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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.
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.
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