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Behavioral Assessment of Hearing in 2 to 4 Year-old Children: A Two-interval, Observer-based Procedure Using Conditioned Play-based Responses
Published on: January 23, 2017
Tinnitus in children without hearing impairment
Marina Savastano1, Gino Marioni, Cosimo de Filippis
1Department of Medical-Surgical Specialities, University of Padua, Padua, Italy. marina.savastano@unipd.it
Insights
Pediatric tinnitus is common, even in children with normal hearing. Early identification and evaluation are crucial for managing this symptom and its potential consequences.
Area of Science:
- Otolaryngology
- Pediatric Audiology
- Neurology
Background:
- Tinnitus is a common symptom in adults, often without identifiable ear disease.
- Pediatric tinnitus is frequently unrecognized, especially in children with normal hearing.
- Understanding tinnitus in children requires differentiating between cases with and without otological pathology.
Purpose of the Study:
- To highlight the importance of identifying tinnitus in children.
- To analyze the characteristics of tinnitus in pediatric patients.
- To differentiate tinnitus presentation in children with and without ear pathology.
Main Methods:
- A comprehensive literature review on pediatric tinnitus.
- Analysis of diagnostic approaches for tinnitus in children.
- Review of reported cases and etiological factors.
Main Results:
- Children often report tinnitus only when specifically asked, with prevalence increasing significantly.
- Over 50% of children with tinnitus have normal hearing; hearing loss is not specific.
- Tinnitus following head injuries is a significant concern in children.
Conclusions:
- Pediatric tinnitus is a prevalent issue that warrants thorough investigation, even without ear pathology.
- A global evaluation approach is essential for children experiencing tinnitus.
- Tinnitus in children, similar to adults, can have significant medical and rehabilitative implications.
Objective:
Tinnitus is not an uncommon symptom in the pediatric population and, despite its incidence, is still an unrecognized problem, particularly in normal hearing children. As tinnitus is frequently described by adults without evidence of ear disease, reports of tinnitus can be obtained also from a group of children without otological pathology. The present review has been performed in order to emphasize the great importance to try to identify children suffering from tinnitus and to recognize the difference between the tinnitus characteristics in children with ear pathology and those one without otological problems.
Methods:
A review of the literature regarding the nature of pediatric tinnitus and the practical diagnostic approach to this symptom has been carried out.
Results:
Children rarely complain spontaneously of tinnitus but are able to describe it when questioned. In our experience the total percentage of children with tinnitus rises from 6.5% (tinnitus reported spontaneously), to 34% when children are specifically questioned. Most children, more than 50%, have normal hearing; in those with hearing impairment, no particular type or severity of hearing loss has been found. An important point that must be considered much more seriously is tinnitus sequela following head injuries to which children are particularly exposed during their daily activities. Due to the serious consequences that may be caused by tinnitus, it is of great importance to identify and analyze it, so as to minimize its damage, utilizing a protocol of study of pediatric tinnitus which allows to collect interesting informations about tinnitus characteristics.
Conclusions:
In considering that tinnitus in children exists and may provoke serious consequences, even in absence of ear pathology, it is necessary to investigate and understand more about this symptom in children. From this viewpoint, it is very important to recognize the value of a global evaluation of a child suffering from tinnitus. There is no reason why such an important symptom well reported in adults should not be investigated in the pediatric population in which it seems to be as frequent as in the adult one. It is reasonable to believe that also in children tinnitus may have significant implications for medical and rehabilitative management.
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