• Title, Summary, Keyword: tinnitus

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Relationship between the Discomfort of Tinnitus and the Quality of Life in Tinnitus Patients (이명장애와 삶의 질의 관계)

  • Park, Mi-Ok;Kim, Ju-Sung;Shin, Jae-Shin
    • The Korean Journal of Rehabilitation Nursing
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    • v.6 no.1
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    • pp.40-50
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    • 2003
  • Purpose: To investigate audiometery and characteristics related to tinnitus in tinnitus patients, and to understand the relationship between the discomfort of tinnitus and the quality of life. Methods: The subjects were 110 patients with tinnitus. The data were collected using tinnitus handicap questionnaire, quality of life, and pure tone audiometry, which measured hearing level in dB and frequency in Hz matching of tinnitus. Results: Majority of tinnitus patients (75.5%~81.8%) had normal auditory sensation. but 82.7% of patients indicated that they have heard tinnitus "frequently" or "always", and the major sounds of tinnitus were "wing, wung, wang". The matching sounds of tinnitus had various range in hearing level(dB) and frequency(Hz). Tinnitus patients reported moderate levels of the discomfort of tinnitus and the quality of life, and there were negative correlation between the discomfort of tinnitus and the quality of life(r=-.314, p<.001). Conclusion: These findings suggest that special attention is needed for tinnitus patients because the physical, psychological, and social impacts of tinnitus could be decrease their quality of life. Specialized nursing intervention considering specific conditions related to tinnitus is required to solve various health problems of tinnitus patients.

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Relationship Between Diet and Tinnitus: Korea National Health and Nutrition Examination Survey

  • Lee, Doh Young;Kim, Young Ho
    • Clinical and Experimental Otorhinolaryngology
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    • v.11 no.3
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    • pp.158-165
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    • 2018
  • Objectives. This study aimed to analyze the association between nutritional intake and tinnitus prevalence by evaluating a large cross-sectional cohort. Methods. Data from the Korea National Health and Nutrition Examination Survey collected between 2013 and 2015 were analyzed. The study population consisted of 7,621 individuals aged 40 to 80 years with complete tinnitus-related data. Individuals with inadequate responses to tinnitus history, noise exposure in the work place, or subjective hearing loss were excluded. Prevalence of tinnitus and tinnitus-related annoyance, and nutrition intake were measured using this questionnaire, and associations between tinnitus and nutritional data were evaluated by binary logistic regression analysis. Results. Subjective tinnitus was reported by 1,435 individuals with subjective normal hearing (18.8%). Prevalence of tinnitus increased with age. However, among individuals with tinnitus, the proportion of individuals with tinnitus-related annoyance was similar across age groups. Older age, female sex, lower body mass index (BMI), and less vitamin $B_2$ intake were significantly associated with tinnitus (P<0.001, P=0.002, P=0.041, P=0.013, respectively). Vitamin $B_2$ intake was significantly less in individuals with tinnitus who were middle-aged (ages 51-55 and 56-60 years, P=0.012 and P=0.020, respectively). Less intake of water, protein, and vitamin $B_3$ were associated with tinnitus-related annoyance (P=0.038, P=0.009, and P=0.005, respectively). Prevalence of annoyance was significantly associated with less water intake in younger ages (age 45-55 years) but with less protein and vitamin $B_3$ intake in older ages (age 66-80 years). Conclusion. Reduced intake of vitamin $B_2$ and $B_3$, water, and protein may be associated with tinnitus and tinnitus-related annoyance, and further studies regarding the importance of adequate nutritional intake in the tinnitus management need to be performed.

Psychiatric Characteristics According to Tinnitus Severity (이명 심각도에 따른 정신의학적 특징)

  • Kim, Jae Hong;Kim, Jung Ho;Cho, Sung Il;Park, Sang Hag;Kim, Sang Hoon;Choo, Il Han;Kim, Seung Gon
    • Korean Journal of Biological Psychiatry
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    • v.22 no.1
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    • pp.7-13
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    • 2015
  • Objectives The purpose of this study was to examine the psychiatric characteristics of outpatients with tinnitus. Methods A total of 88 subjects were included in this study. According to Tinnitus Handicap Inventory (THI) scores, the subjects were classified into two group ; a mild tinnitus symptoms (mild-tinnitus) group and a severe tinnitus symptoms (severe-tinnitus) group. A questionnaire was used for an assessment of demographic characteristics, and the THI, the Visual Analogue Scale (VAS) about tinnitus, the Beck Depression Inventory (BDI), and the Beck Anxiety Inventory (BAI) are applied for evaluation of other clinical psychiatric characteristics. Results Higher THI scores were positively correlated with tinnitus course, the number of accompanying symptoms, and the VAS. BDI total scores, BDI factors, and BAI total scores were significantly higher in the severe-tinnitus group than in the mild-tinnitus group. Also suicidal ideation, interpersonal problems, sleep problems, occupational impairment, and fatigue were significantly higher in the severe-tinnitus group than in the mild-tinnitus group. Conclusions Tinnitus is a common disorder of hearing which is associated frequently with psychiatric problems. This study suggests that psychiatric interventions should be taken into consideration in the treatment of patients suffering from tinnitus.

Change of Subjective Tinnitus by the Duration of Noise Exposure in Patients with Noise-Induced Hearing Loss (소음성 난청 환자에서 소음 노출 기간에 따른 주관적 이명의 변화)

  • Oh, Jeonghyun;Sim, Ju-Hwan;Cho, Sung Il
    • Korean Journal of Otorhinolaryngology-Head and Neck Surgery
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    • v.61 no.12
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    • pp.669-673
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    • 2018
  • Background and Objectives Tinnitus, a common complaint of workers who are exposed to noise, can cause substantial negative effects on the quality of life of these workers. The aim of this study was to analyze the characteristics of tinnitus in patients with noise-induced hearing loss and the relationship between tinnitus and the duration of noise exposure. Subjects and Method Thirty-three patients with subjective tinnitus and noise-induced hearing loss were included in this study. Tinnitus questionnaire, Tinnitus Handicap Inventory (THI) and audiological examinations were investigated according to the duration of noise exposure. Results There was a significant correlation between the tinnitus loudness and the duration of noise exposure. Patients who had longer periods of noise exposure had a louder tinnitus and higher THI score. However, there is no significant correlation between the characteristics of tinnitus and aging process. Conclusion The duration of noise exposure influences the loudness and distress of tinnitus. An awareness of tinnitus should be considered as part of hearing conservation program.

Urine Cotinine Should Be Involved in Initial Evaluation of Tinnitus in Adolescents

  • Lee, Doh Young;Kim, Young Ho
    • Clinical and Experimental Otorhinolaryngology
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    • v.11 no.4
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    • pp.242-249
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    • 2018
  • Objectives. Smoking is associated with hearing loss, while the correlation between tinnitus and smoking is not fully elucidated. This study aimed to evaluate risk factors of tinnitus in adolescents in terms of smoking, and we identified a rectifiable parameter that can be serially monitored. Methods. A cross-sectional study was conducted using data from the Korea National Health and Nutrition Examination Survey, with 2,782 participants aged 12 to 18 years, from 2008 through 2011. Participants with history of ear disease, hearing loss, and inadequate responses to questionnaires were excluded. We investigated the prevalence of tinnitus and tinnitus-related annoyance by questionnaire and sought potential risk factors in blood and urine tests and smoking history. Results. The prevalence of tinnitus in the 12- to 18-year-old population was 17.5%, with 3.3% reporting tinnitus-related annoyance. On univariate analysis, the prevalence of tinnitus increased with age (P<0.001) and was higher among girls (P=0.012). Blood tests and urinalysis showed significant correlation between tinnitus and red blood cell count, alkaline phosphatase levels, and urine cotinine (P=0.002, P<0.001, P=0.018, respectively). In multivariate analysis, the urine cotinine level was the only parameter associated with tinnitus (odds ratio, 1.000; 95% confidence interval, 0.999 to 1.000; P=0.038). Smoking was also significantly correlated with tinnitus (P=0.043), and amount of smoking with tinnitus-related annoyance (P=0.045). However, current smoking and past smoking were not correlated with tinnitus. Conclusion. Urine cotinine may be a rectifiable marker for management of tinnitus in adolescents. This suggests that smoking cessation should be incorporated in the management of tinnitus in adolescents.

Analysis of Tinnitus Pattern by Visceral Pattern Identification and Treatment Efficiency by Pattern Identification Type (장부변증에 따른 이명 양상과 변증유형별 치료효율 분석)

  • Kim, Gyung-Jun
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.32 no.3
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    • pp.77-86
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    • 2019
  • Objectives : By analyzing symptoms of tinnitus, we tried to find out the relationship between deficiency and excess(虛實) and visceral pattern identification(臟腑辨證). By testing Tinnitus Handicap Inventory(THI), we evaluated the quality of life of people suffering from various aspects of tinnitus, as well as comparing treatment efficiency. Methods : 52 patients were recruited in this study who was ill with tinnitus. They wrote out the questionnaire about tinnitus and the THI. Results : The vast majority of high-grade tiny noise patients are deficiency type(虛症). The vast majority of low-grade roar patients are excess type(實症). Tinnitus persistence and feeling of ear occlusion were prominent in low-grade roar patients. low-grade roar patients suggest that overall quality of life is lower than high-grade tiny noise patients. In terms of treatment efficiency, spleen-stomach weakness(脾胃虛弱)-type, stomach heat(胃熱)-type and phlegm-fire(痰火)-type was higher than kidney essence depletion(腎精虧損)-type and liver qi depression(肝氣鬱結)-type regardless of the aspect of tinnitus. Conclusions : The present study suggests that tinnitus pattern may be helpful in differentiating patients with tinnitus, and the effectiveness of treatment can be predicted through differentiation.

Characteristic and Quality of Life in Patient with Tinnitus who visit the Korean Medical Hospital (한방병원에 내원한 이명환자의 특성 및 삶의 질 분석)

  • Kim, Ja-Hye;Kim, Min-Hee;Shin, Sang-Ho;Ko, Woo-Shin;Kim, Hoon;Yoon, Hwa-Jung
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.19 no.2
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    • pp.212-222
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    • 2006
  • Backgroun : Tinnitus is common disorder with many possible causes and a symptom of many different diseases but has no effective treatment. Approximately 20% of tinnitus patients experience the disorder to a degree that their quality of lift and productivity are impaired. Objective : This study was conducted to investigate the characteristic of the tinnitus patients and the impact of tinnitus on quality of life. Methods : 103 patients un recruited in this study who was ill with tinnitus. They wrote out the queslicumaire about tinnitus and the Tinnitus Handicap Inventory(THI). Result : THI score have relation to set the period of birth, the loudness of tinnitus and the items of attending symptoms. Conclusion In this study, tinnitus have influence on patients' quality of life. We expect this study to provide the base data for the effective treatment and the high qualify of patients' life.

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Clinical Observation for Evaluation Protocol on Tinnitus (이명에 대한 평가지침 수립을 위한 임상 연구)

  • Kim Yaan Bum
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.16 no.2
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    • pp.403-407
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    • 2002
  • The objective of this study is to establish the new evaluating method of tinnitus and to evaluate the effect of acupuncture therapy. Fourteen patients with tinnitus were studied. The patients answered the questionnaire designed to identify and describe the subjective symptoms of tinnitus and discomfort in daily life due to tinnitus. After acupuncture therapy, the survey was conducted again among the patients and we evaluated the difference between pre-acupuncture therapy and post-acupuncture therapy. 1. Precipitating factors of tinnitus among the patients group consisted of 14 members were stress, noise, drug, overwork, URI, and otitis media in order. 2. Significant improvements in subjective symptoms of tinnitus and discomfort in daily life after acupuncture therapy were identified among the patient group of 14 members 3. Patient group of 14 members were divided into 2 groups by digestion status: patients who have poor digestion and patients who have good digestion. The patients who have good digestion showed significant improvement both in subjective symptoms of tinnitus and in discomfort in daily life after acupuncture therapy. 4. Patient group of 14 members were divided Into 2 groups by urination and defecation status: patients who have poor urination and defecation and patients who have good urination and defecation. The patients who have good urination and defecation showed significant improvement both in subjective symptoms of tinnitus and in discomfort in daily life after acupuncture therapy. 5. Patient group of 14 members were divided into 2 groups by sleeping status: patients who sleep well and patients who don't sleep well. The patients who sleep well showed significant improvement both in subjective symptoms of tinnitus and in discomfort in daily life after acupuncture therapy. This study shows that the subjective symptoms of tinnitus and discomfort in daily life due to tinnitus are involved in urination and defecation factor, sleep factor, and digestion factor. This study also shows that acupuncture therapy is effective in improving the subjective symptoms of tinnitus and discomfort in daily life due to tinnitus.

Correlation Analysis of Tinnitus Severity and Psychiatric Characteristics in Patients with Tinnitus (이명환자에서 이명심각도와 정신의학적 특징의 상관성 분석)

  • Moon, Kyung Ray;Lee, Junghyun H.;Chun, Young-Myoug;Lee, Dayoung
    • Anxiety and mood
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    • v.11 no.2
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    • pp.136-142
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    • 2015
  • Objective : Subjective tinnitus is defined as an acoustic sensation perceived without any external source. Patients with tinnitus have often experienced psychological distress and low quality of life. However, the connection between psychiatric characteristics and tinnitus has not yet been established. The purpose of this study was to investigate the relationship of psychiatric characteristics with tinnitus severity. Method : A total of 124 patients with tinnitus were included in the study. Demographic and clinical characteristics were retrospectively collected in the otolaryngology clinic. The self-reported scales including the Tinnitus Handicap Inventory, the Hospital Anxiety and Depression Scale and the Anxiety Sensitivity Index were used in this study. Results : The Pearson product moment correlation revealed significant correlations between tinnitus severity and psychiatric characteristics including depression (r=0.26, p<0.01), anxiety (r=0.38, p<0.01), anxiety sensitivity (r=0.27, p<0.01). After controlling for age, sex and awareness of tinnitus, tinnitus severity was positively correlated with anxiety (partial r=0.39, p<0.01) and anxiety sensitivity (partial r=0.28, p<0.01). These correlations remained significant in male but not in female patients. Conclusion : Results of the present study indicated that not only anxiety symptoms but also anxiety sensitivity could relate to tinnitus severity. Our findings have implications for the understanding of the psychiatric characteristics in patients with tinnitus.

A Clinical Case Report of a Tinnitus Patient in Pregnancy (임신 중 발생한 이명 환자 치험 1례)

  • Choi, Won-Jin;Kim, Myung-Dong
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.23 no.2
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    • pp.218-223
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    • 2010
  • The above patient of this case is outpatient on April 18, 2007 who visited my office with tinnitus, headache, dizziness, and backpain, and, she was in pregnancy 14 weeks. Her symptoms were diagnosed as tinnitus from kidney meridian weakness due to pregnancy. After she was administered with Yukmijihwnagtang, her tinnitus disappeared and her other symptoms became better. So this result suggests that herbal administration of Yukmijihwangtang was effective on tinnitus due to pregnancy.