ArticleJournal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale
Altered ABR Waveform Patterns in Tinnitus Patients With Normal Full-Frequency Hearing May Be Induced by Abnormal Middle Ear Muscle Activity Via the Trigeminal Nerve System.
Article in Journal of otolaryngology - head & neck surgery = Le Journal d'oto-rhino-laryngologie et de chirurgie cervico-faciale. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
ImportanceEvidence regarding the mechanism of tinnitus in patients with normal full-frequency hearing remains limited. This study investigated the auditory brainstem response (ABR) waveform patterns in these patients to address this unmet need, which is of considerable assistance in the clinical management of tinnitus with normal hearing.ObjectiveThis study aims to investigate the potential underlying mechanisms of tinnitus with normal full-frequency (125 Hz-16 kHz) hearing threshold by analyzing waveform alterations in ABR among tinnitus patients.DesignCross-sectional study.SettingOtolaryngology outpatient of a tertiary referral hospital.ParticipantsPatients aged 20 to 40 years with unilateral subjective tinnitus and normal hearing (pure-tone thresholds ≤25 dB HL across 0.125-16 kHz) were recruited. Age-matched healthy volunteers with normal full-frequency hearing (0.125-16 kHz) and without tinnitus served as controls.ExposuresParticipants were categorized according to the presence of unilateral subjective tinnitus.Main Outcome MeasuresThe primary outcomes included pure-tone audiometry testing (0.125-16 kHz) and ABR testing using 80 dB nHL click stimuli with alternating polarity (19.9 Hz, 1024 scans).ResultsThe study included 136 adult subjects with normal hearing at all frequencies, including 60 unilateral tinnitus patients and 76 normal volunteers. Results showed no significant differences in ABR waveform characteristics between affected and unaffected ears in unilateral tinnitus patients ((
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