Willingness-to-Accept Gamma Knife Radiosurgery for Tinnitus Among Career San Francisco Firefighters

Pross, Seth E.; Allen, Camille A.; Hong, OiSaeng; Cheung, Steven W.

doi:10.1097/mao.0000000000000312

Cited by 11 publications

(7 citation statements)

References 24 publications

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“…This survey has been demonstrated to have an excellent test-retest reliability of 0.78 and high internal consistency reliability with a Cronbach’s alpha value of 0.97 [10,11]. The TFI survey has been used previously to assess the severity of tinnitus in firefighters [6]. Therefore, we employed the same survey to enable the comparison of our findings with these studies.…”

Section: Methodsmentioning

confidence: 99%

“…However, the prevalence rate is likely to be much higher in vulnerable populations, such as first responders, as they are often exposed to many of the risk factors. Although a recent study indicated that 52% of firefighters in San Francisco reported some degree of tinnitus [6], it is not clear whether the prevalence of tinnitus is at such a high levels among all firefighters. Nevertheless, depending on the frequency and amplitude, the presence of a phantom sound can adversely affect the performance of firefighters, as it can mask some of the auditory cues required to take appropriate actions in life-threatening situations.…”

Section: Introductionmentioning

confidence: 99%

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Tinnitus and Self-Perceived Hearing Handicap in Firefighters: A Cross-Sectional Study

Jamesdaniel

Elhage

Rosati

et al. 2019

IJERPH

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Firefighters are susceptible to auditory dysfunction due to long-term exposure to noise from sirens, air horns, equipment, and tools used in forcible entry, ventilation, and extrication. In addition, they are exposed to ototoxic chemicals, particularly, during overhaul operations. Studies indicate that 40% of firefighters have hearing loss in the noise-sensitive frequencies of 4 and 6 kHz. Noise-induced hearing loss (NIHL) is often accompanied by tinnitus, which is characterized by ringing noise in the ears. The presence of phantom sounds can adversely affect the performance of firefighters. However, there has been limited research conducted on the prevalence of tinnitus in firefighters. We enrolled firefighters from Michigan, with at least 5 years of continuous service. The hearing handicap inventory for adults (HHIA) was used to determine the difficulty in hearing perceived by the firefighters and the tinnitus functional index (TFI) was used to determine the severity of tinnitus. Self-perceived hearing handicap was reported by 36% of the participants, while tinnitus was reported by 48% of the participants. The TFI survey indicated that 31% perceived tinnitus as a problem. More importantly, self-perceived hearing handicap was significantly associated with the incidence of tinnitus in firefighters, suggesting a potential link between occupational exposure to ototraumatic agents and tinnitus in firefighters.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Tinnitus and Self-Perceived Hearing Handicap in Firefighters: A Cross-Sectional Study

Jamesdaniel

Elhage

Rosati

et al. 2019

IJERPH

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“…Among the 201 individuals who responded to the survey in its entirety or partially, 188 were categorized as rational respondents . Irrational respondents were defined as individuals who submitted duplicate responses from identical Internet Protocol addresses or whose answers were submitted in an incongruent manner, as previously defined . Of those unique entries, 154 (82%) were deemed completed surveys.…”

Section: Methodsmentioning

confidence: 99%

Tinnitus following treatment for sporadic Acoustic neuroma

2015

Self Cite

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“…Die entsprechende Bereitschaft war abhängig vom prognostizierten Erfolg: Bei 100 % Erfolg würden sich 60 % der Befragten dieser Therapie unterziehen, bei einer 75 % Besserung noch 43 %. Darunter sank die Bereitschaft deutlich ab [117].…”

Section: Invasive Kortikale Tinnitustherapieunclassified

Evidenz- und Evidenzlücken der Tinnitustherapie

Hesse¹

2016

Laryngo-Rhino-Otol

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A broad variety of therapeutic regimen is proposed, introduced and sold against tinnitus, but most of these approaches lack scientific validation and evidence. Up to date a causal, tinnitus eliminating therapy is not available. Most probably this will not be possible at all, as the mechanism of tinnitus generation are multiple and include peripheral as well as central or cortical reactions. Like in fashion and design however, therapeutic medical interventions against tinnitus come in waves again and again over the last decades, without being able to prove lasting and scientifically evident effects.This review presents, discusses and assesses almost all available therapies regarding their evidence. Evidence should include besides external evidence through publications and available data also internal evidence, e.g. including experience of the therapist and needs of the patients.Almost all interventions that try to influence the inner ear or the auditory cortex either pharmaceutically or by direct stimulation or modulation do not reach evidence. However, there are procedures that have proven to be effective and show at least certain degrees of evidence with proven strength of effect. These are habituation therapies and psychotherapeutic interventions like cognitive behavioural therapy, especially when they are combined with concrete measures to improve auditory perception like hearing-aids, cochlear implants or hearing-therapy.

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Willingness-to-Accept Gamma Knife Radiosurgery for Tinnitus Among Career San Francisco Firefighters

Cited by 11 publications

References 24 publications

Tinnitus and Self-Perceived Hearing Handicap in Firefighters: A Cross-Sectional Study

Tinnitus and Self-Perceived Hearing Handicap in Firefighters: A Cross-Sectional Study

Tinnitus following treatment for sporadic Acoustic neuroma

Evidenz- und Evidenzlücken der Tinnitustherapie

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