Tinnitus and hyperacusis in children: clinic reports and basic research

(整期优先)网络出版时间:2012-01-11
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ObjectiveTinnitusandhyperacusisaresubjectivesymptomswhichcanbereportedbypeopleofanyage.Althoughtinnitusandhyperacusiscanhaveanegativeeffectonchilddevelopment,thesesymptomsarecommonlyoverlookedbytheirparentsandclinicians.Inthispaper,wereviewclinicalreportsontinnitusandhyperacusisinchildrenandbasicscientificstudiesonthesedisordersinordertoprovideupdatesofthesedisordersinthepediatricpopulation.Recentstudieshavefoundthattinnitusandhyperacusisarenotuncommoninchildren,especiallyinthosewithconductiveandsensorineuralhearingloss.Theparentsandcliniciansshouldpayattentionwhenchildrenshowabnormalbehaviorsandespeciallywhentheydevelophearingloss.Sincethereisnoobjectivemeasurementfortinnitusandhyperacusis,thediagnosisinchildrencanbechallenging.TinnitusandhyperacusisarealsocommoninWilliamssyndromeandautismbutthemechanismsarestillnotclear.Highdosesofsalicylateandnoiseexposurecaninducetinnitus.Animalstudieshavedeterminedlackofinhibitionintheauditorycortexandtheinferiorcolliculusmaybecriticalfortinnitusandhyperacusisgeneration.Thenon-classicauditorysystemmayalsobeinvolvedintheawarenessandtoleranceoftinnitusandhyperacusis.