tinnitus

Iperacusia pediatrica

Iperacusia pediatrica

Le attività di questo gruppo di ricerca si concentrano sullo studio dell'iperacusia nel bambino, con particolare attenzione alla diagnosi e all'associazione con altre condizioni patologiche neuropsichiatriche. 

L’iperacusia è un’intolleranza ai suoni quotidiani di intensità normale o moderata che provoca notevoli disturbi e danni alle attività sociali, professionali, ricreative e altre attività quotidiane. I pazienti con iperacusia percepiscono i suoni con intensità moderata ed elevata come intollerabilmente forti o addirittura dolorosi.

Ethiology of tinnitus. Discomalleolar ligament in fresh human cadavers. Anatomical and clinical aspect: a surgical proposal

Background: Several anatomic relationships between the ear and the TMJ have been proposed to account for the presence of tinnitus during TMD. Most important otomandibular structures are tympanomandibular ligament and discomalleolar ligament. The latter connects the malleus bone of the middle ear and the postero-medial region of the temporomandibular joint.

Objectives: For this reason, the aim of the present paper is to study, on fresh adult cadavers, the frequency of discomalleolar ligaments, its correlation with the middle ear and its role in the ethiology of tinnitus.

Subtyping patients with somatic tinnitus: modulation of tinnitus and history for somatic dysfunction help identify tinnitus patients with temporomandibular joint disorders

Objective: Determine in a cohort of patients with normal hearing and chronic tinnitus if self-reported history for temporomandibular joint (TMJ) dysfunction and a positive modulation of tinnitus in the TMJ region could be suggestive of an underlying TMJ disorder. Patients and Methods: The study included 226 patients presenting to the Head and Neck Service of our University Hospital. Following audiological and somatic tinnitus evaluation, patients were divided into two groups.

Hyperacusis in children: a preliminary study on the effects of hypersensitivity to sound on speech and language

There is a growing awareness that children may experience hyperacusis, a condition that is often associated with behavioral and developmental disorders. This preliminary study was aimed to investigate the effects of hyperacusis alone on various components of speech and language in children without developmental disorders. This study was conducted on 109 children aged between 4 and 7 years attending kindergarten and primary school. Hyperacusis was assessed through behavioral observation of children and questionnaires for parents.

What factors influence treatment decision making in acoustic neuroma? Our experience on 103 cases

Acoustic Neuromas (AN) are benign tumors of the vestibulocochlear nerve with symptomatology that includes unilateral sensorineural hearing loss, tinnitus, dizziness, facial and/or trigeminal neuropathy. There are different treatment options of AN: watchful waiting, microsurgical resection, stereotactic radiation and the choice depends by many variables such age, health and hearing of patients as size, location and growing status of tumor.

Acoustic analysis of hearing aid sound therapy programs

Background: For many healthcare providers, tinnitus and hyperacusis are difficult symptoms to treat. There remains no conclusive cure for either symptom; however, helpful management strategies have been developed utilising counselling and sound therapy. Nowadays, most modern hearing aids have integrated sound therapy as a programable option; although, unlike hearing aid gain characteristics, output verification of sound therapy programs is not common practice.

A review of auditory gain, low-level noise and sound therapy for tinnitus and hyperacusis

Objective: This article reviews: (1) the evidence related to enhanced central gain as a potential mechanism for the generation of tinnitus and hyperacusis, (2) the neuroplastic changes induced by prolonged, low-level sound stimulation and (3) the clinical effectiveness of various sound therapies and amplification for the treatment of tinnitus and hyperacusis. Design: General literature review. Study sample: Peer-reviewed articles related to auditory neural gain, prolonged low-level noise exposure and effectiveness of sound therapy.

Hearing loss, tinnitus, hyperacusis, and diplacusis in professional musicians: a systematic review

Professional musicians (PMs) are at high risk of developing hearing loss (HL) and other audiological symptoms such as tinnitus, hyperacusis, and diplacusis. The aim of this systematic review is to (A) assess the risk of developing HL and audiological symptoms in PMs and (B) evaluate if different music genres (Pop/Rock Music-PR; Classical Music-CL) expose PMs to different levels of risk of developing such conditions. Forty-one articles including 4618 PMs were included in the study.

Sudden hearing loss as an early detector of multiple sclerosis: a systematic review

To evaluate whether Sudden Sensorineural Hearing Loss (S-SNHL) may be an early symptom of Multiple Sclerosis (MS). A systematic review was conducted using the following keywords: "Multiple sclerosis, hearing loss, sudden hearing loss, vertigo, tinnitus, magnetic resonance imaging, otoacoustic emission, auditory brainstem responses, white matter lesions, sensorineural hearing loss, symptoms of MS and otolaryngology, nerve disease and MS". Only the articles that included results of at least one auditory test and MRI were considered.

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