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Tinnitus in the side with better hearing.
Ho Yun Lee1, Su Jin Kim1, Dong Sik Chang1
1Department of Otorhinolaryngology - Head and Neck Surgery, School of Medicine, Eulji University, Daejeon, South Korea.
American Journal of Otolaryngology
|February 26, 2019
Summary
Tinnitus can indicate hearing loss even on the better-hearing side. Fluctuating hearing loss is the most common cause, and individual frequency assessments are key for diagnosis.
Area of Science:
- Audiology
- Otolaryngology
- Neurology
Background:
- Unilateral tinnitus often prompts clinical evaluation.
- Understanding tinnitus characteristics in the better-hearing ear is crucial for diagnosis.
- Previous studies have not fully elucidated the audiological profile of tinnitus patients with normal hearing in the contralateral ear.
Purpose of the Study:
- To characterize patients experiencing tinnitus in their better-hearing ear.
- To identify the audiological findings and potential etiologies associated with tinnitus in the better-hearing ear.
- To investigate the relationship between tinnitus laterality and underlying hearing impairments.
Main Methods:
- Retrospective analysis of 62 patients with unilateral tinnitus presenting at a university hospital tinnitus clinic.
- Pure-tone audiometry to assess hearing thresholds, including calculation of mean hearing level at 1, 2, 3, and 4 kHz.
- Comprehensive review of medical history, tinnitus questionnaires, and other audiological test results.
Main Results:
- Fluctuating hearing loss was the most frequent diagnosis (25.8%), followed by high-frequency hearing loss (21.0%).
- Sudden idiopathic hearing loss and presbycusis each accounted for 9.7% of cases.
- Somatosensory tinnitus was identified in 12.9% of patients, with associations to neck pain (8.1%) and temporomandibular disorder (3.2%).
Conclusions:
- Tinnitus, even in the better-hearing ear, can be linked to hearing deterioration.
- Fluctuating hearing loss is a primary audiological finding in this patient group.
- Frequency-specific hearing assessments are superior to mean hearing levels for detecting high-frequency loss; somatosensory tinnitus warrants consideration.
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