Listening handicap in tinnitus patients by controlling extended high frequencies - Effort or fatigue?


SENDESEN E., Turkyilmaz D.

Auris Nasus Larynx, cilt.51, sa.1, ss.198-205, 2024 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 51 Sayı: 1
  • Basım Tarihi: 2024
  • Doi Numarası: 10.1016/j.anl.2023.04.011
  • Dergi Adı: Auris Nasus Larynx
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, CINAHL, EMBASE, MEDLINE
  • Sayfa Sayıları: ss.198-205
  • Anahtar Kelimeler: Extended high frequencies, Listening fatigue, Pupillometry, Tinnitus
  • Hacettepe Üniversitesi Adresli: Evet

Özet

Objective: In previous studies, the results regarding the presence of listening effort or fatigue in tinnitus patients were inconsistent. The reason for this inconsistency could be that extended high frequencies, which can cause listening handicap, were not considered. Therefore, this study aimed to evaluate the listening skills in tinnitus patients by matching the hearing thresholds at all frequencies, including the extended high frequency. Methods: Eighteen chronic tinnitus patients and thirty matched healthy controls having normal pure-tone average with symmetrical hearing thresholds was included. Subjects were evaluated with 0.125-20 kHz pure-tone audiometry, Montreal cognitive assessment test (MoCA), Tinnitus Handicap Inventory (THI), Matrix Test, Pupillometry. Results: Pupil dilatation in the 'coding' phase of the sentence presented in tinnitus patients was less than in the control group (p<0.05). There was no difference between the groups for Matrix test scores (p> 0.05) Also, there was no statistically significant correlation between THI and Pupillometry components nor between MoCA (p>0.05). Conclusion: The results were interpreted for potential listening fatigue in tinnitus patients. Considering the possible listening handicap in tinnitus patients, reducing the listening difficulties especially in noisy environments, can be added to the goals of tinnitus therapy protocols.