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From Acute to Chronic Tinnitus: Pilot Data on Predictors and Progression.

Veronika Vielsmeier¹, Ryan Santiago Stiel², Pingling Kwok¹

¹Department of Otorhinolaryngology, University of Regensburg, Regensburg, Germany.

Frontiers in Neurology

|October 12, 2020

Summary

Few patients with acute tinnitus achieve full remission, differentiating factors include shorter duration and less hyperacusis. Understanding the acute to chronic tinnitus transition is crucial for future interventions.

Keywords:

acute tinnitus causes for progression chronic tinnitus predictors questionnaire

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Area of Science:

Audiology
Otolaryngology
Clinical Research

Background:

The transition from acute tinnitus to chronic tinnitus remains poorly understood.
Prospective data on the trajectory of acute tinnitus is limited.

Purpose of the Study:

To investigate the natural course of acute tinnitus over six months.
To identify factors associated with tinnitus remission versus chronification.

Main Methods:

Prospective pilot study of 49 patients with acute tinnitus (duration < 28 days).
Data collection included demographics, tinnitus characteristics, personality, health, treatments, and lifestyle at baseline, 3, and 6 months.
Standard audiograms were performed at baseline and 3 months.

Main Results:

Nine patients (18.4%) experienced full tinnitus remission.
Remission was associated with shorter tinnitus duration, lower fear-related hyperacusis, higher proportion of females, increased ear pressure, and lower alcohol consumption.
Tinnitus characteristics did not change in patients with chronic tinnitus, but tinnitus distress moderately improved.

Conclusions:

Only a small percentage of patients with acute tinnitus achieve remission.
Factors identified may aid in predicting tinnitus outcomes and designing future interventional studies for tinnitus management.