Hidden hearing loss and tinnitus: Utility of the high‐definition audiograms in diagnosis

Lefeuvre, J.-C.; Chedeau, Julie; Boulet, Marc; Fain, Gérald; Papon, Jean‐François; Nguyen, Yann; Nevoux, J.

doi:10.1111/coa.13435

Cited by 6 publications

(5 citation statements)

References 8 publications

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“…This technique may risk missing the hearing loss over a narrow frequency bandwidth, known as HHL (22). Lefeuvre et al (32) assessed hearing loss in 66 tinnitus patients with frequency accuracy and intensity accuracy at 1 dB HL using definition audiograms ranging from 1/24 octave to 1 Hz. The outcomes revealed that HHL was detected in 81.8% of the tinnitus patients; HHL was not detected in the volunteers without tinnitus.…”

Section: Discussionmentioning

confidence: 99%

Worldwide Tinnitus Research: A Bibliometric Analysis of the Published Literature Between 2001 and 2020

et al. 2022

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BackgroundIn recent years, tinnitus has attracted increasing research interest. However, bibliometric analysis of global research on tinnitus is rare. The objective of this study was to identify and describe the foci and developing trends of tinnitus research using a bibliometric approach.MethodsPublications related to tinnitus published from 2001 to 2020 were searched for in the Science Citation Index-Expanded (SCI-E) and Social Sciences Citation Index (SSCI) databases in the Web of Science Core Collection of Clarivate Analytics. The bibliometric approach was used to estimate the searched data, and VOSviewer and CiteSpace software were used to identify and analyze research foci and trends in the field of tinnitus.ResultsA total of 5,748 articles were included. The number of publications on tinnitus has increased dramatically in the last 20 years, especially since 2010. The leading country in terms of publications and access to collaborative networks was the United States. High-frequency keywords included tinnitus, hearing loss, prevalence, management, depression, mechanism, vertigo, hearing, inferior colliculus, and noise. The analyses of keyword burst detection indicated that prevalence, anxiety, and neural network are emerging research hotspots.ConclusionIn the past 20 years, academic understanding of tinnitus has improved considerably. This study provides an objective, systematic, and comprehensive analysis of tinnitus-related literature. Furthermore, current hot spots and prospective trends in the field of tinnitus were identified. These results will assist otolaryngologists and audiologists in identifying the evolving dynamics of tinnitus research and highlight areas for prospective research.

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Section: Discussionmentioning

confidence: 99%

Worldwide Tinnitus Research: A Bibliometric Analysis of the Published Literature Between 2001 and 2020

et al. 2022

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“…No absolute correlation between hearing loss and tinnitus was demonstrated since, as recently proposed, a mild hearing impairment could be present in patients with tinnitus and yet be missed by a standard pure tone audiogram (PTA) measured at octave or half octave intervals from 250 to 8,000 Hz (Xiong et al, 2019). Thus, a strong audiological evaluation would require a high definition audiogram with the study of high frequencies (Liberman et al, 2016;Lefeuvre et al, 2019), DPOAE (Xiong et al, 2019) and the threshold equalizing noise (TEN) test between 500 and 4 kHz (Kara et al, 2020) to detect hidden hearing loss and synaptopathy. Also, as proposed by Simoes et al (2019), neuroticism and extraversion might be relevant markers of tinnitus distress over time and may be used to statistically distinguish patient groups with clinically relevant changes of tinnitus distress.…”

Section: Discussionmentioning

confidence: 99%

Gender Comparison of Psychological Comorbidities in Tinnitus Patients – Results of a Cross-Sectional Study

et al. 2020

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Background: In the last decades, research focused on gender-related features in patients with tinnitus has often led to controversial results. The complex clinical picture of tinnitus patients often consists of an interdependent relationship between audiological symptoms and co-occurrent psychological disorders, which can complicate the diagnostic evaluation. Methods: Therefore, we studied 107 patients with tinnitus, investigating their psychological comorbidities in the light of gender differences. All patients were evaluated with ENT/audiological and psychological examination to consider presence/absence, type and gender distribution of psychopathological comorbidities. Patients completed questionnaires on tinnitus distress (Tinnitus Handicap Inventory, THI), anxiety (Beck Anxiety Inventory, BAI), depression (Beck Depression Inventory, BDI), metacognition (Metacognition Questionnaire-30, MCQ-30) and worry (Penn State Worry Questionnaire). The influence of gender on the relationship between tinnitus distress and psychological comorbidities was investigated with simple moderation analyses using the SPSS PROCESS macro. Results: The total sample included 65 male and 42 female patients (60.7 vs. 39.3%), matched for age and duration of tinnitus. We found no significant differences for tinnitus distress (THI total score, THI subscales) and MCQ-30 subscales, except for the control over thoughts, where men showed significantly higher scores than women (p = 0.045). Also, in our sample women showed significantly higher values for depression (BDI total score, p = 0.019), anxiety (BAI total score, p = 0.010) and worries (PSQW total score, p = 0.015). Moderation analyses revealed a significant influence of gender on the relationship of tinnitus distress with depression: higher scores of tinnitus distress were associated with significantly elevated levels of depression amongst men. No further gender influences could be observed in our sample. Discussion: In conclusion, our results indicate general gender differences for psychological comorbidities in tinnitus patients, with women reporting more depression, anxiety and worries. Men, on the other hand, showed a higher need to control their

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“…The presence or absence of hearing loss is usually clinically determined through pure tone audiometry (PTA) at octave frequencies between 125 and 8,000 Hz. Nevertheless, it is possible that the hearing loss exists at extended high frequencies or between two tested frequencies (Vielsmeier et al, 2015;Lefeuvre et al, 2019;Xiong et al, 2019), despite normal hearing in the range 125-8,000 Hz. Additionally, since audiometry only assesses sensitivity, it does not capture deficits in supra thresholds processing.…”

Section: General Individual Characteristicsmentioning

confidence: 99%

“…As discussed previously, hearing assessment often involves only standard PTA. However, a more comprehensive hearing assessment, including higher frequency resolution and extended high frequencies, would benefit tinnitus profiling as it would provide higher sensitivity for auditory system impairments (Vielsmeier et al, 2015;Lefeuvre et al, 2019;Xiong et al, 2019). Besides PTA, numerous other audiological tests can be used for a more in depth characterization of hearing function, including speech in noise audiometry, immittance tympanometry, acoustic reflex assessment, auditory brainstem responses (ABR), otoacoustic emissions (mainly distortion product otoacoustic emissions [DPOAE]), and loudness discomfort levels.…”

Section: Hearing Assessmentmentioning

confidence: 99%

Multidisciplinary Tinnitus Research: Challenges and Future Directions From the Perspective of Early Stage Researchers

Simões

Daoud

Shabbir

et al. 2021

Front. Aging Neurosci.

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Tinnitus can be a burdensome condition on both individual and societal levels. Many aspects of this condition remain elusive, including its underlying mechanisms, ultimately hindering the development of a cure. Interdisciplinary approaches are required to overcome long-established research challenges. This review summarizes current knowledge in various tinnitus-relevant research fields including tinnitus generating mechanisms, heterogeneity, epidemiology, assessment, and treatment development, in an effort to highlight the main challenges and provide suggestions for future research to overcome them. Four common themes across different areas were identified as future research direction: (1) Further establishment of multicenter and multidisciplinary collaborations; (2) Systematic reviews and syntheses of existing knowledge; (3) Standardization of research methods including tinnitus assessment, data acquisition, and data analysis protocols; (4) The design of studies with large sample sizes and the creation of large tinnitus-specific databases that would allow in-depth exploration of tinnitus heterogeneity.

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Hidden hearing loss and tinnitus: Utility of the high‐definition audiograms in diagnosis

Cited by 6 publications

References 8 publications

Worldwide Tinnitus Research: A Bibliometric Analysis of the Published Literature Between 2001 and 2020

Worldwide Tinnitus Research: A Bibliometric Analysis of the Published Literature Between 2001 and 2020

Gender Comparison of Psychological Comorbidities in Tinnitus Patients – Results of a Cross-Sectional Study

Multidisciplinary Tinnitus Research: Challenges and Future Directions From the Perspective of Early Stage Researchers

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