Clinical and sociodemographic characteristics of patients with tinnitus at specialized unit in Medellín

Main Article Content

Andrea Moreno T
Nathalie Cristina Arboleda Villa
Damian Martinez S
Margarita Schwarz L
Dandis J Mendoza C
Alejandra Garrido A

Abstract

Introduction: Taking into account the impact of tinnitus on the quality of life, this study seeks to describe the characteristics of this specific population.


Objective: This study aimed to describe the sociodemographic and clinical characteristics of patients diagnosed with tinnitus attending a clinic in Medellin, Colombia.


Methods:  Study of patients referred to Otorhinolaryngology and Otology Specialist Center (ORLANT clinic) in Medellin in one year. Determining variables as socio-demographics and medical history.


Results: 61 patients were assessed. 59% were male, with a mean age of 52.5 years. The median time of symptoms was 24 months. The results associated with tinnitus features were: 54.1% had symptoms referable to both ears and 78.7% reported high pitch noise. According to THI, 59% of patients described moderately distressing tinnitus. 67,2% reported spinning sensation and 80.3% imbalance or instability. As to comorbidities: 23% of the population had high blood pressure, only 5 patients received ototoxic drugs and 21.3% had a diagnosis of a psychiatric disorder. 34.4% had chronic noise exposure and 8.2% sudden hearing loss. as for associations with audiometry findings: 65.5% had a previous diagnosis of hearing loss, 52.5% in both ears, 54.1% had sensorineural type.


Conclusion: The most common characteristics of tinnitus were bilateral presentation, duration greater than 3 months, high pitch noise and moderate intensity. Finding similar characteristics to those described in other populations.


Clinical relevance: Understanding the peculiarities of patients with tinnitus make an approach to propose specifically targeted prevention and treatment measures.

Downloads

Download data is not yet available.

Article Details

How to Cite
1.
Moreno T A, Arboleda Villa NC, Martinez S D, Schwarz L M, Mendoza C DJ, Garrido A A. Clinical and sociodemographic characteristics of patients with tinnitus at specialized unit in Medellín. Acta otorrinolaringol cir cabeza cuello [Internet]. 2021Jul.2 [cited 2024Nov.9];49(2):105-11. Available from: https://dev.revista.acorl.org.co/index.php/acorl/article/view/537
Section
Trabajos Originales

References

Baguley D, McFerran D, Hall D. Tinnitus. Lancet. 2013;382(9904):1600-7. doi: 10.1016/S0140-6736(13)60142-7

Jastreboff PJ. Phantom auditory perception (tinnitus): mechanisms of generation and perception. Neurosci Res. 1990;8(4):221-54. doi: 10.1016/0168-0102(90)90031-9

Tunkel DE, Bauer CA, Sun GH, Rosenfeld RM, Chandrasekhar SS, Cunningham ER Jr, et al. Clinical practice guideline: tinnitus.Otolaryngol Head Neck Surg. 2014;151(2 Suppl):S1-S40. doi:10.1177/0194599814545325

Langguth B, Kreuzer PM, Kleinjung T, De Ridder D.Tinnitus: causes and clinical management. Lancet Neurol. 2013;12(9):920-930. doi: 10.1016/S1474-4422(13)70160-1

Heller AJ. Classification and epidemiology of tinnitus.Otolaryngol Clin North Am. 2003;36(2):239-48. doi: 10.1016/s0030-6665(02)00160-3

Gibrin PCD, Melo JJ, Marchiori LL de M. Prevalência de queixa de zumbido e prováveis associações com perda auditiva, diabetes mellitus e hipertensão arterial em pessoas idosas.

CoDAS. 2013;25(2):176–80.

Oiticica J, Bittar RS. Tinnitus prevalence in the city of São Paulo. Braz J Otorhinolaryngol. 2015;81(2):167-76. doi:10.1016/j.bjorl.2014.12.004

Folmer RL, Griest SE. Tinnitus and insomnia. Am J Otolaryngol. 2000;21(5):287-93. doi: 10.1053/ajot.2000.9871

McCormack A, Edmondson-Jones M, Somerset S, Hall D.A systematic review of the reporting of tinnitus prevalence and severity. Hear Res. 2016;337:70-9. doi: 10.1016/j.heares.2016.05.009

Michikawa T, Nishiwaki Y, Kikuchi Y, Saito H, Mizutari K, Okamoto M, et al. Prevalence and factors associated with tinnitus: a community-based study of Japanese elders. J Epidemiol. 2010;20(4):271-6. doi: 10.2188/jea.je20090121

Baigi A, Oden A, Almlid-Larsen V, Barrenäs ML, Holgers KM. Tinnitus in the general population with a focus on noise and stress: a public health study. Ear Hear. 2011;32(6):787-9. doi:10.1097/AUD.0b013e31822229bd 12. Shargorodsky J, Curhan GC, Farwell WR. Prevalence and characteristics of tinnitus among US adults. Am J Med. 2010;123(8):711-8. doi: 10.1016/j.amjmed.2010.02.015

Hall DA, Láinez MJ, Newman CW, Sanchez TG, Egler M,Tennigkeit F, et al. Treatment options for subjective tinnitus: self reports from a sample of general practitioners and ENT physicians within Europe and the USA. BMC Health Serv Res. 2011;11:302. doi: 10.1186/1472-6963-11-302

Sindhusake D, Golding M, Newall P, Rubin G, Jakobsen K, Mitchell P. Risk factors for tinnitus in a population of older adults: the blue mountains hearing study. Ear Hear. 2003;24(6):501-7. doi: 10.1097/01.AUD.0000100204.08771.3D

Sindhusake D, Golding M, Wigney D, Newall P, Jakobsen K,Mitchell P. Factors predicting severity of tinnitus: a populationbased assessment. J Am Acad Audiol. 2004;15(4):269-80. doi:

3766/jaaa.15.4.2

Ferreira LM, Ramos Júnior AN, Mendes EP. Characterization of tinnitus in the elderly and its possible related disorders. Braz J Otorhinolaryngol. 2009;75(2):249-55. doi: 10.1016/s1808-

(15)30786-2

Peña Martínez A. Evaluación de la incapacidad provocada por el tinnitus: homologación lingüística nacional del

Tinnitus Handicap Inventory (THI). Rev. Otorrinolaringol. Cir. Cabeza Cuello. 2006;66(3):232-35. doi: 10.4067/S0718-

Dottor Dotor LL, Álvarez Santos LN, Rivera Tello JC, Rodríguez Jiménez YM. Aplicación del inventario de

discapacidad del tinnitus en usuarios de IPS en Bucaramanga. Rev Colomb Rehabil. 2017;13(1):118-23. doi: 10.30788/

RevColReh.v13.n1.2014.37

Job A, Cardinal F, Michel H, Klein C, Ressiot E, Gauthier J. Tinnitus and Associated Handicaps in the French Mountain

Artillery: Assessment by the Tinnitus Handicap Inventory. Mil Med. 2018;183(9-10):e302-e306. doi: 10.1093/milmed/usy042

Skarzynski PH, Rajchel JJ, Gos E, Dziendziel B, KutybaJ, Bienkowska K, et al. A revised grading system for

the Tinnitus Handicap Inventory based on a large clinical population. Int J Audiol. 2020;59(1):61-67. doi:

1080/14992027.2019.1664778