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Medical Forum / Diseases and Disorders / Tinnitus / December 2003

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Does Tinnitus equal hearing loss?

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Bradley - 26 Nov 2003 21:41 GMT
Im just curious whether or not tinnitus means you have lost some hearing or
just weakened it for a good while until the hearing fibers heal themselves
up. I know it doesnt happen over night. I read one time that damaged hearing
fibers are what cause tinnitus. They send a false signal to the brain. So,
in one since, I am thinking well, it might be a false signal but at least
its a signal which means the hearing fibers are still alive, they are just
weakened. Does anybody know if this makes any sense. Im trying to gain more
understanding about this topic. Thanks.
Stephen Nagler - 26 Nov 2003 22:22 GMT
>Im just curious whether or not tinnitus means you have lost some hearing or
>just weakened it for a good while until the hearing fibers heal themselves
[quoted text clipped - 4 lines]
>weakened. Does anybody know if this makes any sense. Im trying to gain more
>understanding about this topic. Thanks.

..................

Tinnitus and hearing loss not infrequently coexist, but to the best of
my knowledge no causal relationship has ever been established.
Clearly many people with hearing loss have no tinnitus.  And a good
10% of more of the tinnitus population have normal audiograms.

smn
Jesper Buch - 26 Nov 2003 22:48 GMT
> Tinnitus and hearing loss not infrequently coexist, but to the best of
> my knowledge no causal relationship has ever been established.
> Clearly many people with hearing loss have no tinnitus.  And a good
> 10% of more of the tinnitus population have normal audiograms.

Yes I have tinnitus and my audiogram threshold is about 10 dB from 125 hz to
8 Khz, which is ok for my age 33.

I have tested my self and found my upper frequencies to be 16.1 khz right
and about 14.5 Khz left ( perhaps a little less than average . . . . left
ear is also the ear with most tinnitus ).
Ear Rings - 27 Nov 2003 00:31 GMT
placebo effect.

> > Tinnitus and hearing loss not infrequently coexist, but to the best of
> > my knowledge no causal relationship has ever been established.
[quoted text clipped - 7 lines]
> and about 14.5 Khz left ( perhaps a little less than average . . . . left
> ear is also the ear with most tinnitus ).
Jesper Buch - 27 Nov 2003 09:27 GMT
> placebo effect.

What placebo ?

By the upper frequencies I refer to the highest pitch I can hear . . . not
the frequencies of my tinnitus.
Ear Rings - 27 Nov 2003 22:18 GMT
Did **you** turn on the frequencies each time?
Think about it.

> > placebo effect.
>
> What placebo ?
>
> By the upper frequencies I refer to the highest pitch I can hear . . . not
> the frequencies of my tinnitus.
Jesper Buch - 28 Nov 2003 09:09 GMT
> Did **you** turn on the frequencies each time?
> Think about it.

Jep . . . .it's clearly.

The 10 dB audiogram was done at an audiologist ( professionally).

I testede the upper frequencies at home my self.

I can not hear 16.5 khz even at more then 50 dB but I hear 16.1 khz at less
that 30 dB.
Steve Ostler - 27 Nov 2003 08:54 GMT
> I have tested my self and found my upper frequencies to be 16.1 khz right
> and about 14.5 Khz left ( perhaps a little less than average . . . . left
> ear is also the ear with most tinnitus ).

When I conducted this test on myself I noticed a given high frequency was
perceived as a slightly different pitch when fed into each ear.  I wonder,
could this have a bearing on the 'compound tone' nature of my tinnitus ?
Oregon7 - 01 Dec 2003 15:34 GMT
>When I conducted this test on myself I noticed a given high frequency was
>perceived as a slightly different pitch when fed into each ear.

I think this is reflective of the fact that as the frequencies increase, or the
hearing decreases!, the human ear is diminished in its capacity to conduct the
'tonality' of the signal and it becomes distoirted, heard more as 'noise' or
even felt as a sensation.

I am happy with this thread because I am ordering a new audiometer that will
allow me to test up to 20,000 Hz as a part of my regular tinnitus work-up, and
also allow me to collect data on that area with many many patients that could
be presented as  research to help us discover more about how tinnitus and
hyperacusis act.  I  have been testing up to 12,000 Hz for six years now, and
interested to see what happens further on up the line.

Sometimes it is quite dramatic, with pts having normal heairng through 8 kHz,
and then falling steeply at 12,000 Hz.

If we don't test for it, how can we find it?

We know ototoxic medications and environmental factors affect the high fqs
first............and I am ready to find out more.

MJ
Rabbitears - 02 Dec 2003 14:52 GMT
<>
> I am happy with this thread because I am ordering a new audiometer that will
> allow me to test up to 20,000 Hz as a part of my regular tinnitus work-up, and
[quoted text clipped - 12 lines]
>
> MJ

~~~~~~~~~~~~~~~~~~~~~~~~
Marsha, that is some audiometer!  I'm sure you will learn a great deal
from it.  In my own case, my tinnitus cannot be matched at 12,000 Hz,
and frankly, when the sounds are that high pitched and loud, I have
less interest in any numbers that can be tested and more in research
for a cure or way to alleviate pain.  But we are in different shoes
altogether!  Good luck!

Mary
Jesper Buch - 03 Dec 2003 13:07 GMT
> Sometimes it is quite dramatic, with pts having normal heairng through 8 kHz,
> and then falling steeply at 12,000 Hz.

Yes I have tinnitus . . . my hearing is fine up to about 15 khz on the left
and 13khz on the right but falling steeply above.

What is the normal ( avarage ) upper limit for a 33 year old ? 16Khz ?
Steve Ostler - 03 Dec 2003 16:49 GMT
> What is the normal ( avarage ) upper limit for a 33 year old ? 16Khz ?

Well I'm 53. I've just been to the workshop to measure mine using a Gould
signal generator. The results were achieved without regulating the input
level - they represent the absolute maximum frequencies I can hear.

Left ear: 15.5 KHz  (with a notch at 13-14KHz representing my tinnitus
frequency)

Right ear: 15.5 KHz (with less of a notch).

At your age Jesper I remember being able to just about get up to 18KHz under
similar test conditions. At the very highest frequencies though it more is
like 'sensing' something is there rather than 'hearing' it as a pitch.
Nevertheless the figures are real - taking the frequency yet higher results
in nothing.

Steve
Jesper Buch - 03 Dec 2003 19:46 GMT
> Well I'm 53. I've just been to the workshop to measure mine using a Gould
> signal generator. The results were achieved without regulating the input
[quoted text clipped - 10 lines]
> Nevertheless the figures are real - taking the frequency yet higher results
> in nothing.

I thing my test condituins are too poor.

I use some studio equipment and loudspeakers but I got a noisy PC to the
left so the limit is probably higher.
 
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