Cofactors of Pediatric Tinnitus: A Look at the Whole Picture

Jessica Levi1,2, Krystyne Basa1,2, Kevin Wong1,2

  • 11 Boston Medical Center, Boston, MA USA.

Clinical Pediatrics
|December 4, 2018
PubMed

Insights

This study on pediatric tinnitus found rhinosinusitis may be a predictor, unlike otitis media. Further research is needed on imaging and psychiatric links in young children with tinnitus.

Area of Science:

  • Pediatric Otolaryngology
  • Audiology
  • Child Psychiatry

Background:

  • Pediatric tinnitus is complex, with varied potential contributing factors.
  • Understanding cofactors is crucial for accurate diagnosis and management in children.

Purpose of the Study:

  • To identify predictors and cofactors associated with pediatric tinnitus.
  • To investigate the prevalence of certain conditions in children with tinnitus compared to the general population.

Main Methods:

  • Retrospective chart review of 248 children (aged 1-19) with tinnitus.
  • Analysis of demographics, symptoms, medical history, imaging, and lab results.
  • Comparison with general population data.

Main Results:

  • 87% of children had normal hearing.
  • Lower incidence of otitis media and Eustachian tube dysfunction observed.
  • Higher incidence of rhinosinusitis noted; prevalence of dizziness, asthma, and hearing loss similar to the general population.

Conclusions:

  • Rhinosinusitis may be a significant cofactor in pediatric tinnitus.
  • Gaps exist in understanding the role of imaging and psychiatric diagnoses in younger children.
  • Improved patient reporting and objective testing are needed for pediatric tinnitus detection.

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