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Tinnitus in children: an uncommon symptom?
1St Ann's Hospital, Haringey Teaching PCT, Tottenham, London,UK. a_shetye@hotmail.com
Archives of Disease in Childhood
|April 8, 2010
Summary
Tinnitus in children is often overlooked but can affect up to 10% of kids. Early history taking and a pragmatic approach are key for managing this auditory symptom in pediatric patients.
Area of Science:
- Pediatric audiology
- Otolaryngology
- Child psychology
Background:
- Tinnitus in children is an uncommon yet significant issue, often missed by general pediatricians.
- Prevalence ranges from 12-36% in children with normal hearing to 66% in those with hearing loss.
- Behavioral problems in children may indicate underlying, unexpressed tinnitus.
Purpose of the Study:
- To review the literature on the nature and impact of tinnitus in children.
- To propose a pragmatic management approach due to the lack of existing guidelines.
- To emphasize the importance of addressing children's fears and insights regarding tinnitus.
Main Methods:
- Literature review of existing studies on pediatric tinnitus.
- Analysis of prevalence data across different hearing threshold groups.
- Synthesis of clinical findings to inform management strategies.
Main Results:
- Tinnitus affects approximately 3-10% of children, with higher rates in those with hearing loss.
- Children may not spontaneously report tinnitus, manifesting instead as behavioral issues.
- A careful history and clinical assessment are crucial for diagnosis and management.
Conclusions:
- A pragmatic, history-guided approach is recommended for managing tinnitus in children.
- Addressing children's perspectives is vital for effective intervention.
- Referral to pediatric audiology is essential for children with troublesome tinnitus for further evaluation and care.
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