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Tinnitus Severity and Auditory Brainstem Response: A Correlative Study.

Sanjay Kumar1, Anghusman Dutta1, Rashmi Natraj2

  • 1Department of ENT-HNS, Command Hospital Airforce, Bangalore, Karnataka India.

Indian Journal of Otolaryngology and Head and Neck Surgery : Official Publication of the Association of Otolaryngologists of India
|July 29, 2025
PubMed
Summary

This study found a link between how severe tinnitus feels and objective auditory brainstem response (ABR) abnormalities. These findings suggest a neural basis for tinnitus and support combining subjective and objective measures for better treatment.

Keywords:
Auditory Brainstem ResponseModerate Hearing LossNeural DysfunctionTinnitusTinnitus Functional IndexTinnitus Severity

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Area of Science:

  • Neuroscience
  • Audiology
  • Otolaryngology

Background:

  • Tinnitus affects 10-15% of the global population, causing significant distress.
  • The link between subjective tinnitus severity and objective auditory brainstem response (ABR) findings is not well understood.
  • Understanding this relationship is crucial for improving tinnitus diagnosis and treatment.

Purpose of the Study:

  • To investigate the association between subjective tinnitus severity and objective ABR measures.
  • To explore the neural underpinnings of tinnitus.
  • To inform clinical practice by integrating subjective and objective assessments.

Main Methods:

  • Prospective observational study of 50 adults with chronic tinnitus.
  • Tinnitus severity assessed using the Tinnitus Functional Index (TFI).
  • Auditory Brainstem Response (ABR) testing analyzed wave latencies and inter-peak intervals.

Main Results:

  • TFI scores indicated significant impacts on quality of life, intrusiveness, and emotional distress.
  • ABR abnormalities, including prolonged Wave V latency and I-V interval, were found in 25% of participants.
  • Significant correlations were observed between tinnitus intrusiveness and Wave V latency, and emotional distress and the I-V interval.

Conclusions:

  • A significant association exists between subjective tinnitus severity and objective auditory brainstem dysfunction.
  • Findings emphasize the neural basis of tinnitus.
  • Integrating subjective and objective assessments is vital for personalized tinnitus management.