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Amplifiers in Tinnitus Patients
Henk M Koning1, Bas C Ter Meulen2
1Department of Pain therapy, Pain Clinic De Bilt, De Bilt, The Netherlands.
The International Tinnitus Journal
|August 19, 2021
Summary
High tinnitus loudness is linked to female gender, cervical spine issues, and specific hearing loss patterns. These factors, alongside peripheral somatosensory or auditory system disorders, can amplify tinnitus intensity.
Area of Science:
- Audiology
- Neurology
- Orthopedics
Background:
- High tinnitus loudness can stem from peripheral somatosensory and/or auditory system disorders.
- Understanding factors contributing to severe tinnitus is crucial for effective management.
Purpose of the Study:
- To compare patients with high tinnitus loudness to those with low tinnitus loudness.
- To identify specific factors associated with high tinnitus loudness.
Main Methods:
- Retrospective cohort analysis of 234 tinnitus patients over four years.
- Data collected included tinnitus loudness (VAS), audiograms, and cervical spine radiographs.
- Analysis focused on age, sex, and radiographic findings.
Main Results:
- High tinnitus loudness correlated with higher prevalence in females, increased dizziness, and less self-perceived hearing loss.
- Cervical disc degeneration (C3-C6) and larger anterior spurs (C3-C6) were associated with high tinnitus loudness.
- Female gender, cervical spine pathology, and a steep audiometric ratio (8 kHz vs. 2 kHz hearing loss) amplified tinnitus loudness.
Conclusions:
- Peripheral somatosensory and/or auditory system disorders can provoke high tinnitus loudness.
- A steep audiometric edge and/or cervical spine pathology with sympathetic nervous system irritation amplify tinnitus loudness.
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