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Pediatric tinnitus: A clinical perspective.

Kenny H Chan1,2, Emily L Jensen1,2, Dexiang Gao3

  • 1Department of Otolaryngology, University of Colorado School of Medicine, Aurora, Colorado, U.S.A.

The Laryngoscope
|November 7, 2017
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Summary

Pediatric tinnitus often resolves or improves, differing from adult cases with less hearing loss and anxiety. Prevention strategies include reducing head injuries and noise exposure.

Keywords:
Childrencharacteristicsetiologyhearing lossringing

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Area of Science:

  • Otolaryngology
  • Pediatric Health
  • Audiology

Background:

  • Pediatric tinnitus is less understood than adult tinnitus.
  • Clinical features and natural history require further definition.

Purpose of the Study:

  • To define clinical features and natural history of pediatric tinnitus.
  • To formulate hypotheses from an otolaryngologist's perspective.

Main Methods:

  • Retrospective chart review of electronic medical records.
  • Inclusion of patients with prior otolaryngology visits and audiologic testing.
  • Telephone questionnaires for quality of life and symptom assessment.

Main Results:

  • 180 pediatric subjects identified; 22.2% had hearing loss.
  • Etiology identified in 52.8%; therapies given to 44.4%.
  • Favorable shift in tinnitus complaints (improvement/resolution) observed (P = .001). Shorter duration linked to better outcomes (P = .046).

Conclusions:

  • Pediatric tinnitus shows lower hearing loss and anxiety association than adult tinnitus.
  • Higher likelihood of improvement and resolution in children.
  • Opportunities for prevention via reduced head injury and noise exposure.