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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
PubMed
Summary
This summary is machine-generated.

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.

Keywords:
AudiogramCervical spineGenderLoudnessTinnitus

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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.