Tinnitus characteristics and associated variables on Tinnitus Handicap Inventory among a Hungarian population

Background:Tinnitus is a sound precepted without an external sound stimulus.Its background can be categorised into primary and secondary cases.The secondary cases include pathologies of the external,middle and inner ear.Tinnitus can be objective or subjective;the latter can only identified by the sufferer.Previous research results have shown that tinnitus significantly affects the quality of life and daily functioning.Objectives:To analyse the impact of tinnitus on the daily functioning and the possible influence of demographical data and tinnitus duration on it.Methods:630 patients(265 males and 365 females,25e85 years of age)suffering from primary tinnitus were enrolled.In the Hungarian language,these patients completed the Tinnitus Handicap Inventory(THI)questionnaire and underwent a complete otorhinolaryngological examination.IBM SPSS V24 software was used for data processing;correlation tests,the Mann-Whitney U and Kruskal-Wallis nonparametric tests were used.Results:According to the THI questionnaires outcomes,most patients(62.5%)were presented with a mild handicap.Based on statistical analysis,no significant correlation was observed between the total THI points and the age of the patients,along with the duration and localisation of the symptoms.However,the total THI scores of male and female patients significantly differed,indicating higher THI values in the female group(p=0.00052*).Conclusions:The tinnitus severity was not affected by the duration,localisation of the symptoms and age but by gender,indicating higher values in the case of females.

Enriched Acoustic Environment as a customized treatment for tinnitus: A non-controlled longitudinal study

Tinnitus is a heterogeneous hearing disorder with no cure at present,but some treatments,such as a combination of counselling and sound therapy,can alleviate the discomfort it causes.The sound therapy efficiency depends on both the type of sound stimulus and the time of exposure.This study describes the fundamentals of a personalized sound therapy that stimulates the auditory system with either continuous or sequential sounds whose spectra are adjusted to the hearing levels of the participants.This sound therapy is called Enriched Acoustic Environment and is assessed in a sample of 137 participants with tinnitus.Tinnitus-related distress relief was clinically relevant and statistically significant for 90%of these patients.This was quantified as a mean decrease of 24.3 points on the Tinnitus Handicap Inventory.31%of participants were treated with sequential stimuli and achieved greater relief of distress(29.4 points on their Tinnitus Handicap Inventory score)compared to those treated with continuous sound(69%).According to these results,sequential sound seems to be optimal compared to continuous sound.