is prevalent in both pediatric and geriatric populations, though often underreported by children.
- Effective management strategies for geriatric tinnitus include sound masking and specific medical interventions.
- Further research is needed to address the impact and management of tinnitus in these underserved age groups.