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Audible and Annoying Spontaneous Otoacoustic Emissions: A Case Study

Audible and Annoying Spontaneous Otoacoustic Emissions: A Case Study Abstract • Four types of evidence indicate that spontaneous otoacoustic emissions (SOAEs) might be the basis of one patient's problematic tinnitus. First, when SOAEs were suppressed, the tinnitus was inaudible. Second, pitch matches to the lowest pitch of the tinnitus corresponded to the lowest frequency of the SOAE. Third, there was a more intense multicomponent SOAE in the right than in the left ear, and patient claimed that the tinnitus was louder in the right ear. Fourth, the patient's SOAEs were unstable and for this reason they might be audible. One practical consequences of this research is that patients with pathological tinnitus (which keeps them awake at night and interferes with concentration) should be tested for SOAEs. Because SOAEs are abolished by aspirin, it is possible that some unusual cases of problematic tinnitus could be easily treated. (Arch Otolaryngol Head Neck Surg 1988;114:150-153) References 1. Wegel RL: A study of tinnitus . Arch Otolaryngol Head Neck Surg 1931;14:160-165.Crossref 2. Probst R, Coats A, Lonsbury-Martin B, et al: Otoacoustic emissions from ears with hearing loss , abstracted. Assoc Res Otolaryngol 1986;153. 3. Tyler RS, Conrad-Armes D: Spontaneous acoustic cochlear emissions and sensorineural tinnitus . Br J Audiol 1982;16:193-194.Crossref 4. Zurek P: Spontaneous narrowband acoustic signals emitted by human ears . J Acoust Soc Am 1981;69:514-522.Crossref 5. Loebell E: Demonstration of a patient . HNO 1962;10:22. 6. Citron L: Observations on a case of objective tinnitus . Excepta Medica Int Cong Ser 1969; 189:91. 7. Kumpf W, Hoke-Munster M: Ein Konstantes Ohrgerausch bei 4000 Hz. Arch Klin Exp Ohren-Nasen Kehl Kopfheilkd 1970;196: 243-247.Crossref 8. Glanville TD, Coles RRA, Sullivan BM: A family with high tonal objective tinnitus . J Laryngol Otol 1971;85:1-10.Crossref 9. Huizing EH, Spoor A: An unusual type of tinnitus . Arch Otolaryngol Head Neck Surg 1973;98:134-136.Crossref 10. Coles RRA, Snashall SE, Stephens SDG: Some varieties of objective tinnitus . Br J Audiol 1975;9:1-6.Crossref 11. Burns EM: A comparison of variability among measurements of subjective tinnitus and objective stimuli . Audiology 1984;23:426-440.Crossref 12. Penner MJ: Variability in matches to subjective tinnitus . J Speech Hearing Res 1983; 26:263-267. 13. Tyler R, Conrad-Armes D: Tinnitus pitch: A comparison of three measurement methods . Br J Audiol 1983;17:101-107.Crossref 14. Penner MJ, Burns EM: The dissociation of SOAEs and tinnitus . J Speech Hearing Res 1987;30:396-403. 15. Kemp DT: Physiologically active cochlear micromechanics: One source of tinnitus . Ciba Found Symp 1981;85:54-76. 16. Wilson JP, Sutton GJ: A family with high tonal objective tinnitus: An update , in Klinke R, Hartmann R (eds): Hearing—Physiological Bases and Psychophysics . New York, Springer-Verlag NY Inc, 1983, pp 97-103. 17. McFadden D, Plattsmier HS: Aspirin abolishes spontaneous oto-acoustic emissions . J Acoust Soc Am 1984;76:443-447.Crossref 18. Schloth E, Zwicker E: Mechanical and acoustical influences on spontaneous oto-acoustic emissions . Hearing Res 1983;11:285-293.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Otolaryngology - Head & Neck Surgery American Medical Association

Audible and Annoying Spontaneous Otoacoustic Emissions: A Case Study

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Publisher
American Medical Association
Copyright
Copyright © 1988 American Medical Association. All Rights Reserved.
ISSN
0886-4470
eISSN
1538-361X
DOI
10.1001/archotol.1988.01860140048019
Publisher site
See Article on Publisher Site

Abstract

Abstract • Four types of evidence indicate that spontaneous otoacoustic emissions (SOAEs) might be the basis of one patient's problematic tinnitus. First, when SOAEs were suppressed, the tinnitus was inaudible. Second, pitch matches to the lowest pitch of the tinnitus corresponded to the lowest frequency of the SOAE. Third, there was a more intense multicomponent SOAE in the right than in the left ear, and patient claimed that the tinnitus was louder in the right ear. Fourth, the patient's SOAEs were unstable and for this reason they might be audible. One practical consequences of this research is that patients with pathological tinnitus (which keeps them awake at night and interferes with concentration) should be tested for SOAEs. Because SOAEs are abolished by aspirin, it is possible that some unusual cases of problematic tinnitus could be easily treated. (Arch Otolaryngol Head Neck Surg 1988;114:150-153) References 1. Wegel RL: A study of tinnitus . Arch Otolaryngol Head Neck Surg 1931;14:160-165.Crossref 2. Probst R, Coats A, Lonsbury-Martin B, et al: Otoacoustic emissions from ears with hearing loss , abstracted. Assoc Res Otolaryngol 1986;153. 3. Tyler RS, Conrad-Armes D: Spontaneous acoustic cochlear emissions and sensorineural tinnitus . Br J Audiol 1982;16:193-194.Crossref 4. Zurek P: Spontaneous narrowband acoustic signals emitted by human ears . J Acoust Soc Am 1981;69:514-522.Crossref 5. Loebell E: Demonstration of a patient . HNO 1962;10:22. 6. Citron L: Observations on a case of objective tinnitus . Excepta Medica Int Cong Ser 1969; 189:91. 7. Kumpf W, Hoke-Munster M: Ein Konstantes Ohrgerausch bei 4000 Hz. Arch Klin Exp Ohren-Nasen Kehl Kopfheilkd 1970;196: 243-247.Crossref 8. Glanville TD, Coles RRA, Sullivan BM: A family with high tonal objective tinnitus . J Laryngol Otol 1971;85:1-10.Crossref 9. Huizing EH, Spoor A: An unusual type of tinnitus . Arch Otolaryngol Head Neck Surg 1973;98:134-136.Crossref 10. Coles RRA, Snashall SE, Stephens SDG: Some varieties of objective tinnitus . Br J Audiol 1975;9:1-6.Crossref 11. Burns EM: A comparison of variability among measurements of subjective tinnitus and objective stimuli . Audiology 1984;23:426-440.Crossref 12. Penner MJ: Variability in matches to subjective tinnitus . J Speech Hearing Res 1983; 26:263-267. 13. Tyler R, Conrad-Armes D: Tinnitus pitch: A comparison of three measurement methods . Br J Audiol 1983;17:101-107.Crossref 14. Penner MJ, Burns EM: The dissociation of SOAEs and tinnitus . J Speech Hearing Res 1987;30:396-403. 15. Kemp DT: Physiologically active cochlear micromechanics: One source of tinnitus . Ciba Found Symp 1981;85:54-76. 16. Wilson JP, Sutton GJ: A family with high tonal objective tinnitus: An update , in Klinke R, Hartmann R (eds): Hearing—Physiological Bases and Psychophysics . New York, Springer-Verlag NY Inc, 1983, pp 97-103. 17. McFadden D, Plattsmier HS: Aspirin abolishes spontaneous oto-acoustic emissions . J Acoust Soc Am 1984;76:443-447.Crossref 18. Schloth E, Zwicker E: Mechanical and acoustical influences on spontaneous oto-acoustic emissions . Hearing Res 1983;11:285-293.Crossref

Journal

Archives of Otolaryngology - Head & Neck SurgeryAmerican Medical Association

Published: Feb 1, 1988

References