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Abstract

The aim of the study was to examine the relationship between tinnitus pitch and maximum hearing loss, frequency range of hearing loss, and the edge frequency of the audiogram, as well as, to analyze tinnitus loudness at tinnitus frequency and normal hearing frequency.

The study included 212 patients, aged between 21 to 75 years (mean age of 54.4 ± 13.5 years) with chronic subjective tinnitus and sensorineural hearing loss. For the statistical data analysis we used Chisquare test and Fisher’s exact test with level of significance p < 0:05.

Tinnitus pitch corresponding to the frequency range of hearing loss, maximum hearing loss and the edge frequency was found in 70.8%, 37.3%, and 16.5% of the patients, respectively. The majority of patients had tinnitus pitch from 3000 to 8000 Hz corresponding to the range of hearing loss (p < 0:001). The mean tinnitus pitch was 3545 Hz ± 2482. The majority (66%) of patients had tinnitus loudness 4–7 dB SL. The mean sensation level at tinnitus frequency was 4.9 dB SL ± 1.9, and 13 dB SL ± 2.9 at normal hearing frequency.

Tinnitus pitch corresponded to the frequency range of hearing loss in majority of patients. There was no relationship between tinnitus pitch and the edge frequency of the audiogram. Loudness matching outside the tinnitus frequency showed higher sensation level than loudness matching at tinnitus frequency.

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Authors and Affiliations

Lidija Ristovska
Zora Jachova
Vase Stojcheska
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Abstract

The aim of this work is to present problems related to tinnitus symptoms, its pathogenesis, hypotheses on tinnitus causes, and therapy treatment to reduce or mask the phantom noise. In addition, the hypothesis on the existence of parasitic quantization that accompanies hearing loss has been recalled. Moreover, the paper describes a study carried out by the Authors with the application of high-frequency dither having specially formed spectral characteristics. Discussion on preliminary results obtained and conclusions are also contained.

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Authors and Affiliations

Tomasz Poremski
Bożena Kostek
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Abstract

The aim of the study was to compare the extended high-frequency (EHF) hearing thresholds (10–16 kHz) in tinnitus and non-tinnitus ears, in a group of 98 patients with unilateral tinnitus and normal hearing at standard audiometric frequencies, in a 0.125–8 kHz range. It was found that a total of 65 patients (66%) had a hearing loss (a threshold shift >20 dB HL) in the EHF range and the EHF hearing loss occurred more frequently in the tinnitus ear than in the non-tinnitus ear. The data also indicate that the EHF thresholds increased with the patient’s age and were in most patients higher in the tinnitus ear than in the non-tinnitus ear.
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Authors and Affiliations

Lidija Ristovska
1
Zora Jachova
2

  1. City General Hospital “8th September” Department of Otorhinolaryngology, Division of Audiology, Skopje, North Macedonia
  2. Ss. Cyril and Methodius University in Skopje, Faculty of Philosophy, Institute of Special Education and Rehabilitation, Skopje, North Macedonia
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Abstract

This article presents results of investigations of the angle of directional hearing acuity (ADHA) as a measure of the spatial hearing ability with a special emphasis on people with hearing impairments. A modified method proposed by Zakrzewski has been used - ADHA values have been determined for 8 azimuths in the horizontal plane at the height of the listeners' head. The two-alternative-forced-choice method (2AFC), based on a new system of listeners' responses (left - right instead of no difference - difference in location of sound sources) was the procedure used in the experiment. Investigations were carried out for two groups of subjects: normal hearing people (9 persons) and hearing impaired people (sensorineural hearing loss and tinnitus - 9 persons). In the experiment different acoustic signals were used: sinusoidal signals (pure tones), 1/3 octave noise, amplitude modulated 1/3 octave noise, CCITT speech and traffic noises and signals corresponding to personal character of tinnitus for individual subjects. The results obtained in the investigations showed, in general, a better localization of the sound source for noise type signals than those for tonal signals. Inessential differences exist in ADHA values for particular signals between the two groups of subjects. On the other hand, significant differences for tinnitus signals and traffic noise signals were stated. A new system of listeners' responses was used and appeared efficient (less dispersion of results compared to the standard system).

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Authors and Affiliations

Marek Niewiarowicz
Tomasz Kaczmarek

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