HEARING AID EFFECTIVENESS ON PATIENTS WITH CHRONIC TINNITUS AND ASSOCIATED HEARING LOSS : SYSTEMATICS REVIEW

Yuli Triyanti
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Abstract

Tinnitus, the perception of sound in the absence of an obvious external source, is even more frequent, affecting around ten percent of adults in the United States. Tinnitus is defined as the sense of sound in the absence of an obvious external source. Tinnitus is typically accompanied by hearing loss, but this is not always the case. It is conceivable for it to occur either by itself or in conjunction with a loss of hearing of any type. Tinnitus and hearing loss are both caused by a wide variety of conditions, the most frequent of which is age-related hearing loss. Other, less common causes include malignancies of the brain and skull base. Hearing loss can be broken down into three basic categories: sensorineural, conductive, or mixed (where both conductive and sensorineural components are present). The perception of sound in the absence of external acoustic stimulation for an extended length of time (more than three months) is the hallmark of chronic tinnitus. Tinnitus is quite common, with an estimated incidence of 10–15% in the adult population; however, prevalence estimates can vary widely from study to study. Tinnitus is characterized by a buzzing or ringing sound in the ear. A minority of people may experience severe psychological distress as a direct result of the situation, despite the fact that the majority of people are able to adapt to the perception and report very mild emotional distress as a result of it. Tinnitus Questionnaire (abbreviated as TQ), Tinnitus Handicap Inventory (abbreviated as THI), and Tinnitus Functional Index (abbreviated as TFI) are the three self-report questionnaires that are used the most frequently for quantifying tinnitus-related suffering. The total scores of these measures properly capture both the suffering associated with tinnitus and the change that is attributable to treatments. In patients who have tinnitus and chronic hearing loss, the use of hearing aids is successful in suppressing the symptoms; however, the usage of the device must be carried out for at least six months in order for the treatment to take effect.
助听器对慢性耳鸣及相关听力损失患者的有效性:系统综述
耳鸣,即在没有明显外部来源的情况下对声音的感知,更为常见,影响了美国大约10%的成年人。耳鸣被定义为在没有明显外部来源的情况下的声音感觉。耳鸣通常伴随着听力损失,但情况并非总是如此。可以想象,它既可以单独发生,也可以与任何类型的听力丧失一起发生。耳鸣和听力损失都是由多种情况引起的,其中最常见的是与年龄有关的听力损失。其他不太常见的原因包括脑部和颅底的恶性肿瘤。听力损失可分为三种基本类型:感音神经性、传导性或混合性(既有传导性成分,也有感音神经性成分)。在长时间(超过三个月)没有外部声音刺激的情况下对声音的感知是慢性耳鸣的标志。耳鸣很常见,估计在成年人中发病率为10-15%;然而,不同的研究对患病率的估计差异很大。耳鸣的特点是耳朵里嗡嗡作响。少数人可能会经历严重的心理困扰,这是这种情况的直接结果,尽管大多数人能够适应这种感知,并报告非常轻微的情绪困扰。耳鸣问卷(缩写为TQ)、耳鸣障碍量表(缩写为THI)和耳鸣功能指数(缩写为TFI)是三种最常用于量化耳鸣相关痛苦的自我报告问卷。这些措施的总分适当地捕捉到与耳鸣相关的痛苦和可归因于治疗的变化。对于患有耳鸣和慢性听力损失的患者,使用助听器可以成功地抑制症状;然而,该装置的使用必须进行至少六个月,以使治疗生效。
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