Comparing OAE and ABR Tests in Tinnitus Patients with and without Hearing Loss
Journal of Otorhinolaryngology and Facial Plastic Surgery,
Vol. 3 No. 1 (2017),
16 August 2017
https://doi.org/10.22037/orlfps.v3i1.18241
Abstract
Background: Tinnitus is the perception of sound in the absence of any external stimulus. It may be generated by abnormalities in both peripheral or central auditory system. The auditory tests are useful tools for the evaluation of tinnitus origin.
Purpose: In this study, we compared the results of OAE( Otoacoustic Emissions) and ABR (Auditory Brainstem Response) hearing tests among patients with tinnitus without hearing loss and patients with tinnitus and hearing loss.
Methods: In this cross-sectional study, 60 patients with tinnitus were enrolled and were divided into two groups; a group without hearing loss and other group with hearing loss. DPOAE (Distortion Product Otoacoustic Emissions) TEOAE (Transient Evoked Otoacoustic Emissions), and ABR were performed for all patients with tinnitus referring to ENT clinic of Taleghani Hospital during 2014.
Results: In the present study, 60 patients with a mean age of 52.76±15.69, including 37 (61.7%) male and 23 (38.3%) female, were studied. Patients without hearing loss were younger than those with hearing loss (P=0.001). The mean Speech Reception Threshold (SRT) in the group without hearing loss in both ears was significantly lower than patients with hearing loss (P=0.001). The difference between two groups regarding ABR in right ear in waves I, V, and I-V was statistically significant (P<0.05). In patients without hearing loss there was a significant difference between two age groups (>55 and ≤55 years) in wave III of ABR in left ear (P=0.03).
Conclusion: We revealed that SRT and ABR in waves I, V, and I-V in the group with hearing loss were higher than patients without hearing loss.- Otoacoustic Emissions
- Auditory Brainstem Response
- Tinnitus
- Hearing loss
How to Cite
References
Davis A, El Rafaie A. Epidemiology of tinnitus. Tyler RS, editor. In: Tinnitus Handbook. Stamford: Cengage Learning; 2000. p. 1-23.
Georgiewa P, Klapp BF, Fischer F, Reisshauer A, Juckel G, Frommer J, et al. An integrative model of developing tinnitus based on recent neurobiological findings. Med Hypotheses. 2006; 66(3):592-600.
Lockwood AH, Salvi RJ, Burkard RF. Tinnitus. N Engl J Med. 2002; 347(12):904-910.
Peyvandi, A. and N. A. Roozbahany (2013). "Hearing loss in chronic renal failure patient undergoing hemodialysis." Indian Journal of Otolaryngology and Head & Neck Surgery 65(3): 537-540.
Mohammadkhani G, Roozbahani M, Zoghi E, Fatahi J, Faghihzadeh S. Comparison of auditory brainstem response in noise induced tinnitus and non-tinnitus control subjects. Audiol. 2009; 17(2):9-15.
Lockwood AH, Salvi RJ, Coad M, Towsley ML, Wack DS, Murphy BW. The functional neuroanatomy of tinnitus Evidence for limbic system links and neural plasticity. Neurol. 1998; 50(1):114-120.
Vernon JA, Meikle MB. Tinnitus masking. Tyler RS, editor. In: Tinnitus Handbook. San Diego: Thomson Learning; 2000. p. 313-357.
Kemp DT. Otoacoustic emissions, their origin in cochlear function, and use. Br Med Bull. 2002; 63(1):223-241.
Attias J, Pratt H, Reshef I, Bresloff I, Horowitz G, Polyakov A, et al. Detailed analysis of auditory brainstem responses in patients with noiseinduced tinnitus. Audiol. 1996; 35(5):259-270.
Gu JW, Herrmann BS, Levine RA, Melcher JR. Brainstem auditory evoked potentials suggest a role for the ventral cochlear nucleus in tinnitus. J Assoc Res Otolaryngol. 2012; 13(6):819-833.
Ami M, Abdullah A, Awang MA, Liyab B, Saim L. Relation of distortion product otoacoustic emission with tinnitus. Laryngoscope. 2008; 118(4):712-717.
Clark WW, Kim DO, Zurek PM, Bohne BA. Spontaneous otoacoustic emissions in chinchilla ear canals: correlation with histopathology and suppression by external tones. Hear Res. 1984; 16(3):299-314.
Baguley DM. Mechanisms of tinnitus. Br Med Bull. 2002; 63:195-212.
Knipper M, Van Dijk P, Nunes I, Rüttiger L, Zimmermann U. Advances in the neurobiology of hearing disorders: recent developments regarding the basis of tinnitus and hyperacusis. Prog Neurobiol. 2013; 111:17-33.
Antonelli AR, Bonfioli F, Garrubba V, Ghisellini M, Lamoretti MP, Nicolai P, et al. Audiological findings in elderly patients with chronic renal failure. Acta Otolaryngol. Suppl. 1990; 476:54-68.
Singh S, Munjal Sk, Panda Nk. Comparison of auditory electrophysiological responses in normal-hearing patients with and without tinnitus. J Laryngol Otol. 2011; 125(7):668-672.
Rosenhall U, Axelsson K. Auditory Brainstem Response latencies in patients with tinnitus. Scandaudiol. 1995; 24(2):97-100.
Sztuka A, Pospiech L, Gawron W, Dudek K. DPOAE in estimation of the function of the cochlea in tinnitus patients with normal hearing. Auris Nasus Larynx. 2010; 37(1):55-60.
Thabet EM. Evaluation of tinnitus patients with normal hearing sensivity using TEOAEs and TEN test. Auris Nasus Larynx. 2009; 36(6):633-636.
Granjeeiro RC, Kehrle HM, Bezerra RL, ALMedia VF, Sampaio AL, Olivera CA. Transient and distortion product evoked otoacoustic emissions in normal hearing patients with and without tinnitus. Otolaryngol Head Neck Surg. 2008; 138(4):502-506.
MAO X, Zheng C, Zheng R, Lin x, Shen Z. Tennitus with normal hearing and evoked otoacoustic emissions. Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2005; 19(1):14-16. [Chinese].
Onishi ET, Fukuda Y, Suzuki FA. Distortion product otoacoustic emissions in tinnitus patients. Int tinnitus J. 2004; 10(1):13-16.
- Abstract Viewed: 1270 times
- PDF Downloaded: 371 times