PMID- 30799211
OWN - NLM
STAT- In-Process
LR  - 20190519
IS  - 1532-818X (Electronic)
IS  - 0196-0709 (Linking)
VI  - 40
IP  - 3
DP  - 2019 May - Jun
TI  - Tinnitus in the side with better hearing.
PG  - 400-403
LID - S0196-0709(18)31181-5 [pii]
LID - 10.1016/j.amjoto.2019.02.009 [doi]
AB  - OBJECTIVES: We aimed to confirm the characteristics of patients with tinnitus in 
      the better-hearing side. MATERIALS AND METHODS: Among the 778 patients who
      visited the tinnitus clinic complaining of unilateral tinnitus at a local
      university hospital between March 2014 and December 2017, we recruited 62
      patients who showed tinnitus in the better-hearing side on pure-tone audiometry. 
      The mean hearing threshold was calculated using the arithmetic mean of the pure
      tone thresholds at 1, 2, 3, and 4kHz. In addition, patients' medical history,
      tinnitus questionnaires, and other audiologic test results were thoroughly
      analyzed together for diagnosis. RESULTS: Fluctuating hearing loss without
      vertigo or Meniere's disease were the most common etiologies (n=16, 25.8%),
      followed by high-frequency hearing loss (n=13, 21.0%), sudden idiopathic hearing 
      loss (n=6, 9.7%), and presbycusis (n=6, 9.7%). Somatosensory tinnitus was also
      observed in seven patients. Neck pain was associated with tinnitus in five
      patients (8.1%), and two other patients (3.2%) experienced temporomandibular
      disorder in the same side as the tinnitus. CONCLUSION: Tinnitus was associated
      with deterioration of hearing even when it occurred in the better-hearing side.
      Among the possible etiologies, fluctuating hearing loss in the tinnitus side was 
      the most common audiologic finding. Assessment of hearing level at each frequency
      was more effective in detecting high-frequency hearing loss rather than the use
      of the mean hearing level. In addition, somatosensory tinnitus should not be
      ignored.
CI  - Copyright (c) 2019 Elsevier Inc. All rights reserved.
FAU - Lee, Ho Yun
AU  - Lee HY
AD  - Department of Otorhinolaryngology - Head and Neck Surgery, School of Medicine,
      Eulji University, Daejeon, South Korea. Electronic address: hoyun1004@gmail.com.
FAU - Kim, Su Jin
AU  - Kim SJ
AD  - Department of Otorhinolaryngology - Head and Neck Surgery, School of Medicine,
      Eulji University, Daejeon, South Korea.
FAU - Chang, Dong Sik
AU  - Chang DS
AD  - Department of Otorhinolaryngology - Head and Neck Surgery, School of Medicine,
      Eulji University, Daejeon, South Korea.
FAU - Shin, Sun Ae
AU  - Shin SA
AD  - Department of Medical Science, Chungnam National University, Daejeon, South
      Korea; Brain Korea 21 PLUS Project for Medical Science, Chungnam National
      University, Daejeon, South Korea.
LA  - eng
PT  - Journal Article
DEP - 20190218
PL  - United States
TA  - Am J Otolaryngol
JT  - American journal of otolaryngology
JID - 8000029
EDAT- 2019/02/26 06:00
MHDA- 2019/02/26 06:00
CRDT- 2019/02/26 06:00
PHST- 2018/12/31 00:00 [received]
PHST- 2019/02/18 00:00 [accepted]
PHST- 2019/02/26 06:00 [pubmed]
PHST- 2019/02/26 06:00 [medline]
PHST- 2019/02/26 06:00 [entrez]
AID - S0196-0709(18)31181-5 [pii]
AID - 10.1016/j.amjoto.2019.02.009 [doi]
PST - ppublish
SO  - Am J Otolaryngol. 2019 May - Jun;40(3):400-403. doi:
      10.1016/j.amjoto.2019.02.009. Epub 2019 Feb 18.