Masking Level Difference and Auditory Brainstem Response In Normal Hearing Adults With Tinnitus

Authors

DOI:

https://doi.org/10.23925/2176-2724.2023v35i1e57675

Keywords:

Tinnitus, Brainstem Auditory Evoked Potential, Hearing Tests, Perceptual masking, Adult

Abstract

Introduction: Tinnitus is a conscious auditory illusion, a sound perception unrelated to any external stimulus source. Objectives: To characterize the Acuphenometry, Masking Level Difference, the quality of life questionnaire Tinnitus Handicap Inventory and Auditory Brainstem Response in normal hearing adults with tinnitus, with the purpose of comparing the findings. Method: Twenty female and male individuals, between 20 and 60 years of age, normal hearing with complaints of tinnitus, underwent Acuphenometry, Masking Level Difference, Tinnitus Handicap Inventory and Auditory Brainstem Response. Results: The Acuphenometry showed the average pitch was 4.3 KHz to the right ear and 4.6 KHz to the left ear. The average loudness was 21.7 dBSL to the right ear and 23.5 dBs to the left ear. The average Masking Level Difference was altered. The average Tinnitus Handicap Inventory corresponded to the classification of mild grade. Auditory Brainstem Response showed parameters within normal range bilaterally. Conclusion: It was found that normal hearing adults with tinnitus complaints have bilateral acute pitch tinnitus with a slight impact on quality of life, appropriate conduction of auditory pathways to the brainstem and impaired identification of sounds in the presence of noise, demonstrating that tinnitus can have repercussions on central auditory skills.

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References

Sanchez TG, Mak MP, Pealini MEB, Levy CP, Bento RF. Evolução do Zumbido e da Audição em Pacientes com Audiometria Tonal Normal. Arq. Otorrinolaringol.2005; 9(3): 220-7.

Szibor A, Mäkitie A, Aarnisalo AA. Tinnitus and suicide: An unresolved relation. Audiology Research. 2019; 9(1): 10-3. doi: 10.4081/audiores.2019.222

Tosin AMG. Alivio do Zumbido Usando o Som Fractal Sem Amplificação Sonora. Curitiba: Universidade Tecnológica Federal do Paraná; 2020.

Rosa A, Pimenta S, Lima D. Tinnitus and anxiety: a literature review. 2012; 14(4): 742-54

Nascimento IP, Almeida AA, Diniz Junior J, Martins ML, Freitas TM, Rosa MR. Tinnitus evaluation: relation among pitch matching and loudness, visual analog scale and tinnitus handicap inventory. Braz J Otorhinolaryngol. 2019; 85: 611-6. doi.org/10.1016/j.bjorl.2018.05.006

Moreira HG, Bruno RS, Oppitz SJ, Sanfins MD, Garcia MV. Zumbido crônico: análise das contribuições clínicas de diferentes avaliações audiológicas. Audiol, Commun Res 2022; 27(Audiol., Commun. Res., 2022 27): e2660. doi.org/10.1590/2317-6431-2022-2660pt

Barnea G, Attias J, Gold S, Shahar A. Tinnitus with normal hearing sensitivity: extended high-frequency audiometry and auditory-nerve brain-stem-evoked responses. Audiology. 1990; 29(1): 36-45.

Gabr TA. Auditory brainstem response audiometry in tinnitus patients. Egyptian Journal of Ear, Nose, Throat and Allied Sciences. 2011; 12(2): 115-120. doi.org/10.1016/j.ejenta.2011.08.005.

Onishi ET, Coelho CCB, Oiticica J et al. Zumbido e intolerância a sons: evidência e experiência de um grupo brasileiro. Braz. j. otorhinolaryngol. 2018; 84(2): 135-49. doi.org/10.1016/j.bjorl.2017.12.002

Hiller W, Goebel G. Factors influencing tinnitus loudness and annoyance. Arch Otolaryngol Head Neck Surg. 2006; 132: 1323-30.

Durlach, NI. Equalization and cancellation theory of binaural masking-level differences. J. Acoust. Soc. Am. 1963; 35: 1206-18

Mendes SC, Branco-Barreiro FCA, Frota S. Limiar diferencial de mascaramento: valores de referência em adultos. Audiology - Communication Research. 2017;22:1746. doi.org/10.1590/2317-6431-2016-1746

Santiago JM, Luiz CBL, Garcia M, Gil D. Masking Level Difference and Electrophysiological Evaluation in Adults with Normal Hearing. Int Arch Otorhinolaryngol. 2020 Oct; 24(4): 399-406. doi: 10.1055/s-0040-1701266

Wilson RH, Moncrieff DW, Townsend EA, Pilliona L. Development of a 500-Hz Masking-Level Difference Protocol for Clinic Use. Am. Acad.of Aud.,2003; 14(1):1-8.

Rocha GSR. Qualidade de Vida Em Indivíduos Portadores de Zumbido Com e Sem Perda Auditiva: Aspectos Audiológicos e Psicoemocionais. Aracaju: Universidade Tiradentes; 2017.

Matos IL, Rocha AV, Mondelli MFCG. Aplicabilidade da orientação fonoaudiológica associada ao uso de aparelho de amplificação sonora individual na redução do zumbido. Audiology - Communication Research. 2017; 22: 1880. doi.org/10.1590/2317-6431-2017-1880

Silvia DD. Funcionalidade da Via Auditiva Em Nível de Tronco Encefálico Em Indivíduos Jovens com e Sem Queixa de Compreensão de Fala. Santa Maria: Universidade Federal de Santa Maria – Centro de Ciências da Saúde, Departamento de Fonoaudiologia; 2016.

Simião PC. Testes Eletrofisiológicos Complementares ao Diagnóstico do Transtorno do Processamento Auditivo Central: Revisão de Literatura. Campinas: Pontifícia Universidade Católica de Campinas – Centro de Ciências da Vida; 2020.

Matas CG. Medidas eletrofisiológicas da audição: audiometria de tronco cerebral. Em: Carvallo RMM. Fonoaudiologia informação para formação. Procedimentos em audiologia. Rio de Janeiro: Guanabara Koogan; 2003. p. 43-57.

Hirakata VA, Mancuso ACB, Castro SMJ. Teste de Hipóteses: Perguntas que você sempre quis fazer, mas nunca teve coragem. Clinical & Biomedical Research, [S.l.] 2019; 39 (2), aug. 2019.

Molina AM. ¿Qué significa realmente el valor de p?. Rev Pediatr Aten Primaria. 2017; 19(76): 377-381.

Mark DB, Lee KL, Harrell FE. Understanding the Role of P Values and Hypothesis Tests in Clinical Research. JAMA Cardiol. 2016; 1(9): 1048–54. doi:10.1001/jamacardio.2016.3312

Sanchez TG et al.Tinnitus in normally hearing patients: clinical aspects and repercussions. Brazilian Journal of Otorrinolaringol.2005; 71(4): 427-431. doi.org/10.1016/S1808-8694(15)31194-0

Steinmetz LG, Zeigelboim BS, Lacerda AB, Morata TC, Marques JM. Características do zumbido em trabalhadores expostos a ruído. Rev Bras Otorrinolaringol. 2009Jan;75(Rev. Bras. Otorrinolaringol., 2009 75(1)): 7–14. Available from: https://doi.org/10.1590/S0034-72992009000100002

Vieira PP, Marchori LL de M, Melo JJ. Estudo da possível associação entre zumbido e vertigem. Rev CEFAC. 2010Jul;12(Rev. CEFAC, 2010 12(4)): 641–5. Available from: https://doi.org/10.1590/S1516-18462010005000070

Raj-Koziak D et al. Auditory processing in normally hearing individuals with and without tinnitus: assessment with four psychoacoustic tests. Eur Arch Otorhinolaryngol. 2022 Jan; 279(1): 275-283. doi: 10.1007/s00405-021-07023-w.

Starr A, Hamilton AE. Correlation between confirmed sites of neurological lesions and abnormalities of far-field auditory brainstem responses. ElectroencephalogrClinNeurophysiol 1976; 41(6): 595-608.

Hall JW. Handbook of auditory evoked responses. Boston: Allyn& Bacon, 2006.

Leong SL, Tchen S, Robertson IH. et al. The potential interruptive effect of tinnitus-related distress on attention. Sci Reports. 2020; 10(11911): 1-9. doi:10.1038/s41598-020-68664-1

Lima DO, Araújo AM, Branco-Barreiro FC, Carneiro CS, Almeida LN, Rosa MR. Auditory attention in individuals with tinnitus. Braz J Otorhinolaryngol. 2020; 86(4): 461-7. doi.org/10.1016/j.bjorl.2019.01.011

Musiek FE, Lee WW. Potenciais auditivos de média e longa latência. Perspectivas atuais em avaliação auditiva. Barueri: Manole; 2001.

Published

2023-06-01

How to Cite

Santiago, J. M., Romão, E. C., & Gil, D. (2023). Masking Level Difference and Auditory Brainstem Response In Normal Hearing Adults With Tinnitus. Distúrbios Da Comunicação, 35(1), e57675. https://doi.org/10.23925/2176-2724.2023v35i1e57675

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Artigos