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2014 ; 6
(7 Spec No
): 136-43
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Causes of tinnitus in patients referred to ENT clinic of Imam Khomeini hospital
in Urmia, 2012-2013
#MMPMID25363169
Samarei R
; Fatholahi N
Glob J Health Sci
2014[Sep]; 6
(7 Spec No
): 136-43
PMID25363169
show ga
INTRODUCTION: Tinnitus includes all the sounds perceived by the patient, without
any external stimulus that affects all aspects of life; there is no cure for most
patients. Given that tinnitus and hearing of the ear are common complaints of
patients in clinics and due to the impossibility of cure at the present time, it
is necessary to set up common causes of tinnitus to solve social problems and
present optimal solutions. The purpose of this study was to determine the causes
of tinnitus in patients referred to ENT Clinic of Imam Khomeini Hospital in
Urmia, 2012-2013. MATERIALS & METHODS: This is a cross-sectional analytic study
that was performed on 184 patients with tinnitus referred to ENT clinic of Imam
Khomeini Hospital, Urmia. After examination, audiometry performed and
questionnaires of tinnitus patients were completed. The results were analyzed by
statistical SPSS software. RESULTS: The study included 111 males and 73 females
and the mean age was 50.6 years. 168 patients (91.3%) had non-pulsatile tinnitus
and the rest had pulsatile tinnitus. The mean hearing loss in patients was 31.4
dB, 79.9% were of sensory neurons kind, and 12.5% of patients did not show any
hearing loss in audiometry. In total, 90.2% of the cases were detected; most
causes of tinnitus were noise (19.6%), ototoxicity (16.8%) and presbycusis
(16.3%). The most common causes of tinnitus were noise with 31.5% in males and
ototoxicity with 27.4% in females. Between age and hearing loss of patients,
there was a significant relationship (0.001> P-value), but there was no
significant relationship between gender and degree of hearing loss. DISCUSSION:
The most common cause of tinnitus (NIHL) is quite predictable, except by
accident, you can completely avoid by reducing noise levels on the source and ear
protection. By reasonable prescription of ototoxic medications particularly
antibiotics can reduce the prevalence of tinnitus that causes sleep disorders and
concentration problems, depression and anxiety and help the public health.
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