Arzu TUZUNER, Refik ÇAYLAN, Hatice KARADAŞ, Cemile AÇIKGÖZ, Yunus KARADAVUT

Tinnitus With Normal Hearing Population: A Retrospective Chart Review of High Frequency Audiometry, Quality of Life and Laboratory Findings

Amaç: Tinnitus otolaringoloji pratiğinde sık karşılaştığımız bir semptom olup genellikle işitme kaybına eşlik eder. Bu çalışmada, işitme düzeyleri normal sınırlarda olan tinnitus hastalarında özelikle yüksek frekans işitmedeki erkendönem etkilenmeler,altta yatan olası faktörler ve tinnitus anketleri ile morbiditenin ortaya konması hedeflenmiştir. Yöntem ve Gereçler: İşitme kaybı tariflemeyen tinnituslu 62 hasta ile, tinnitusu olmayan 43 vakalık bir kontrolgrubu verileri, retrospektif olarak incelenmiştir. Hastalara ait yüksek frekansları da içeren odyometri ve rutin kantestleri analiz edilmiştir. Kuk ve Ohsaki anketleri ile tinnitus hastalarının yaşam kalitesi değerlendirmesi yapılmıştır. Bulgular: Biyokimyasal veriler karşılaştırıldığında, tinnitus grubunda HDL düzeylerinin belirgin olarak düşük oldu- ğu bulunmuştur (p=0.011). Dört ve 8 kHz deki işitme eşikleri tinnitus grubunda anlamlı düzeyde azalmıştır(sırasıyla p=0,004 and p=0,002). Tinnitus süresini 90 gün ve üzeri tarifleyen vakaların işitme eşikleri ≤90 gruba göre 4,8 ve12,5 kHz. de belirgin olarak düşüktür(p

Normal İşiten Popülasyonda Tinnitus: Yüksek Frekans Odyometri,Yaşam Kalitesi Anketleri ve Laboratuvar Bulgularının Retrospektif İncelenmesi

Aim: Tinnitus is a common symptom in otolaryngology practise and usually accompanied to hearing loss. The pre- sent study focused on tinnitus patients with normal hearing levels to find out especially early onset high frequencylosses, reconsider the possible precipitating factors and expose the morbidity of tinnitus with questionnaries. Material and Methods: A retrospective chart review of 62 tinnitus patients who deny hearing loss and 43 patientswithout tinnitus as control group are enrolled to this study. The data of audiometric evaluation with high frequenciesand blood tests are analysed. Kuk and Ohsaki questionnaries obtained from tinnitus patients to evaluate the qualityof life impairment. Subjects with Meniere s disease,depression,anxiety disorders, tinnitus following acoustic traumaare excluded from the study. Results: Comparison of biochemical findings between tinnitus and control group showed that HDL levels werestatistically lower in tinnitus group(p=0.011). Hearing impairment at 4 and 8 kHz in tinnitus group was worse thancontrol group.(p=0,004 and p=0,002 respectively).Patients who have tinnitus over 90 days have worse outcome in4,8 and 12,5 kHz. than ≤ 90 days.(p

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