Somatosensory Tinnitus Diagnosis: Diagnostic Value of Existing Criteria

耳鸣 听力学 医学 体感系统 心理学 精神科
作者
Sarah Michiels,Emilie Cardon,Annick Gilles,Hazel Goedhart,Markku Vesala,Winfried Schlee
出处
期刊:Ear and Hearing 卷期号:43 (1): 143-149 被引量:6
标识
DOI:10.1097/aud.0000000000001105
摘要

Background: Tinnitus can be influenced by changes in somatosensory afference from the cervical spine or temporomandibular area, then called somatosensory or somatic tinnitus (ST). In 2018, a new set of diagnostic criteria for ST was agreed upon by a large group of ST experts. Currently, however, it still requires extensive and specific expertise to diagnose ST correctly. The next step in the development of easily applicable diagnostic criteria is to assess the diagnostic value of each individual criterion. Objectives: The aim of this study was, therefore, to further investigate the diagnostic value of these criteria, validate them empirically, and identify their sensitivity and specificity. Methods: An online survey, questioning the presence of 12 diagnostic criteria for ST in a convenience sample of participants with tinnitus, was launched on the online forum Tinnitus Talk, managed by Tinnitus Hub. Participants were divided into three groups: a group with no somatic influence, a group with some somatic influence and a group with large somatic influence on their tinnitus. Chi-square tests were used to calculate differences between these groups. Afterward, sensitivity, specificity, positive and negative likelihood ratios (LR), and pre- and posttest probabilities were calculated for each ST diagnostic criterion. For this analysis, all patients with some and large somatic influence were compared as one group to the group with no somatic influence. Results: In total, 8221 participants filled out the online survey. As expected, the diagnostic criteria for ST are more prevalent in the groups with somatic influence, but the criterium of tinnitus modulation also often occurs in the group with no somatic influence. The simultaneous onset or increase and decrease of both tinnitus and pain complaints have the highest positive LR (6.29 and 10.72, respectively), next to the influence of certain postures on the tinnitus (+LR: 6.04). To rule out ST, the absence of neck pain or tension in the neck extensor muscles are most suited, as they decrease the posttest probability to 18% and 19%, respectively. Conclusion: The simultaneous onset or increase and decrease of tinnitus and neck or jaw pain and the influence of certain postures are most suited to use as a single criterion for identifying patients with a somatic influence on their tinnitus. On the other hand, the absence of neck pain or tension in the neck extensor muscles is valid criterion to rule out a somatic influence. Additional analysis is needed to identify clusters of symptoms and criteria to further aid ST diagnosis.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
顾矜应助带带小师弟采纳,获得10
刚刚
1秒前
xjq完成签到,获得积分10
2秒前
2秒前
万能图书馆应助闪闪采纳,获得10
3秒前
3秒前
ksak607155完成签到,获得积分10
4秒前
xzwxzw发布了新的文献求助10
5秒前
lzy发布了新的文献求助30
6秒前
9秒前
10秒前
11秒前
科研小小神完成签到,获得积分10
11秒前
11秒前
yizhiGao应助cmuzf采纳,获得10
12秒前
上官若男应助淡然的铭采纳,获得10
13秒前
13秒前
养乐多发布了新的文献求助10
13秒前
14秒前
16秒前
简单问儿发布了新的文献求助10
16秒前
小二郎应助程程采纳,获得10
17秒前
流星噬月发布了新的文献求助10
17秒前
xiaoni发布了新的文献求助10
18秒前
18秒前
土豆番茄块完成签到,获得积分20
20秒前
万能图书馆应助美丽秋柔采纳,获得10
20秒前
Jasper应助佛洛依德采纳,获得10
21秒前
22秒前
gj完成签到,获得积分10
22秒前
22秒前
gguc发布了新的文献求助10
24秒前
爱吃的小肚腩完成签到,获得积分10
24秒前
24秒前
叶问儿完成签到,获得积分10
26秒前
crystal完成签到,获得积分10
27秒前
云星天际发布了新的文献求助10
27秒前
29秒前
29秒前
Lily发布了新的文献求助10
29秒前
高分求助中
The late Devonian Standard Conodont Zonation 2000
Nickel superalloy market size, share, growth, trends, and forecast 2023-2030 2000
The Lali Section: An Excellent Reference Section for Upper - Devonian in South China 1500
Smart but Scattered: The Revolutionary Executive Skills Approach to Helping Kids Reach Their Potential (第二版) 1000
Very-high-order BVD Schemes Using β-variable THINC Method 850
Mantiden: Faszinierende Lauerjäger Faszinierende Lauerjäger 800
PraxisRatgeber: Mantiden: Faszinierende Lauerjäger 800
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3252527
求助须知:如何正确求助?哪些是违规求助? 2895239
关于积分的说明 8285519
捐赠科研通 2563920
什么是DOI,文献DOI怎么找? 1391993
科研通“疑难数据库(出版商)”最低求助积分说明 652003
邀请新用户注册赠送积分活动 629282