Audiology Research最新文献

{"title":"Incidence and Risk Factors of Cochlear Implant Complications: A Systematic Review and Meta-Analysis.","authors":"Mohammed A Shajeri, Abdullah N Alkhunfur, Saeed M Alqahtani, Omar S Abdullah Alnmasi, Hussam J Alshehri, Norah H Aldawsari, Atheer M Alshammakhi, Ahmed H Alkhaldi, Ahmed A Alessa, Tawfiq Khurayzi","doi":"10.3390/audiolres16040110","DOIUrl":"10.3390/audiolres16040110","url":null,"abstract":"<p><p><b>Objective:</b> This review aimed to evaluate the existing literature to determine the incidence and associated risk factors of cochlear implant complications. <b>Data Sources:</b> A comprehensive literature search was conducted across PubMed, Web of Science, Embase, and Scopus up to 12 April 2025. <b>Methods:</b> The review protocol was registered on PROSPERO (ID: CRD420251012225) on 15 March 2025, and the systematic review was performed according to PRISMA guidelines. <b>Results:</b> We included a total of 100 records based on 81 studies with 42,167 patients. The overall incidence was 13.7%. Major complications occurred in 5.2%, with device failure being the most common at 2.8%. Minor complications affected 7.8%, with superficial wound infections being most frequent at 2.3%. Vestibular complications (vertigo/dizziness) were prevalent at 12.4%. Adults had significantly higher overall and major complication rates compared to pediatric patients. The mastoidectomy with posterior tympanotomy approach (MPTA) was associated with lower rates (5.4%) than the suprameatal approach (SMA) (7.8%). A significant temporal trend showed decreased complication rates from 8.9% in the early era (1991-2010) to 4.1% in the recent era (2011-2025). Significant risk factors were identified including older age at implantation, inner ear malformations, chronic otitis media, previous otologic surgery, and longer surgery duration. A substantial heterogeneity was present across the included studies (I² up to 93.6%), and the evidence base was predominantly retrospective in nature, which limits the certainty of these estimates. <b>Conclusions:</b> Cochlear implantation appears to be a generally safe procedure. However, these findings should be interpreted with caution. The high heterogeneity, predominantly retrospective study designs, inconsistent complication definitions, and detected publication bias collectively limit the certainty of the pooled estimates. Standardized complication reporting, prospective multicenter designs, and consensus-based outcome definitions are essential to strengthen the evidence base and guide safer clinical practice.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 4","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13509191/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148833252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship Between Localization Acuity and Spatial Release from Masking.","authors":"Nirmal Srinivasan","doi":"10.3390/audiolres16040108","DOIUrl":"10.3390/audiolres16040108","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Spatial hearing enables listeners to segregate competing sound sources in complex acoustic environments. Two key components of spatial hearing are localization acuity and spatial release from masking (SRM). Although both rely on similar binaural cue processing, their relationship remains unclear. The present study aimed to investigate localization acuity using frequency-specific and broadband stimuli and to determine how these measures relate to SRM in young normal-hearing listeners. <b>Methods:</b> Forty-five normal-hearing participants completed free-field localization and speech identification tasks using a multi-loudspeaker array. Localization acuity was assessed using one-third octave low-frequency (500 Hz), high-frequency (5000 Hz), and broadband noise stimuli. SRM was measured using a Coordinate Response Measure (CRM) speech task under colocated and spatially separated conditions (±30°). Localization performance was quantified using percent correct and root-mean-square (RMS) error, and relationships between localization acuity and SRM were examined using correlation analyses. <b>Results:</b> Localization performance varied significantly with stimulus bandwidth, with broadband stimuli yielding the highest accuracy, followed by low- and high-frequency conditions. Listeners demonstrated robust SRM (~5.6 dB). Moderate negative correlations were observed between RMS error and SRM across all stimulus conditions. Although the broadband condition yielded numerically larger correlation coefficients, differences among correlations were not statistically significant. <b>Conclusions:</b> Localization acuity was moderately associated with SRM across stimulus conditions. Although numerically larger correlations were observed for broadband stimuli, these differences were not statistically significant. The findings suggest that localization acuity represents one of several factors contributing to spatial hearing performance in complex listening environments.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 4","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13509509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148833399","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-Term DHI Outcomes in Patients with Chronic Dizziness and Initially Uncertain Diagnosis: A Retrospective Follow-Up Study.","authors":"Johanna Müller-Diesing, Thien An Duong Dinh, Stephan Hackenberg, Anna Klein, Ariane Renson, Justus Ilgner, Julia Kristin Brach, Markus Wirth, Flurin Müller-Diesing","doi":"10.3390/audiolres16040107","DOIUrl":"10.3390/audiolres16040107","url":null,"abstract":"<p><p><b>Background:</b> Dizziness is a common symptom arising from disorders across multiple organ systems. Diagnostic pathways are often prolonged, and uncertainty may increase patients' subjective burden. <b>Aims/Objectives:</b> This study describes the long-term course of functional impairment in patients with chronic, complex dizziness with delayed or inconclusive diagnostic classification using longitudinal DHI data. <b>Material and Methods:</b> This retrospective longitudinal study included patients presenting between 2009 and 2012 with persistent dizziness of at least one year and no definitive diagnosis at baseline. Initial DHI scores were compared with follow-up data collected 14-17 years later via structured telephone interviews. Changes in total and subdomain scores (functional, emotional, and physical) were analyzed, with subgroup analyses (sex, age, and diagnostic status). <b>Results:</b> Fifty-one patients were included. Median total DHI score decreased from 48.0 to 14.0 (Z = -6.13, <i>p</i> < 0.001). Median within-patient change was -28 (95% CI: -44 to -15). A total of 49/51 patients (96%) showed improvement. All DHI subdomains improved significantly, with the largest change observed in the functional domain (median -10, 95% CI: -15 to -4). Improvements were consistent across subgroups and largely independent of epidemiological and diagnostic factors. <b>Conclusions and Significance:</b> Patients with complex chronic dizziness show substantial long-term improvement in DHI scores. Further studies in larger cohorts are needed to determine whether a generalizable prognosis can be established.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 4","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13509668/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148833428","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sigmoid Sinus Wall Reconstruction for Venous Pulsatile Tinnitus: A Critical Review of Surgical Outcomes, Hemodynamic Evidence, and Pressure-Associated Findings.","authors":"Bulent Mamikoglu, Pankajavalli Ramakrishnan, Fawaz Al-Mufti, Gerard Gianoli","doi":"10.3390/audiolres16040106","DOIUrl":"10.3390/audiolres16040106","url":null,"abstract":"<p><strong>Background/objectives: </strong>To critically evaluate the evidence on sigmoid sinus wall reconstruction (SSWR) for venous pulsatile tinnitus (PT), with emphasis on outcome durability, objective hemodynamic assessment, pressure-associated findings, and safety.</p><p><strong>Methods: </strong>A critical review with a structured literature search and reporting informed by PRISMA 2020 was performed using PubMed/MEDLINE and backward citation searching. Embase, Scopus, and the Cochrane Library were used to identify contextual secondary reviews and to cross-check the primary-study set. A descriptive study-level appraisal addressed design, cohort size, follow-up, outcome objectivity, hemodynamic measurements, and complication reporting. The manuscript is presented as a critical review because no prospective registration or formal risk-of-bias assessment was undertaken.</p><p><strong>Results: </strong>Thirty-four records were identified, two duplicates were removed, and 32 records were screened; 10 studies were included in the qualitative synthesis. These comprised dedicated SSWR/resurfacing outcome cohorts and clinical, imaging, or pressure/hemodynamic studies, with some studies contributing to more than one domain. The cohorts were small, heterogeneous, and predominantly retrospective, and only one cohort had mean follow-up exceeding 5 years. In that cohort, complete PT elimination was reported in 24/37 ears (64.9%), with significant partial improvement in 10 additional ears, yielding an initial satisfactory response in 34/37 ears (91.9%); after recurrence was considered, the source authors reported long-term success in 31/37 ears (83.8%). IIH (3/35), papilledema (5/35), and venous sinus stenting (2/35) were reported separately during follow-up and were not combined into a composite prevalence. Objective pre- and postoperative intracranial pressure or venous hemodynamic measurements were sparse, and complication reporting was inconsistent.</p><p><strong>Conclusions: </strong>This critical review suggests symptomatic benefit from SSWR in selected patients but finds insufficient evidence to determine whether the procedure normalizes intracranial pressure, corrects upstream venous hemodynamics, prevents recurrence, or modifies long-term disease. Comparative treatment recommendations cannot be supported. Prospective multicenter studies with standardized objective, patient-reported, and safety outcomes are required.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 4","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13509635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148833402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Broadband Noise Acoustic Stapedial Reflex Thresholds as a Marker of Cochlear and Neural Integrity in Individuals with Normal Audiograms.","authors":"Yongqing Liang, Navid Shahnaz, Valter Ciocca","doi":"10.3390/audiolres16040105","DOIUrl":"10.3390/audiolres16040105","url":null,"abstract":"<p><p><b>Background/Objectives:</b> Some individuals present with difficulty understanding speech in noise, tinnitus, or both, despite normal conventional audiometric hearing thresholds. This study evaluated whether acoustic stapedial reflex thresholds (ASRTs) could serve as a clinically useful indicator of auditory complaints not captured by conventional audiometry. <b>Methods:</b> ASRTs for pure tones and broadband noise (BBN) were measured in 146 ears (73 participants) from controls, music students, and symptomatic participants. Bayesian random-intercept linear regression models were used to compare ASRTs among groups, adjusting for age and sex. ASRT difference scores were also used for ROC analysis and to estimate the difference between pure-tone and BBN thresholds (\"BBN advantage\"). <b>Results:</b> Symptomatic ears showed higher ASRTs than control ears with BBN stimuli, after adjustment for age and sex. Symptomatic ears had a lower AvgDiff posterior mean (reduced BBN advantage) than control ears. ASRTs for music students were directionally consistent with an intermediate pattern, but with wider credible intervals and greater uncertainty. Exploratory ROC analysis showed moderate separation between symptomatic and non-symptomatic ears with AvgDiff; however, symptom status was not independently validated against any diagnostic reference standard. <b>Conclusions:</b> The study suggests that a reduced BBN advantage may be associated with auditory complaints in individuals with normal hearing at conventional audiometric frequencies. However, these findings should be interpreted with caution and not used for specific diagnostic purposes, as the symptomatic group was substantially older and symptom status was not independently validated against any diagnostic reference standard.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 4","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13509462/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148833285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hearing Impairment in Kazakhstan, 2020-2025: Dispensary Registration, Disability Certification, and Cochlear Implantation Response, with Reference to Global Burden of Disease 2021 Modelled Estimates.","authors":"Zhadra Bukenova, Galiya Orazova, Aigerim Baimagambetova, Zhadyra Karashutova, Aisulu Talgatova, Zulfiya Zholdybayeva, Sauran Yerdessov, Gulnara Kulkayeva","doi":"10.3390/audiolres16040104","DOIUrl":"10.3390/audiolres16040104","url":null,"abstract":"<p><p><b>Background:</b> Hearing health in Kazakhstan is documented through parallel administrative systems whose indicators are often conflated. We examined three administrative layers of hearing health during 2020-2025: dispensary registration of ear and hearing-loss diagnoses, disability certification as a severe administrative endpoint, and cochlear implantation (CI) as the specialised treatment response, with reference to Global Burden of Disease (GBD) 2021 estimates. <b>Methods:</b> We conducted a national ecological, region-year, multi-source administrative registry study across all 20 regions of Kazakhstan from 2020 to 2025. The dataset included 114 region-year observations and integrated Dispensary Report Form No. 12, the State Register of Persons with Disabilities, and the Electronic Register of Inpatient Patients. Dispensary indicators were interpreted as registered healthcare-utilisation measures, not population prevalence or incidence. Trends were assessed using Mann-Kendall tests with Benjamini-Hochberg false-discovery-rate correction. Regional patterns were examined using Spearman correlation, inequality metrics, and exploratory clustering. <b>Results:</b> Among adults, registered H60-H95 annual morbidity increased from 231,209 to 278,897 cases (CAGR +3.8%; FDR <i>p</i> = 0.016), and first-time registrations rose from 126,513 to 167,674 (CAGR +5.8%; FDR <i>p</i> = 0.016). Active dispensary observation declined modestly from 21,840 to 19,881. H65-H66 chronic otitis first-time registration remained stable, while active observation declined sharply. Paediatric H90-H91 registration was stable. In 2025, 31,560 persons were registered with hearing impairment-related disability, including 26,522 adults. CI procedures increased from 285 to 523. Adult CI activity was intermittent between 2012 and 2018 (peak 140 in 2013), ceased in 2019-2020, and was re-established from 2021 (14 → 129 procedures in 2025), reaching 24.7% of all CI. Most procedures were concentrated in Almaty and Astana. Compared with the GBD-2021 estimate of 17,212 per 100,000, administrative indicators captured much narrower service-utilisation and severe-certification layers. <b>Conclusions:</b> Kazakhstan's administrative data describe distinct hearing-health layers rather than competing prevalence estimates. Adult screening, regional audiology capacity, post-CI rehabilitation, and longitudinal outcome registries are priority areas.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 4","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13509522/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148833341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Results for Adults with Asymmetric Hearing Loss Who Receive a Cochlear Implant.","authors":"Alexandra Rousset, Sylvia Tari, Rod Hollow, Raoul Wills, Richard C Dowell","doi":"10.3390/audiolres16040102","DOIUrl":"10.3390/audiolres16040102","url":null,"abstract":"<p><p><b>Objectives</b>: To collate subjective and objective outcome measures from cochlear implant recipients with asymmetric hearing loss. <b>Methods</b>: Forty-one CI recipients with asymmetrical hearing loss completed spatially separated speech in noise testing, speech in quiet testing, localisation testing, and tinnitus and quality of life questionnaires (SSQ and IOI-HA) pre-operatively and at 3, 12 and 24 months post-operatively. The results were used to generate a tool to help clinicians guide potential recipients through the counselling process. <b>Results</b>: Significant improvements in spatially separated SRT, localisation, tinnitus and the SSQ were observed for the group, with significant individual variability. CVC phoneme scores were not significantly different from those observed for CI recipients with bilateral hearing loss. The rates of non-use were consistent with those in the literature and were higher than for recipients with bilateral hearing loss. There was a significant correlation between PTA in the contralateral ear and localisation, and those recipients with a shorter duration of hearing loss were more likely to be satisfied with their CI. Discussion: Cochlear implantation for patients with asymmetrical hearing loss has the potential to offer improvements in head-shadow effects, localisation and tinnitus, with subjective measures also showing significant improvements post-operatively. There exists a large amount of individual variability across the group, however, which makes pre-operative counselling problematic for this patient cohort. <b>Conclusions</b>: The use of the study-generated counselling tool by clinicians may help patients make a more educated decision to proceed with implantation based upon realistic expectations of possible post-operative outcomes.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 4","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13509795/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148833393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Language Development in Deaf and Hard-of-Hearing Children: An Ecological Systems Perspective.","authors":"Carrie A Davenport, Elaine R Smolen, Derek M Houston","doi":"10.3390/audiolres16040103","DOIUrl":"10.3390/audiolres16040103","url":null,"abstract":"<p><p><b>Background</b>: Language outcomes among DHH children are widely variable. Equally variable is the diversity of factors involved in fostering healthy language development in this population. Some DHH children use cochlear implants and hearing aids and reach expected milestones. Others exhibit delays, ranging from mild to severe. Regardless of how \"success\" is defined for individual children who use these technologies, recognizing the ecological contexts in which DHH children develop language, and the relationships among those contexts, can support the identification of contextual predictors and points of intervention that lie beyond the individual DHH child. <b>Purpose</b>: The purpose of this article is to articulate Bronfenbrenner's Ecological Systems Theory and how it relates to language development in this population of children. We discuss the original conceptualization of the theory, portraying the levels of ecosystems depicted as nested, and explore how a networked version of the theory might provide a complementary lens for elucidating the ecological variables associated with language development. <b>Implications for research:</b> We describe implications for research including expanding the ecological variables examined, examining interactions between ecosystems, use of diverse methodologies, and shifting beyond a deficit model towards an ecological perspective.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 4","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13510051/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148833270","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence and Epidemiological Determinants of Tinnitus in the Southern Region of Saudi Arabia: A Community-Based Cross-Sectional Study.","authors":"Abdulrahman Ali Otaif, Musleh Hussain Mubarki, Khalid Talat Ardi, Abdulelah A Otaif, Dhiyaa A H Otayf, Ghala S Al Ahmari, Danah M Al Mutib, Razan M Althumali, Tif A Jawahi, Najla M Al Yami, Abdullah M Algarni","doi":"10.3390/audiolres16040101","DOIUrl":"10.3390/audiolres16040101","url":null,"abstract":"<p><strong>Background/objectives: </strong>Tinnitus is a significant global health concern with substantial geographic variation in prevalence. However, data on tinnitus epidemiology in southern Saudi Arabia remain limited, despite emerging evidence suggesting a relatively high regional burden. Therefore, this study aimed to estimate the prevalence of tinnitus and identify its epidemiological determinants among adults in southern Saudi Arabia.</p><p><strong>Methods: </strong>A community-based cross-sectional study was conducted among 501 adults from four regions in southern Saudi Arabia (Jazan, Aseer, Najran, and Al-Baha). Data were collected on sociodemographic characteristics, chronic medical conditions, noise exposure patterns, and clinical features of tinnitus. Multivariable logistic regression analysis was used to identify factors independently associated with tinnitus.</p><p><strong>Results: </strong>The overall tinnitus prevalence was 31.1% (156/501). The mean age of participants was 30 ± 11 years, and 61.7% were female. Bilateral tinnitus was the most common (47.4%). Symptom duration was reported as <3 months in 31.4% of cases and between 3 months and 1 year in another 31.4%. The mean severity score was 3.7 ± 1.9. Most affected individuals (76.9%) did not seek medical care. Primary exacerbating factors included sleep deprivation (41.7%), noise exposure (41.0%), and stress (39.1%). Multivariable analysis identified two significant independent predictors: weekly noise exposure exceeding 5 h (odds ratio [OR] = 2.14; 95% confidence interval [CI]: 1.34-3.42; <i>p</i> = 0.001) and higher body mass index (BMI) (OR = 1.06; 95% CI: 1.02-1.10; <i>p</i> = 0.005). The most commonly associated underlying conditions were ear infections (25.6%) and hearing loss (24.4%).</p><p><strong>Conclusions: </strong>Tinnitus prevalence in southern Saudi Arabia (31.1%) substantially exceeds global estimates. Noise exposure and elevated BMI are key modifiable factors associated with tinnitus. The substantial healthcare gap, with most affected individuals not seeking treatment, represents a critical public health challenge requiring targeted prevention programs, provider education, and improved access to evidence-based care.</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 4","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13397991/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148580538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In Memoriam: Prof. Dr. Giovanni Ralli.","authors":"Giacinto Asprella-Libonati","doi":"10.3390/audiolres16040100","DOIUrl":"10.3390/audiolres16040100","url":null,"abstract":"<p><p>With profound sorrow, I announce the passing of Prof [...].</p>","PeriodicalId":44133,"journal":{"name":"Audiology Research","volume":"16 4","pages":""},"PeriodicalIF":1.7,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13398313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148580509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}