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Hyperacusis

Hyperacusis

The Impending Spondee Crisis: Audiology in the Age of the Millennial

Opinion Editorial by Frank Bialostozky

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When to Fit Hearing Aids for Hearing Loss and Tinnitus?

Sereda et al (2015) report the results of their three-round Dephi Review, which explored “clinical consensus” (agreement of 70 percent or greater) of 28 hearing professional panelists in the United Kingdom. One hundred and fifteen (115) statements were evaluated and 58 statements achieved consensus.

Sample of factors that achieved consensus for fitting hearing aids with mild loss and without bothersome tinnitus:

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Sound Therapy to Expand Dynamic Range

Formby et al (2015) evaluated the “validity, efficacy, and generalization of principles” used to expand the dynamic range (DR), based on Hazell and Sheldrake’s (H&S) hyperacusis protocols. Thirty-six participants with sensorineural hearing loss (SNHL) and reduced dynamic ranges (which negatively impacting their ability to use hearing aids) were evaluated using a placebo-controlled and randomized clinical trial (RCT). Four participant groups were formed—one full treatment group, two different partial treatment groups, and one neutral control group. 

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Tinnitus Characteristics

Gilles, Goelen, and Van de Heyning (2014) report that for patients with tinnitus as their primary complaint, hyperacusis and hearing loss are generally accompanying symptoms. Their report included some 588 patients evaluated during calendar year 2012, and each patient filled in the Tinnitus Questionnaire (TQ) and the Hyperacusis Questionnaire (HQ). The authors’ state that tinnitus is perceived by 15 percent of the population and is “severely bothersome” for approximately 2.5 percent. Gilles, Goelen, and Van de Heyning report “a remarkable finding…was…tinnitus type differs with age.

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