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Abstract
ABSTRACT
Introduction. Patients suffering from chronic tinnitus experience a handicap whose degree influences their quality of life. The assessment of this handicap is widely documented throughout the world. This study aimed to assess the disability and quality of life of patients suffering from chronic tinnitus in Yaoundé using a reliable and validated tool: The Tinnitus Handicap Inventory (THI). Patients and methods. This was a cross-sectional study conducted in Yaoundé over seven months, including consenting adults with chronic tinnitus. THI scores, sociodemographic, clinical, audiometric and quality of life data were collected and analysed using SPSS software. Results. The sample comprised 60 participants, 38 (63.3%) women and 22 (36.7%) men. The median age was 47.50 years (Q1=34.2, Q3=61.7) and the median duration of tinnitus was 30 months (Q1=12, Q3=60). The tinnitus was unilateral in 31 participants (51.7%), permanent as whistling in 36 (60%), had been evolving for 24 to 47 months in 21 (35%), and was associated with deafness in 49 cases (81.7%). The median of THI score was 48 (Q1=28.5, Q3=62). Disability was moderate in 21 participants (35%). There was a significant association between the degree of disability and permanent tinnitus (p = 0.02), degree of disability and sensorineural hearing loss (p = 0.04). Concentration difficulties were claimed by 31 participants (51.7%), and 33 (55.5%) had trouble coping with their tinnitus. Conclusion. Chronic tinnitus caused a moderate handicap that negatively impacted this study's participants' quality of life.
RÉSUMÉ
Introduction. Les patients souffrant d’acouphènes chroniques ressentent un handicap dont le degré influence leur qualité de vie. L’évaluation de ce handicap est largement documentée dans le monde. La présente étude visait à évaluer le handicap et la qualité de vie des patients souffrant d’acouphènes chroniques à Yaoundé à l’aide d’un outil fiable et validé : le ‘’Tinnitus Handicap Inventory’’ (THI). Patients and méthodes. Il s’agissait d’une étude transversale menée à Yaoundé pendant sept mois, incluant les adultes consentant, souffrant d’acouphènes chroniques. Les scores THI, données sociodémographiques, cliniques, audiométriques et éléments de qualité vie affectés ont été collectés et analysées à l’aide du logiciel SPSS. Résultats. L’échantillon comptait 60 participants, 38 (63,3%) femmes et 22 (36,7%) hommes. La médiane d’âge était de 47,50 ans (Q1=34,2, Q3=61,7) et celle de la durée d’évolution des acouphènes de 30 mois (Q1=12, Q3=60). Les acouphènes étaient unilatéraux chez 31 participants (51,7%), permanents à type de sifflement pour 36 participants (60%), évoluaient depuis 24 à 47 mois pour 21 (35%) participants, associés à une surdité dans 49 cas (81,7%). La médiane du score THI était de 48 (Q1=28,5, Q3=62). Le handicap était modéré chez 21 participants (35%). Il y avait une association significative entre : degré de handicap et acouphènes permanents (p = 0,02), degré de handicap et surdité de perception (p = 0,04). Des difficultés de concentration étaient alléguées par 31 participants (51,7%) et 33 (55,5%) avaient de la peine à faire face à leurs acouphènes. Conclusion. Les acouphènes chroniques entrainaient un handicap modéré impactant négativement la qualité de vie des participants de la présente étude.
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References
- Seidman MD, Standring RT, Dornhoffer JL. Tinnitus: current understanding and contemporary management. Curr Opin Otolaryngol Head Neck Surg. 2010;18(5):363‑368.
- Vishwambhar S. Historical overview of tinnitus. National Journal of Otorhinolaryngology and Head & Neck Surgery. 2014;2(1): 1-4.
- Newman CW, Sandridge SA, Bea SM, Cherian K, Cherian N, Kahn KM, et al. Tinnitus: patients do not have to « just live with it ». Cleve Clin J Med. 2011;78(5):312‑319.
- Schlee W, Kleinjung T, Hiller W, Goebel G, Kolassa IT, Langguth B. Does tinnitus distress depend on age of onset? PloS One. 2011;6(11): e27379.
- Lasisi AO, Gureje O. Prevalence of insomnia and impact on quality of life among community elderly subjects with tinnitus. Ann Otol Rhinol Laryngol. 2011;120(4):226‑230.
- Lasisi AO, Abiona T, Gureje O. Tinnitus in the elderly: Profile, correlates, and impact in the Nigerian Study of Ageing. Otolaryngol--Head Neck Surg Off J Am Acad Otolaryngol-Head Neck Surg. 2010;143(4):510‑515.
- Gopinath B, McMahon CM, Rochtchina E, Karpa MJ, Mitchell P. Risk factors and impacts of incident tinnitus in older adults. Ann Epidemiol. 2010;20(2):129‑135.
- Jacobson GP, McCaslin DL. A search for evidence of a direct relationship between tinnitus and suicide. J Am Acad Audiol. 2001;12(10):493‑496.
- Pinto PCL, Sanchez TG, Tomita S. The impact of gender, age and hearing loss on tinnitus severity. Braz J Otorhinolaryngol. 2010;76(1):18‑24.
- Ukaegbe OC, Orji FT, Ezeanolue BC, Akpeh JO, Okorafor IA. Tinnitus and its effect on the quality of life of sufferers: a nigerian cohort study. Otolaryngol Neck Surg. 2017;157(4):690‑695.
- Moroe NF, Khoza-Shangase K. The impact of tinnitus on daily activities in adult tinnitus sufferers: A pilot study. S Afr J Commun Disord. 2014;61(1):10 pages.
- Abenkou Nsili M. Acouphènes chroniques : Profil audiométrique et qualité de vie des patients. Mémoire de spécialisation en ORL. Faculté de Médecine et de sciences biomédicales. Université de Yaoundé I. 2015. République du Cameroun.
- Newman CW, Jacobson GP, Spitzer JB. Development of the tinnitus handicap inventory. Arch Otolaryngol Head Neck Surg. 1996;122(2):143‑148.
- Ghulyan-Bédikian V, Paolino M, Giorgetti-D’Esclercs F, Paolino F. [Psychometric properties of a French adaptation of the Tinnitus Handicap Inventory]. L’Encephale. 2010;36(5):390‑396.
- Bureau international d’audiophonologie. Recommandations et classification audiométrique des déficiences auditives.
- Biswas R, Hall DA. Prevalence, Incidence, and Risk Factors for Tinnitus. Curr Top Behav Neurosci. 2021;51:3‑28.
- Nimpa Mengouo M. Aspects épidémiologiques, cliniques et étiologiques des acouphènes. Thèse de Médecine Générale. Faculté de Médecine et de sciences biomédicales. Université de Yaoundé I. 2002. République du Cameroun.
- Monzani D, Genovese E, Marrara A, Gherpelli C, Pingani L, Forghieri M, et al. Validity of the italian adaptation of the tinnitus handicap inventory; focus on quality of life and psychological distress in tinnitus-sufferers. Acta Otorhinolaryngol Ital. 2008;28(3):126‑134.
- Granjeiro RC, Kehrle HM, de Oliveira TSC, Sampaio ALL, de Oliveira CACP. Is the degree of discomfort caused by tinnitus in normal-hearing individuals correlated with psychiatric disorders? Otolaryngol--Head Neck Surg Off J Am Acad Otolaryngol-Head Neck Surg. 2013;148(4):658‑663.
- Malakouti S, Mahmoudian M, Alifattahi N, Salehi M. Comorbidity of chronic tinnitus and mental disorders. Int Tinnitus J. 2011;16(2):118‑22.
- Waechter S. Association between hearing status and tinnitus distress. Acta Otolaryngol (Stockh). 2021;141(4):381‑385.
References
Seidman MD, Standring RT, Dornhoffer JL. Tinnitus: current understanding and contemporary management. Curr Opin Otolaryngol Head Neck Surg. 2010;18(5):363‑368.
Vishwambhar S. Historical overview of tinnitus. National Journal of Otorhinolaryngology and Head & Neck Surgery. 2014;2(1): 1-4.
Newman CW, Sandridge SA, Bea SM, Cherian K, Cherian N, Kahn KM, et al. Tinnitus: patients do not have to « just live with it ». Cleve Clin J Med. 2011;78(5):312‑319.
Schlee W, Kleinjung T, Hiller W, Goebel G, Kolassa IT, Langguth B. Does tinnitus distress depend on age of onset? PloS One. 2011;6(11): e27379.
Lasisi AO, Gureje O. Prevalence of insomnia and impact on quality of life among community elderly subjects with tinnitus. Ann Otol Rhinol Laryngol. 2011;120(4):226‑230.
Lasisi AO, Abiona T, Gureje O. Tinnitus in the elderly: Profile, correlates, and impact in the Nigerian Study of Ageing. Otolaryngol--Head Neck Surg Off J Am Acad Otolaryngol-Head Neck Surg. 2010;143(4):510‑515.
Gopinath B, McMahon CM, Rochtchina E, Karpa MJ, Mitchell P. Risk factors and impacts of incident tinnitus in older adults. Ann Epidemiol. 2010;20(2):129‑135.
Jacobson GP, McCaslin DL. A search for evidence of a direct relationship between tinnitus and suicide. J Am Acad Audiol. 2001;12(10):493‑496.
Pinto PCL, Sanchez TG, Tomita S. The impact of gender, age and hearing loss on tinnitus severity. Braz J Otorhinolaryngol. 2010;76(1):18‑24.
Ukaegbe OC, Orji FT, Ezeanolue BC, Akpeh JO, Okorafor IA. Tinnitus and its effect on the quality of life of sufferers: a nigerian cohort study. Otolaryngol Neck Surg. 2017;157(4):690‑695.
Moroe NF, Khoza-Shangase K. The impact of tinnitus on daily activities in adult tinnitus sufferers: A pilot study. S Afr J Commun Disord. 2014;61(1):10 pages.
Abenkou Nsili M. Acouphènes chroniques : Profil audiométrique et qualité de vie des patients. Mémoire de spécialisation en ORL. Faculté de Médecine et de sciences biomédicales. Université de Yaoundé I. 2015. République du Cameroun.
Newman CW, Jacobson GP, Spitzer JB. Development of the tinnitus handicap inventory. Arch Otolaryngol Head Neck Surg. 1996;122(2):143‑148.
Ghulyan-Bédikian V, Paolino M, Giorgetti-D’Esclercs F, Paolino F. [Psychometric properties of a French adaptation of the Tinnitus Handicap Inventory]. L’Encephale. 2010;36(5):390‑396.
Bureau international d’audiophonologie. Recommandations et classification audiométrique des déficiences auditives.
Biswas R, Hall DA. Prevalence, Incidence, and Risk Factors for Tinnitus. Curr Top Behav Neurosci. 2021;51:3‑28.
Nimpa Mengouo M. Aspects épidémiologiques, cliniques et étiologiques des acouphènes. Thèse de Médecine Générale. Faculté de Médecine et de sciences biomédicales. Université de Yaoundé I. 2002. République du Cameroun.
Monzani D, Genovese E, Marrara A, Gherpelli C, Pingani L, Forghieri M, et al. Validity of the italian adaptation of the tinnitus handicap inventory; focus on quality of life and psychological distress in tinnitus-sufferers. Acta Otorhinolaryngol Ital. 2008;28(3):126‑134.
Granjeiro RC, Kehrle HM, de Oliveira TSC, Sampaio ALL, de Oliveira CACP. Is the degree of discomfort caused by tinnitus in normal-hearing individuals correlated with psychiatric disorders? Otolaryngol--Head Neck Surg Off J Am Acad Otolaryngol-Head Neck Surg. 2013;148(4):658‑663.
Malakouti S, Mahmoudian M, Alifattahi N, Salehi M. Comorbidity of chronic tinnitus and mental disorders. Int Tinnitus J. 2011;16(2):118‑22.
Waechter S. Association between hearing status and tinnitus distress. Acta Otolaryngol (Stockh). 2021;141(4):381‑385.