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Standard and Extend High-Frequency Audiometry in Sudden Sensorineural Hearing Loss: Impacts on Tinnitus and Mental Health.
Tomaz, Andreza; Peron, Kelly Abdo; Suzuki, Flavia Alencar de Barros; Monteiro, Silvia Roberta Gesteira; Chandrasekhar, Sujana S; Penido, Norma Oliveira.
Afiliação
  • Tomaz A; Department of Otolaryngology Head and Neck Surgery, Universidade Federal de São Paulo/Escola Paulista de Medicina (UNIFESP/EPM), São Paulo, Brazil.
  • Peron KA; Department of Otolaryngology Head and Neck Surgery, Universidade Federal de São Paulo/Escola Paulista de Medicina (UNIFESP/EPM), São Paulo, Brazil.
  • Suzuki FAB; Department of Otolaryngology Head and Neck Surgery, Universidade Federal de São Paulo/Escola Paulista de Medicina (UNIFESP/EPM), São Paulo, Brazil.
  • Monteiro SRG; Department of Otolaryngology Head and Neck Surgery, Universidade Federal de São Paulo/Escola Paulista de Medicina (UNIFESP/EPM), São Paulo, Brazil.
  • Chandrasekhar SS; ENT and Allergy Associates, LLP, New York, New York, USA.
  • Penido NO; Department of Otolaryngology Head and Neck Surgery, Universidade Federal de São Paulo/Escola Paulista de Medicina (UNIFESP/EPM), São Paulo, Brazil.
Otol Neurotol ; 45(5): e366-e375, 2024 Jun 01.
Article em En | MEDLINE | ID: mdl-38511269
ABSTRACT

OBJECTIVE:

To analyze the results of auditory assessment in standard (SA) and extended high-frequency (EHF) audiometry, associating the findings with sudden tinnitus and mental health of patients with unilateral sudden sensorineural hearing loss (SSNHL). STUDY

DESIGN:

Prospective, cohort study.

SETTING:

Outpatient otology clinic in a tertiary care hospital. SUBJECTS AND

METHODS:

Patients experiencing unilateral SSNHL were evaluated with pure-tone audiometry performed at frequencies of 250 to16,000 Hz, tinnitus pitch and loudness matching tests, Tinnitus Handicap Inventory (THI), Analog and Visual Scale (AVS) for bothersome tinnitus, and the Hospital Anxiety and Depression Scale (HADS).

RESULTS:

Eighteen patients with unilateral SSNHL were assessed. After starting treatment, there was a significant improvement in the SA (71.1 dB to 50 dB; p < 0.001*) and EHF audiometry (64.5 dB to 54.4 dB; p < 0.001*) thresholds at 15 days, and this persisted at 30 days of follow-up. Significant improvements were seen for tinnitus in loudness, VAS, and THI and for mental health in the realms of anxiety and depression by HADS. Despite improvements in SA, persistent EHF hearing loss was accompanied by persistent tinnitus, but it was of diminished loudness.

CONCLUSION:

Despite improvement in pure-tone thresholds by SA, a subset of unilateral SSNHL patients did not experience hearing recovery in EHF thresholds and reported persistent tinnitus. We postulate that their diminished anxiety and better mental health may be related to both hearing improvement in standard audiometry and reduction in tinnitus loudness. This pilot prospective study investigates the utility of performing EHF audiometry to better understand outcomes in patients with SSNHL.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Audiometria de Tons Puros / Zumbido / Perda Auditiva Súbita / Perda Auditiva Neurossensorial Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Otol Neurotol Assunto da revista: NEUROLOGIA / OTORRINOLARINGOLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Audiometria de Tons Puros / Zumbido / Perda Auditiva Súbita / Perda Auditiva Neurossensorial Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Otol Neurotol Assunto da revista: NEUROLOGIA / OTORRINOLARINGOLOGIA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos