Abstract：
PURPOSE:The purpose was to assess the proportion of patients seeking help for tinnitus and/or hyperacusis who have severe hyperacusis and to examine factors associated with severe hyperacusis. RESEARCH DESIGN:This was a retrospective cross-sectional study based on 362 consecutive patients who attended a National Health Service audiology clinic for tinnitus and/or hyperacusis rehabilitation and for whom uncomfortable loudness levels (ULLs) had been measured. The criterion for severe hyperacusis was taken as a ULL of 30 dB HL or less for at least one of the measured frequencies for at least one ear. RESULTS:Thirteen patients had severe hyperacusis, and eight of those had normal hearing. The lowest average ULL across frequencies was 28 dB HL. The difference in average ULLs between ears was 5 dB or less for nine patients. The range of ULLs across frequencies was between 5 and 60 dB, ULLs often being lowest at 8 kHz. Eleven patients had tinnitus, eight had otological abnormalities, twelve had mental health problems, and six were taking antidepressants. CONCLUSIONS:Severe hyperacusis is characterized by low ULLs for specific frequencies and no or mild hearing loss. Given the high incidence of tinnitus, otological abnormalities, and mental health problems, the management of patients with severe hyperacusis should involve otologists and psychiatrists in addition to audiologists.
journal_name
J Am Acad Audioljournal_title
Journal of the American Academy of Audiologyauthors
Aazh H,Moore BCJdoi
10.3766/jaaa.17015subject
Has Abstractpub_date
2018-07-01 00:00:00pages
626-633issue
7eissn
1050-0545issn
2157-3107journal_volume
29pub_type
杂志文章abstract：:Performance-intensity functions for PB word lists were run on 19 normal-hearing subjects and 15 subjects with sensorineural hearing losses. Comparisons were made between standard supra-aural earphones (TDH-49P) and insert phones (ER-3A). Results showed that, at least for the higher sensation levels where word recognit...
journal_title：Journal of the American Academy of Audiology
pub_type： 杂志文章
doi：
更新日期：1991-01-01 00:00:00
abstract：BACKGROUND:Wideband reflectance (WBR) provides important information about middle ear function and can explain variations in how the middle ear receives, absorbs, and transmits sound energy across a wide range of frequencies. However, as of yet, few normative studies have been published to guide clinicians in the pract...
journal_title：Journal of the American Academy of Audiology
pub_type： 杂志文章
doi：10.3766/jaaa.19.5.4
更新日期：2008-05-01 00:00:00
abstract：:A 34-year-old female presented to our clinic with complaints of hearing loss, tinnitus, and severe rotational vertigo. A test battery including complete audiometric testing, auditory brainstem response (ABR) audiometry, electronystagmography (ENG), electrocochleography (ECoG), and dehydration testing was performed. Mo...
journal_title：Journal of the American Academy of Audiology
pub_type： 杂志文章
doi：
更新日期：1993-11-01 00:00:00
abstract：:The median method was evaluated as an alternative way of expressing the mismatch negativity (MMN). Traditionally, signal averaging has been used to extract these event-related potentials from unwanted background noise. However, mean values are biased by unrejected artifact that skews the relatively small distribution ...
journal_title：Journal of the American Academy of Audiology
pub_type： 杂志文章
doi：
更新日期：2002-02-01 00:00:00
abstract：BACKGROUND:The acceptable noise level (ANL) serves to accurately predict the listener's likelihood of success with amplification. It has been proposed as a pre-hearing aid fitting protocol for hearing aid selection and counseling purposes. The ANL is a subjective measure of the listener's ability to accept background n...
journal_title：Journal of the American Academy of Audiology
pub_type： 临床试验,杂志文章
doi：10.3766/jaaa.23.7.5
更新日期：2012-07-01 00:00:00
abstract：BACKGROUND:The Four Alternative Auditory Feature test (FAAF) is a word-based closed-set speech recognition test. Because the original test materials were recorded in British English dialect, it is not appropriate for use in the United States. PURPOSE:The purpose of this study was to produce an American dialect FAAF (A...
journal_title：Journal of the American Academy of Audiology
pub_type： 杂志文章
doi：10.3766/jaaa.25.8.4
更新日期：2014-09-01 00:00:00
abstract：BACKGROUND:Passive electrophysiological protocols, such as the middle latency response and speech auditory brainstem response, are often advocated in the objective assessment of central auditory processing disorder (CAPD). However, few established electrophysiological protocols exist for CAPD assessment that have patie...
journal_title：Journal of the American Academy of Audiology
pub_type： 杂志文章
doi：10.3766/jaaa.17047
更新日期：2019-06-01 00:00:00
abstract：BACKGROUND:Binaural hearing improves our ability to understand speech and to localize sounds. Hearing loss can interfere with binaural cues, and despite the success of amplification, ∼25% of people with bilateral hearing loss fit with two hearing aids choose to wear only one (e.g., Brooks and Bulmer, 1981). One explana...
journal_title：Journal of the American Academy of Audiology
pub_type： 杂志文章
doi：10.3766/jaaa.22.3.6
更新日期：2011-03-01 00:00:00
abstract：:We examined the ability of 40 young children (aged five to eight) to understand speech (monosyllables, spondees, trochees, and trisyllables) when listening in a background of real-life classroom noise. All children had some difficulty understanding speech when the noise was at levels found in many classrooms (i.e., 65...
journal_title：Journal of the American Academy of Audiology
pub_type： 杂志文章
doi：10.3766/jaaa.15.7.5
更新日期：2004-07-01 00:00:00
abstract：BACKGROUND:The relation between the auditory steady-state response (ASSR) and behavioral audiometric thresholds requires further clarification in the case of adults with auditory neuropathy/auditory dys-synchrony (AN/AD). PURPOSE:The aim of this study was to compare pure-tone audiometric threshold (PTAT) and ASSR in a...
journal_title：Journal of the American Academy of Audiology
pub_type： 杂志文章
doi：10.3766/jaaa.20.10.4
更新日期：2009-11-01 00:00:00
abstract：BACKGROUND:Evaluation of hearing-device signal-processing features is performed for research and development purposes, but also in clinical settings. Most people agree that the benefit experienced in a hearing-device user's daily life is most important, but laboratory tests are popular since they can be performed unifo...
journal_title：Journal of the American Academy of Audiology
pub_type： 杂志文章
doi：10.3766/jaaa.15105
更新日期：2016-07-01 00:00:00
abstract：PURPOSE:Vestibular rehabilitation exercises have been proven to reduce symptoms and diminish the risk of falls in those with dizziness and balance impairments. The first purpose of this study is to investigate a new method of measuring head movements during habituation vestibular rehabilitation exercises. The second is...
journal_title：Journal of the American Academy of Audiology
pub_type： 杂志文章
doi：10.3766/jaaa.16026
更新日期：2018-01-01 00:00:00
abstract：:We describe the rationale for the development of a psychophysical procedure that allows individual listeners to adjust the frequency-gain characteristic of a programmable hearing aid on a unidimensional scale, based on a target-gain reference value. The listener's task is to adjust the frequency response and select th...
journal_title：Journal of the American Academy of Audiology
pub_type： 杂志文章
doi：
更新日期：1992-03-01 00:00:00
abstract：:There have been scattered accounts reported in the oncology literature of progressive hearing loss following the conclusion of chemotherapy. In this case study, we report the audiologic findings of such a case. These data underscore the need for post-therapy monitoring in cases where threshold shifts are discovered du...
journal_title：Journal of the American Academy of Audiology
pub_type： 杂志文章
doi：
更新日期：1993-11-01 00:00:00
abstract：:Electrocochleography (ECochG) has evolved as an important tool in the diagnosis/assessment/monitoring of Ménière's disease/endolymphatic hydrops (MD/ELH). This manuscript provides an update on the use of ECochG for these purposes. The material presented includes descriptions of the components of the electrocochleogram...
journal_title：Journal of the American Academy of Audiology
pub_type： 杂志文章,评审
doi：10.3766/jaaa.17.1.6
更新日期：2006-01-01 00:00:00
abstract：:The efficacy of a digital hearing aid with a directional microphone was examined in a school-aged population. Twenty children (9 with a mild-to-moderately-severe hearing loss and 11 with a moderate-to-severe hearing loss) between 7 1/2 and 13 2/3 years of age wore the study hearing aids binaurally for 30 days prior to...
journal_title：Journal of the American Academy of Audiology
pub_type： 杂志文章
doi：
更新日期：1999-11-01 00:00:00
abstract：:A 52-year-old male was evaluated by the authors after initially reporting fullness in his left ear while traveling on an airplane. A unique feature of the patient's complaint was the development of severe bilateral hyperacusis (loudness discomfort levels of between 20-34 dB HL) in spite of the fact that the hearing lo...
journal_title：Journal of the American Academy of Audiology
pub_type： 杂志文章
doi：
更新日期：2000-06-01 00:00:00
abstract：:The purpose of this single-subject pilot study was to examine the efficacy of FM amplification for enhancing the discourse skills of a 4-year-old girl with a history of speech-language impairments, otitis media with effusion (OME), and motoric delays. Over a period of several weeks, language treatment sessions were co...
journal_title：Journal of the American Academy of Audiology
pub_type： 杂志文章
doi：
更新日期：1995-05-01 00:00:00
abstract：BACKGROUND:Sloping hearing loss imposes limits on audibility for high-frequency sounds in many hearing aid users. Signal processing algorithms that shift high-frequency sounds to lower frequencies have been introduced in hearing aids to address this challenge by improving audibility of high-frequency sounds. PURPOSE:T...
journal_title：Journal of the American Academy of Audiology
pub_type： 临床试验,杂志文章
doi：10.3766/jaaa.16157
更新日期：2017-10-01 00:00:00
abstract：:This report reviews research from the 1930s to the present that has extended our understanding by investigating the characteristics of tinnitus that can be studied using psychoacoustic techniques. Studies of tinnitus masking and residual inhibition began in the 1970s, leading to the therapeutic use of tinnitus masking...
journal_title：Journal of the American Academy of Audiology
pub_type： 杂志文章,评审
doi：
更新日期：2000-03-01 00:00:00
abstract：BACKGROUND:The acoustic stapedial reflex (ASR) test provides useful information about the function of the auditory system. While it is frequently used with adults and children in a clinical setting, its use with young infants is limited. Presently, there are few data for neonates and inadequate research into the test-r...
journal_title：Journal of the American Academy of Audiology
pub_type： 临床试验,杂志文章
doi：10.3766/jaaa.23.1.5
更新日期：2012-01-01 00:00:00
abstract：:Hearing and balance problems are prevalent among the elderly. Primary care physicians (PCPs) are important pivotal points of entry for ensuring that patients receive needed audiology services. New Medicare beneficiaries are entitled to one-time preventative examinations including hearing/balance screenings. A 35-item ...
journal_title：Journal of the American Academy of Audiology
pub_type： 杂志文章
doi：10.3766/jaaa.19.2.7
更新日期：2008-02-01 00:00:00
abstract：BACKGROUND:Although numerous studies have examined regional and racial-ethnic labeling of talker identity, few have evaluated speech perception skills of listeners from the southern United States. PURPOSE:The objective of the study was to examine the effect of competition, signal-to-noise ratio (SNR), race, and sex on...
journal_title：Journal of the American Academy of Audiology
pub_type： 杂志文章
doi：10.3766/jaaa.19029
更新日期：2020-07-01 00:00:00
abstract：BACKGROUND:Current fitting guidelines from the American Academy of Audiology (Academy) support the use of objective electroacoustic measures and behavioral testing when fitting frequency modulation (FM) systems to hearing aids. However, only behavioral testing is recommended when fitting FM systems to individuals with ...
journal_title：Journal of the American Academy of Audiology
pub_type： 杂志文章
doi：10.3766/jaaa.24.10.6
更新日期：2013-11-01 00:00:00
abstract：:The histories of two pediatric patients who received cochlear implants with subsequent partial recovery of hearing in the nonimplanted ear are reviewed. One child had a sudden bilateral hearing loss, presumably secondary to autoimmune ear disease. The other child had a bilateral progressive hearing loss diagnosed as l...
journal_title：Journal of the American Academy of Audiology
pub_type： 杂志文章
doi：10.3766/jaaa.16.10.2
更新日期：2005-11-01 00:00:00
abstract：BACKGROUND:Despite improvements in cochlear implants (CIs), CI recipients continue to experience significant communicative difficulty in background noise. Many potential solutions have been proposed to help increase signal-to-noise ratio in noisy environments, including signal processing and external accessories. To da...
journal_title：Journal of the American Academy of Audiology
pub_type： 杂志文章
doi：10.3766/jaaa.26.1.6
更新日期：2015-01-01 00:00:00
abstract：BACKGROUND AND PURPOSE:Multiple auditory steady-state responses (ASSRs) to stimuli modulated at approximately 80 Hz are a promising technique for threshold estimation in infants, but additional data are required. RESEARCH DESIGN:We obtained multiple ASSRs to air-conducted (AC) stimuli. STUDY SAMPLE:There were 54 chil...
journal_title：Journal of the American Academy of Audiology
pub_type： 杂志文章
doi：10.3766/jaaa.20.3.6
更新日期：2009-03-01 00:00:00
abstract：BACKGROUND:Tinnitus can have a devastating impact on the quality of life of the sufferer. Although the mechanisms underpinning tinnitus remain uncertain, hearing loss is often associated with its onset, and hearing aids are among the most commonly used tools for its management. PURPOSE:To conduct a scoping review to e...
journal_title：Journal of the American Academy of Audiology
pub_type： 杂志文章
doi：10.3766/jaaa.24.8.11
更新日期：2013-09-01 00:00:00
abstract：:Human auditory steady-state responses (ASSRs) were recorded using stimulus rates of 78-95 Hz in normal young subjects, in elderly subjects with relatively normal hearing, and in elderly subjects with sensorineural hearing impairment. Amplitude-intensity functions calculated relative to actual sensory thresholds (sensa...
journal_title：Journal of the American Academy of Audiology
pub_type： 杂志文章
doi：10.3766/jaaa.16.3.3
更新日期：2005-03-01 00:00:00
abstract：:The auditory brainstem response (ABR) recorded while wearing a hearing aid may supply supplemental information about the benefit and appropriateness of the hearing aid for certain infants. The purposes of this study were (1) to determine the effects of different output limiting circuits on the acoustics of tone-pip st...
journal_title：Journal of the American Academy of Audiology
pub_type： 杂志文章
doi：
更新日期：1999-04-01 00:00:00
