Phonophobia After Stapedectomy

Mathisen, H S

doi:10.3109/00016486909121544

Cited by 20 publications

(9 citation statements)

References 3 publications

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“…Klein et al, 1990), fetal alcohol syndrome (Hill et al, 1989), singleincident or long-term noise exposure (e.g. Axelsson & Anari, 1993;Vernon, 1987), and as a sequalae to ear surgeries, especially stapedectomy (Mathisen, 1969;McCandless & Goering, 1974). What is puzzling, of course, is why some persons with these disorders/noise exposure develop hyperacusis, while most do not.…”

Section: Introductionmentioning

confidence: 95%

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Hyperacusis: Case studies and evaluation of electronic loudness suppression devices as a treatment approach

Sammeth

Preves

Brandy

2000

Scandinavian Audiology

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Hyperacusis, as defined here, is a relatively rare condition in which the patient, with or without hearing loss, experiences severe loudness discomfort to everyday environmental sound levels. The case studies of 14 patients with severe hyperacusis are described; all wore passive attenuators (earplugs and/or earmuffs) in an attempt to alleviate their discomfort, frequently producing communication difficulties. These subjects were fitted binaurally with experimental electronic loudness suppression devices housed in in-the-ear casings. The devices supplied low-level amplification followed by an extreme form of amplitude compression for moderate or high-level inputs in an attempt to reduce loudness discomfort without reducing audibility. Many of the subjects were found to function with a wider dynamic range with the active devices compared with passive attenuators or the unoccluded ear, and most reported that they benefited from the devices in at least some listening situations.

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Section: Introductionmentioning

confidence: 95%

“…'Hyperacusis dolorosa' has been used as a more general and inclusive term (e.g. Perlman, 1938;Mathisen, 1969), referring to discomfort at moderate sound levels regardless of hearing thresholds. So this latter category could include patients with cochlear hearing loss who show very severe loudness recruitment.…”

Section: Introductionmentioning

confidence: 99%

Hyperacusis: Case studies and evaluation of electronic loudness suppression devices as a treatment approach

Sammeth

Preves

Brandy

2000

Scandinavian Audiology

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“…Peripheral hyperacusis is distinct, both in symptom history and causation, from the proposed central hyperacusis which is the focus of this paper. Mathisen (1969) reports that stapedectomy patients typically complain of auditory over-sensitivity which subsides over the post-operative months. There are changes in the auditory protection mechanism of the ear (McCandless and Goering, 1974) as the stapedius muscle is cut.…”

Section: Peripheral Hyperacusismentioning

confidence: 99%

“…'Hyperacusis' or 'phonophobia' is used to describe an unusual hypersensitivity or discomfort induced by exposure to sound. Mathisen (1969) defines phonophobia as 'an abnormal discomfort for suprathreshold sound that does not annoy healthy individuals'. It is a subjective phenomenon and cannot be verified or quantified by objective measurement just as tinnitus cannot usually be objectively verified.…”

Section: Introductionmentioning

confidence: 99%

Is central hyperacusis a symptom of 5-hydroxytryptamine (5-HT) dysfunction?

1995

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The subjective symptom of hyperacusis is described. The terms ‘hyperacusis’ and ‘phonophobia’ are considered to be synonymous as there is no recognized distinction between these two descriptions. Peripheral auditory pathologies with associated hearing sensitivity are reviewed and the likely mechanisms underlying the hyperacusis are listed. The neurological conditions, which have been reported to occur with hyperacusis, are reviewed. A separate aetiology of central hyperacusis is therefore proposed, with a symptom profile distinct from the peripheral hyperacusisA common factor to neurological conditions with hyperacusis, is disturbance of 5-HT (5-hydroxytryptamine) or serotonin function. The research literature on the role of 5-HT in sensory modulation (specifically auditory startle) in animals is presented. It is proposed that 5-HT dysfunction is a probable cause of increased auditory sensitivity manifested as central hyperacusis or phonophobia

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“…It had previously been thought that the term hyperacusis was first used in the medical literature by Perlman in 1938, 1 but an earlier use by Turnbull in 1881 2 has now been identified in a description of a patient with pulsatile tinnitus and an inflammatory middle ear condition. An adaptation of the term to hyperacusis dolorosa was published by Mathisen in 1969, 3 capturing the adverse impact of the symptom in a series of patients following stapedectomy, but this was not adopted widely. In the present day, hyperacusis is used as a general term for decreased sound tolerance, without making assumptions about the emotional impact or source of sound, hence the definition by Baguley 4 of "abnormal lowered tolerance to sound," which others have supported.…”

Section: Definitionsmentioning

confidence: 99%

Hyperacusis: An Overview

Baguley

2014

Semin Hear

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Hyperacusis (decreased sound tolerance) can be extremely troublesome for affected individuals and their families. Many terms are used to describe sound tolerance symptoms in the clinical literature, and this has led to some confusion. There are associations between hyperacusis and otologic, developmental, neurological, and psychological disorders, and these are described. Work is underway regarding physiological mechanisms, with an increase in central auditory gain an area of interest, but this work is emergent at present. There is a clinical association between hyperacusis and tinnitus, with 40% of persons with troublesome tinnitus also experiencing decreased sound tolerance, but causality is not yet understood. The evaluation of a patient with hyperacusis involves a careful history and a cautious approach to audiological investigation, particularly regarding assessment of loudness tolerance. Questionnaire instruments exist for the assessment of hyperacusis, but none are designed for use with children. Many unanswered questions about decreased sound tolerance exist, and some of these are described.Learning Outcomes: As a result of this activity, the participant will be able to (1) list definitions and terminology of decreased sound tolerance symptoms and (2) describe the approach to evaluation in this patient group.A decrease in the ability to tolerate sound can have a markedly adverse effect upon an individual and their family. The 21st-century sound environment is replete with sounds of moderate to high intensity, both used intentionally to alert us (alarms, alerts, and announcements) and as part of the environmental soundscape (e.g., public transportation, grocery shopping, or attending school). The response of the individual with decreased sound tolerance

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Phonophobia After Stapedectomy

Cited by 20 publications

References 3 publications

Hyperacusis: Case studies and evaluation of electronic loudness suppression devices as a treatment approach

Hyperacusis: Case studies and evaluation of electronic loudness suppression devices as a treatment approach

Is central hyperacusis a symptom of 5-hydroxytryptamine (5-HT) dysfunction?

Hyperacusis: An Overview

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