Korean J Otorhinolaryngol-Head Neck Surg.  2023 Mar;66(3):156-161. 10.3342/kjorl-hns.2022.00577.

The Relationship Between Tinnitus Frequency and Speech Discrimination in Patients With Hearing Loss

• Oh JH
• Lim T
• Joo JB
• Cho JE
• Park P
• Kim JY

• KMID: 2540681
• DOI: http://doi.org/10.3342/kjorl-hns.2022.00577

Abstract

Background and Objectives
Patients with hearing loss and tinnitus experience difficulty in engaging in daily conversations. However, only few studies have examined how tinnitus affects individual speech discrimination to comprehend speech. This study aimed to analyze the correlation between tinnitus frequency and speech discrimination in patients with hearing loss and tinnitus.
Subjects and Method
A total of 275 ears with hearing impairment were retrospectively analyzed via audiometry and tinnitogram. The ears were divided into three groups depending on the frequency of their tinnitus. Average pure tone audiometry (PTA), hearing threshold of tinnitus frequency, speech discrimination test (SDT), degree of discrepancy between tinnitus frequency and worst PTA frequency were collected and compared among the three groups.
Results
No significant difference was observed in PTA in the three patient groups. Hearing threshold of tinnitus frequency was the highest at 78.27 dB in the high-frequency group and the lowest at 45.14 dB in the low-frequency group. SDT was significantly lower (53.69%) in the low-frequency group. The correlation between tinnitus loudness and SDT was the strongest in the low-frequency group. The degree of discrepancy between tinnitus frequency and worst PTA frequency was also significantly observed in the low-frequency group.
Conclusion
Patients who are severely affected by tinnitus are found to have significant discrepancy between tinnitus frequency and worst PTA frequency, indicating decreased SDT.

Keyword

Frequency; Hearing loss; Speech discrimination test; Tinnitus