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DefinitionTraumatic brain injury, or TBI, is a disturbance of normal brain function induced by an external mechanical force, such as a direct blow to the head or a penetrating injury. It can affect both brain structure and function, producing a wide range of clinical outcomes. TBI is a heterogeneous condition, meaning its effects may differ based on the type, location, and severity of the injury.Basis of ClassificationTBI is classified based on severity, injury mechanism, or pathophysiology. In...
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Trauma-associated tinnitus.

Peter M Kreuzer1, Michael Landgrebe, Veronika Vielsmeier

  • 1Departments of Psychiatry and Psychotherapy (Drs Kreuzer, Landgrebe, and Langguth) and Otolaryngology (Dr Vielsmeier), University of Regensburg, Regensburg, Germany; Department of Psychiatry, Psychosomatic Medicine and Psychotherapy, Social Foundation Bamberg, Bamberg, Germany (Dr Landgrebe); Department of Otolaryngology, University of Zurich, Zurich, Switzerland (Dr Kleinjung); Brain Research Center Antwerp for Innovative & Interdisciplinary Neuromodulation, Antwerp, Belgium; and Unit of Neurosurgery, Department of Surgical Sciences, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand (Dr De Ridder).

The Journal of Head Trauma Rehabilitation
|August 29, 2013
PubMed
Summary
This summary is machine-generated.

Traumatic brain injuries frequently cause tinnitus, yet research is limited. Standardized patient assessment is crucial for better clinical care and understanding tinnitus causes after trauma.

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Area of Science:

  • Otolaryngology
  • Neurology
  • Trauma Medicine

Background:

  • Tinnitus affects up to 53% of individuals with traumatic brain injuries.
  • Trauma-associated tinnitus presents a significant clinical challenge due to limited research.

Purpose of the Study:

  • To review existing literature on trauma-associated tinnitus.
  • To guide the clinical management of patients with trauma-related tinnitus.

Main Methods:

  • Systematic literature search in PubMed using terms 'posttraumatic tinnitus' and 'trauma-associated tinnitus'.
  • Inclusion of related studies, book chapters, and authors' clinical experience.

Main Results:

  • Tinnitus can result from mechanical, pressure, noise, neck, or emotional trauma.
  • Specific conditions like ossicular chain disruption, eardrum perforation, or perilymphatic fistula may require surgical intervention.
  • Pulsatile tinnitus can indicate serious vascular conditions (e.g., carotid cavernous fistulas, arteriovenous malformations, carotid dissections).
  • Posttraumatic stress disorder is a potential contributing factor.

Conclusions:

  • A significant gap exists between the high incidence of trauma-associated tinnitus and available literature.
  • Standardized assessment of tinnitus and hearing issues following trauma is recommended.
  • Improved assessment will enhance clinical care and elucidate underlying pathophysiological mechanisms.