Archives of Acoustics, 44, 3, pp. 419–428, 2019

Psychoacoustic Characteristics of Tinnitus in Relation to Audiometric Profile

City General Hospital “8th September”
Macedonia, the former Yugoslav Republic of

University “Ss Cyril and Methodius”
Macedonia, the former Yugoslav Republic of

City General Hospital “8th September”
Macedonia, the former Yugoslav Republic of

The aim of the study was to examine the relationship between tinnitus pitch and maximum hearing loss, frequency range of hearing loss, and the edge frequency of the audiogram, as well as, to analyze tinnitus loudness at tinnitus frequency and normal hearing frequency.
The study included 212 patients, aged between 21 to 75 years (mean age of 54.4 ±13.5 years) with chronic subjective tinnitus and sensorineural hearing loss. For the statistical data analysis we used Chi-square test and Fisher’s exact test with level of significance p < 0.05.
Tinnitus pitch corresponding to the frequency range of hearing loss, maximum hearing loss and the edge frequency was found in 70.8%, 37.3%, and 16.5% of the patients, respectively. The majority of patients had tinnitus pitch from 3000 to 8000 Hz corresponding to the range of hearing loss (p < 0.001). The mean tinnitus pitch was 3545 Hz ±2482. The majority (66%) of patients had tinnitus loudness 4–7 dB SL. The mean sensation level at tinnitus frequency was 4.9 dB SL ±1.9, and 13 dB SL ±2.9 at normal hearing frequency.
Tinnitus pitch corresponded to the frequency range of hearing loss in majority of patients. There was no relationship between tinnitus pitch and the edge frequency of the audiogram. Loudness matching outside the tinnitus frequency showed higher sensation level than loudness matching at tinnitus frequency.
Keywords: Tinnitus pitch; tinnitus loudness; audiogram; edge frequency; hearing loss
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Anderson G., Vretblad P., Larsen H.C., Lyttkens L. (2001), Longitudinal follow-up of tinnitus complaints, Archives of Otolaringology, Head and Neck Surgery, 127, 2, 175–179.

Axelsson A., Prasher D. (2000), Tinnitus induced by occupational and leisure noise, Noise & Health, 2, 8, 47–54.

Bauer C.A. (2018), Tinnitus, The New England Journal of Medicine, 378, 13, 1224–1231.

Crummer R.W., Hassan G. (2004), Diagnostic approach to tinnitus, American Family Physician, 69, 1, 127–128.

Czyżewski A., Skarżyński H. (2007), Multimedia applications for the hearing impaired, Archives of Acoustics, 32, 3, 491–504.

Eggermont J.J., Roberts L.E. (2004), The neuroscience of tinnitus, TRENDS in Neurosciences, 27, 11, 676–682.

Fabijańska A. et al. (2012), The relationship between distortion product otoacoustic emissions and extended high-frequency audiometry in tinnitus patients. Part 1: Normally hearing patients with unilateral tinnitus, Medical Science Monitor, 18, 12, CR765–CR770.

Heinz M.G., Issa J.B., Young E.D. (2005), Auditory-nerve rate responses are inconsistent with common hypotheses for the neural correlates of loudness recruitment, Journal of the Association for Research in Otolaryngology, 6, 2, 91–105.

Henry J.A. (2016), “Measurement” of tinnitus, Otology & Neurotology, 37, 8, e276–e285.

Henry J.A., Flick C.L., Gilbert A., Ellingson R.M., Fausti S.A. (2004), Comparison of manual and computer-automated procedures for tinnitus pitch-matching, Journal of Rehabilitation Research & Development, 41, 2, 121–138.

Hoare D.J., Edmondson-Jones M., Sereda M., Akeroyd M.A., Hall D. (2014), Amplification with hearing aids for patients with tinnitus and co-existing hearing loss (Review), Cochrane Database of Systematic Reviews, 1, Art. No.: CD010151.

Ibraheem O.A., Hassaan M.R. (2017), Psychoacoustic characteristics of tinnitus versus temporal resolution in subjects with normal hearing sensitivity, International Archives of Otorhynolaringology, 21, 2, 144–150.

Keppler H., Degeest S., Dhooge I. (2017), The relationship between tinnitus pitch and parametrers of audiometry and distortion product otoacoustic emissions, The Journal of Laryngology & Otology, 131, 11, 1017–1025.

Kim S.I., Kim M.G., Kim S.S., Byun J.Y., Park M.S., Yeo S.G. (2016), Evaluation of tinnitus patients by audiometric configuration, American Journal of Otolaryngology-Head and Neck Medicine and Surgery, 37, 1, 1–5.

Kim T.S., Yakunina N., Ryu Y.-J., Chung I.J., Nam E.-C. (2017), Self-administered tinnitus pitch matching versus a conventional audiometric procedure, Audiology & Neurotology, 22, 1, 1–8.

Kostek B., Poremski T. (2013), A new method for measuring the psychoacoustical properties of tinnitus, Diagnostic Pathology, 8, 209.

Martines F., Bentivegna D., Di Piazza F., Martines E., Sciacca V., Martinciglio G. (2010), Investigation of tinnitus patients in Italy: clinical and audiological characteristics, International Journal of Otolaryngology, 2010, ID 265861.

McMillan G.P., Thielman E.J., Wypych K., Henry J.A. (2014), A Bayesian perspective on tinnitus pitch matching, Ear and Hearing, 35, 6, 687–694.

Moore B.C.J. (2014), Measuring the pitch and loudness of tinnitus, ENT & Audiology News, 22, 6.

Moore B.C.J., Vinay, Sandhya (2010), The relationship between tinnitus pitch and the edge frequency of the audiogram in individuals with hearing impairment and tonal tinnitus, Hearing Research, 261, 1–2, 51–56, doi: 10.1016/j.heares.2010.01.003.

Nageris B.I., Attias J., Raveh E. (2010), Test-retest tinnitus characteristics in patients with noise-induced hearing loss, American Journal of Otolaryngology-Head and Neck Medicine and Surgery, 31, 3, 181–184.

Niewiarowicz M., Kaczmarek T. (2011), Localization of sound sources in normal hearing and in hearing impaired people, Archives of Acoustics, 36, 4, 683–694.

Norena A., Micheyl C., Chéry-Croze S., Collet L. (2002), Psychoacoustic characterization of the tinnitus spectrum: implications for the underlying mechanisms of tinnitus, Audiology & Neuro-Otology, 7, 6, 358–369.

Noroozian M. et al. (2017), Research paper: Effect of age, gender and hearing loss on the degree of discomfort due to tinnitus, Basic and Clinical Neuroscience, 8, 6, 435–442.

Pan T., Tyler R.S., Ji H., Coelho C., Gehringer A.K., Gogel S.A. (2009), The relationship between tinnitus pitch and the audiogram, International Journal of Audiology, 48, 5, 277–294.

Pawlaczyk-Luszczyńska M., Zaborowski, K., Zamojska-Daniszewska M., Rutkowska-Kaczmarek P., Dudarewicz A., Śliwinska-Kowalska M. (2017), Hearing status in young people using portable audio players, Archives of Acoustics, 42, 1, 113–120.

Poremski T., Kostek B. (2012), Tinnitus therapy based on high-frequency linearization principles - preliminary results, Archives of Acoustics, 37, 2, 161–170.

Preece J.P., Tyler R.S., Noble W. (2003), The management of tinnitus, Geriatrics & Aging, 6, 6, 22–28.

Ristovska L., Jachova Z., Atanasova N. (2015), Frequency of the audiometric notch following excessive noise exposure, Archives of Acoustics, 40, 2, 213–221.

Ristovska L., Jachova Z., Filipovski R., Atanasova N. (2016), Audiometric findings in patients with subjective tinnitus, Croatian Review of Rehabilitation Research, 52, 1, 42–50.

Roberts L.E., Husain F.T., Eggermont J.J. (2013), Role of attention in the generation and modulation of tinnitus, Neuroscience and Biobehavioral Reviews, 37, 8, 1754–1773.

Roberts L.E., Mofat G., Bauman M., Ward L.M., Bosnyak D.J. (2008), Residual inhibition functions overlap tinnitus spectra and the region of auditory threshold shift, Journal of the Association for Research in Otolaryngology, 9, 4, 417–435.

Roberts L.E., Mofat G., Bosnyak D.J. (2006), Residual inhibition functions in relation to tinnitus spectra and auditory threshold shift, Acta Oto-Laryngologica, 126, Supp 556, 27–33.

Salvago P., Ballacchino A., Agrifoglio M., Ferrara S., Mucia M., Sireci F. (2012), Tinnitus patients: etiologic, audiologic and psychological profile, Acta Medica Mediterranea, 28, 171–175.

Sanchez C., Switalski W. (2015), Tinnitus patient management for today’s audiologist, Audiology Today, 27, 2, 14–21.

Schaette R., Kempter R. (2006), Development of tinnitus-related neuronal hyperactivity through homeostatic plasticity after hearing loss: a computational model, European Journal of Neuroscience, 23, 3124–3138.

Schecklmann M., Vielsmeier V., Steffens T., Landgrebe M., Langguth B., Kleinjung T. (2012), Relationship between audiometric slope and tinnitus pitch in tinnitus patients: insights into the mechanisms of tinnitus generation, PLoS One, 7, 4, e34878.

Seimetz B.M., Teixeira A.R., Rosito L.P.S., Flores L.S., Pappen C.H., Dall’igna C. (2016), Pitch and loudness tinnitus in individuals with presbycus, International Archives of Otorhynolaringology, 20, 4, 321–326.

Sereda M., Edmondson-Jones M., Hall D.A. (2015), Relationship between tinnitus pitch and edge of hearing loss in individuals with a narrow tinnitus bandwidth, International Journal of Audiology, 54, 4, 249–256.

Steinmetz L.G., Zeigelboim B.S., Lacerda A.B., Morata T.C., Marques J.M. (2009), The characteristics of tinnitus in workers exposed to noise, Brazilian Journal of Otorhinolaryngology, 75, 1, 7–14.

Tunkel D.E. et al. (2014), Clinical practice guideline: Tinnitus, Otolaryngology-Head and Neck Surgery, 151, 2 Suppl, S1–S40.

Vernon J.A., Meikle M.B. (2003), Tinnitus: clinical measurement, Otolaryngologic Clinics of North America, 36, 2, 293–305.

Wrzosek M. et al. (2016), Polish translation and validation of the Tinnitus Handicap Inventory and the Tinnitus Functional Index, Frontiers in Psychology, 7, 1871.

Yang C.W., Byun J.Y. (2016), Tinnitus assessment, Hanyang Medical Reviews, 36, 2, 109–112.

DOI: 10.24425/aoa.2019.129258