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Tinnitus and Hyperacusis
Published in R James A England, Eamon Shamil, Rajeev Mathew, Manohar Bance, Pavol Surda, Jemy Jose, Omar Hilmi, Adam J Donne, Scott-Brown's Essential Otorhinolaryngology, 2022
Tinnitus is the conscious perception of an auditory sensation in the absence of a corresponding external stimulus. Hyperacusis is both a dislike of sounds above a certain intensity and a blanket term for several forms of impaired sound tolerance.
Tinnitus
Published in Stavros Hatzopoulos, Andrea Ciorba, Mark Krumm, Advances in Audiology and Hearing Science, 2020
The volume at which external sound becomes uncomfortable or painful for a tinnitus patient. Determining loudness discomfort levels is particularly important for patients with hyperacusis, an extreme sensitivity to noise.
The nervous system
Published in Peter Kopelman, Dame Jane Dacre, Handbook of Clinical Skills, 2019
Peter Kopelman, Dame Jane Dacre
Tinnitus In the case of the VIIIth nerve, abnormal auditory sensations may occur. A patient may complain of ‘ringing in the ears’ (tinnitus). This symptom is common but only rarely due to neurological disease. Hyperacusis is the term used when even slight sounds are heard with painful intensity; this sometimes occurs with paralysis of the stapedius muscle due to a facial palsy. Patients with sensorineural deafness due to damage of the cochlea may also complain of a similar problem – an example is Ménière’s disease.
Cut-off score of the Khalfa Hyperacusis Questionnaire with 10 selected items
Published in International Journal of Audiology, 2022
Hiroyuki Yamada, Toru Ishikawa, Naoki Oishi, Kaoru Ogawa
The treatment of hyperacusis varies widely, including a mixture of interventions such as education, cognitive behavioural therapy, hearing aids, sound therapy, and counselling (Aazh et al. 2016). In addition, medication, hearing protection, and electrical stimulation have been tested, but none of them showed clear benefits or outcomes (Pienkowski et al. 2014). There is no widely accepted guideline for the management of hyperacusis. It is also important to have a simple and internationally accepted method for evaluating the severity of hyperacusis and the effect of clinical interventions, such as the Tinnitus Handicap Inventory (THI) in the management of tinnitus (Newman, Jacobson, and Spitzer 1996; Newman, Sandridge, and Jacobson 1998), because in order to compare severity and treatment outcomes across the literature, they need to be assessed in the same way.
A Delphi survey to determine a definition and description of hyperacusis by clinician consensus
Published in International Journal of Audiology, 2021
Bethany Adams, Magdalena Sereda, Amanda Casey, Peter Byrom, David Stockdale, Derek J. Hoare
Hyperacusis, by its various descriptions, is thought to affect between 3.2 and 17.2% of the population (Hannula et al. 2011; Coelho, Sanchez, and Tyler 2007; Andersson et al. 2002; Fabijanska et al. 1999). It can present itself in many ways, with common symptoms including headache, discomfort, anxiety, and fatigue. Some people with hyperacusis report pain upon hearing certain sounds. Hyperacusis can be extremely debilitating, causing people to avoid social situations, heavily impacting on a person’s quality of life. People with hyperacusis often wear hearing protectors, such as ear plugs or headphones, in an attempt to protect themselves from noises that cause discomfort (Blaesing and Kroener-Herwig 2012; Jüris et al. 2014; Paulin, Andersson, and Nordin 2016). Although this may seem intuitive to a person experiencing hyperacusis, prolonged use of ear protection can cause the auditory system to become even more sensitive to noise, thereby intensifying symptoms (Formby, Sherlock, and Gold 2003; Munro, Turtle, and Schaette 2014). Avoiding sound sources can also lead to the same phenomenon (Baguley 2003).
Validation of the Norwegian adaptation of Khalfa’s Hyperacusis Questionnaire and psychological distress in Norwegian hyperacusis patients
Published in Hearing, Balance and Communication, 2021
Linda Larsen, Terese Stople Gjendem, Karina Svevad, Guri Engernes Nielsen
The sample comprised 76 patients (87% females) with self-reported hyperacusis, who were on average 47 years of age. Patients were recruited through two Norwegian audiology-themed closed Facebook-groups with approximately 800 and 6500 members, respectively. Patients completed an online survey comprising background questions (i.e. age, gender, and patient email address), HADS and the Norwegian adaptation of HQ on two occasions. Patients had to answer in the affirmative to the question: Do sounds make you feel unwell or cause you physical pain? in order to participate in the study and as a way of assessing self-reported hyperacusis or other symptoms of decreased sound tolerance. The data were collected during February and March 2019. The Norwegian Centre of Research Data approved the methods of this study.