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DOI: 10.1055/s-0040-1713921
Extended High Frequency Audiometry for Revealing Sudden Sensory Neural Hearing Loss in Acute Tinnitus Patients
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Abstract
Introduction The measurement of extended high-frequency (EHF) audiometry has become more popular recently, mainly in connection with ototoxicity and noiseinduced hearing loss. New-onset tinnitus evaluation includes a standard hearing test that shows no pathology.
Objective The aim of the present study was to evaluate the possibility that acute tinnitus is essentially connected to sudden sensory neural hearing loss (SSNHL), by utilizing EHF audiometry in cases in which standard audiometry for frequencies between 250 Hz to 8 kHz is within normal limits.
Methods A retrospective study was conducted between January 2009 and May 2014 that included all patients presenting with acute tinnitus and normal standard audiometry. All patients underwent EHF audiometry and were treated accordingly.
Results Thirty-two patients with acute tinnitus and asymmetric sensorineural hearing loss on EHF audiometry were identified. The average deltas between the ears were between 9.2 and 33dB (worse in the affected ear).
Conclusion Extended high-frequency audiometry up to 20,000 Hz should be performed in all patients with acute tinnitus and standard audiometry within normal limits.
Publication History
Received: 04 February 2020
Accepted: 06 May 2020
Article published online:
30 September 2020
© 2020. Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
- 1 Rodríguez Valiente A, Trinidad A, García Berrocal JR, Górriz C, Ramírez Camacho R. Extended high-frequency (9-20 kHz) audiometry reference thresholds in 645 healthy subjects. Int J Audiol 2014; 53 (08) 531-545
- 2 Fausti SA, Larson VD, Noffsinger D, Wilson RH, Phillips DS, Fowler CG. High-frequency audiometric monitoring strategies for early detection of ototoxicity. Ear Hear 1994; 15 (03) 232-239
- 3 Somma G, Pietroiusti A, Magrini A. et al. Extended high-frequency audiometry and noise induced hearing loss in cement workers. Am J Ind Med 2008; 51 (06) 452-462
- 4 Schmuziger N, Brechbuehl M, Probst R. Acoustic measures of low-frequency noise in extended high-frequency audiometry. J Acoust Soc Am 2007; 121 (03) EL120-EL124
- 5 Osterhammel D. High-frequency audiometry and noise-induced hearing loss. Scand Audiol 1979; 8 (02) 85-90
- 6 Balatsouras DG, Homsioglou E, Danielidis V. Extended high-frequency audiometry in patients with acoustic trauma. Clin Otolaryngol 2005; 30 (03) 249-254
- 7 Fausti SA, Erickson DA, Frey RH, Rappaport BZ, Schechter MA. The effects of noise upon human hearing sensitivity from 8000 to 20 000 Hz. J Acoust Soc Am 1981; 69 (05) 1343-1347
- 8 Fausti SA, Erickson DA, Frey RH, Rappaport BZ. The effects of impulsive noise upon human hearing sensitivity (8 to 20 kHz). Scand Audiol 1981; 10 (01) 21-29
- 9 Borchgrevink HM, Hallmo P, Mair IWS. Extended high-frequency hearing loss from noise exposure. Scientific Basis of Noise-induced Hearing Loss. Thieme; New York:
- 10 Hassmann-Poznańska E, Goździewski A, Piszcz M, Zajaczkiewicz H, Skotnicka B. [Influence of tympanic membrane changes on immittance and extended frequency audiometric findings]. Otolaryngol Pol 2010; 64 (05) 307-312
- 11 Ahonen JE, McDermott JC. Extended high-frequency hearing loss in children with cleft palate. Audiology 1984; 23 (05) 467-476
- 12 Sharma D, Munjal SK, Panda NK. Extended high frequency audiometry in secretory otitis media. Indian J Otolaryngol Head Neck Surg 2012; 64 (02) 145-149
- 13 Laitila P, Karma P, Sipilä M, Manninen M, Rakho T. Extended high frequency hearing and history of acute otitis media in 14-year-old children in Finland. Acta Otolaryngol Suppl 1997; 529: 27-29
- 14 Shim HJ, Kim SK, Park CH. et al. Hearing abilities at ultra-high frequency in patients with tinnitus. Clin Exp Otorhinolaryngol 2009; 2 (04) 169-174
- 15 Barnea G, Attias J, Gold S, Shahar A. Tinnitus with normal hearing sensitivity: extended high-frequency audiometry and auditory-nerve brain-stem-evoked responses. Audiology 1990; 29 (01) 36-45
- 16 Kim DK, Park SN, Kim HM. et al. Prevalence and significance of high-frequency hearing loss in subjectively normal-hearing patients with tinnitus. Ann Otol Rhinol Laryngol 2011; 120 (08) 523-528
- 17 Fabijańska A, Smurzyński J, Hatzopoulos S. et al. The relationship between distortion product otoacoustic emissions and extended high-frequency audiometry in tinnitus patients. Part 1: normally hearing patients with unilateral tinnitus. Med Sci Monit 2012; 18 (12) CR765-CR770
- 18 Hoare DJ, Kowalkowski VL, Kang S, Hall DA. Systematic review and meta-analyses of randomized controlled trials examining tinnitus management. Laryngoscope 2011; 121 (07) 1555-1564
- 19 An YH, Yu KK, Kwak MY, Yoon SW, Shim HJ. Prognostic factors for the outcomes of intratympanic dexamethasone in the treatment of acute subjective tinnitus. Otol Neurotol 2014; 35 (08) 1330-1337