{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T17:50:50Z","timestamp":1770832250045,"version":"3.50.1"},"reference-count":16,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,4,19]],"date-time":"2024-04-19T00:00:00Z","timestamp":1713484800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aao-hnsfjournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Otolaryngol.--head neck surg."],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Tinnitus is a multifactorial phenomenon with quality\u2010of\u2010life detriments for those affected by it. We aim to establish a relationship between subjective tinnitus severity with objective audiometric data in the extended high frequency (EHF) from 9 to 16\u2009khz and with distortion product otoacoustic emissions (DPOAE). We hypothesize that severe subjective tinnitus as measured by the Tinnitus Handicap Inventory (THI) does not correlate with increased hearing thresholds in the EHF range.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Prospective.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>Single Tertiary Care Center.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients identified with tinnitus and normal hearing thresholds within standard frequency range (250\u20108000\u2009Hz) were consented for participation. Those with underlying otologic disease, trauma, radiotherapy, or ototoxic drug use were excluded. The THI questionnaire was given to eligible patients and audiometric test results were collected. THI scores were categorized by severity groups. An n\u2009=\u200920 to 30 was determined to have an effect size of 0.7 with a significance level of <jats:italic>P<\/jats:italic>\u2009=\u2009.05.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>THI and audiometric data were collected for 38 patients and categorized into mild (n\u2009=\u200918, 47.4%), moderate (n\u2009=\u20098, 21.1%), slight (n\u2009=\u20097, 18.4%), and severe (n\u2009=\u20095, 13.2%) tinnitus severity groups. Mean THI score was 32.3\u2009\u00b1\u200919.6 with a statistically significant difference in scores by assigned THI severity group (<jats:italic>P<\/jats:italic>\u2009&lt;\u2009.01). There were no significant differences or linear relationship among hearing thresholds in EHF range or DPOAE stratified by subjective tinnitus group (<jats:italic>P<\/jats:italic>\u2009=\u2009.49, <jats:italic>r<\/jats:italic><jats:sup>2<\/jats:sup>\u2009=\u20090.10)<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Subjective tinnitus severity is not predictive of audiometric outcomes. This finding can be used as a counseling tool to help tinnitus patients manage symptoms, expectations, and overall treatment outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ohn.777","type":"journal-article","created":{"date-parts":[[2024,4,19]],"date-time":"2024-04-19T06:42:59Z","timestamp":1713508979000},"page":"517-520","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Evaluation of Subjective Tinnitus Severity and Distortion Product Otoacoustic Emissions and Extended High\u2010Frequency Audiometry"],"prefix":"10.1002","volume":"171","author":[{"given":"Sruti","family":"Tekumalla","sequence":"first","affiliation":[{"name":"Sidney Kimmel Medical College at Thomas Jefferson University Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalie M.","family":"Perlov","sequence":"additional","affiliation":[{"name":"Sidney Kimmel Medical College at Thomas Jefferson University Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saket","family":"Gokhale","sequence":"additional","affiliation":[{"name":"Sidney Kimmel Medical College at Thomas Jefferson University Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samiat","family":"Awosanya","sequence":"additional","affiliation":[{"name":"Drexel University College of Medicine Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zachary D.","family":"Urdang","sequence":"additional","affiliation":[{"name":"Thomas Jefferson Hospital Department of Otolaryngology\u2013Head and Neck Surgery Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julia","family":"Croce","sequence":"additional","affiliation":[{"name":"Thomas Jefferson Hospital Department of Otolaryngology\u2013Head and Neck Surgery Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Bixler","sequence":"additional","affiliation":[{"name":"Thomas Jefferson Hospital Department of Otolaryngology\u2013Head and Neck Surgery Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas O.","family":"Willcox","sequence":"additional","affiliation":[{"name":"Thomas Jefferson Hospital Department of Otolaryngology\u2013Head and Neck Surgery Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rebecca C.","family":"Chiffer","sequence":"additional","affiliation":[{"name":"Thomas Jefferson Hospital Department of Otolaryngology\u2013Head and Neck Surgery Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dennis","family":"Fitzgerald","sequence":"additional","affiliation":[{"name":"Thomas Jefferson Hospital Department of Otolaryngology\u2013Head and Neck Surgery Philadelphia Pennsylvania USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,4,19]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0194599814545325"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaneurol.2022.2189"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/MAO.0000000000002983"},{"key":"e_1_2_8_5_1","first-page":"449","article-title":"The relationship between ultra\u2010high frequency thresholds and transient evoked otoacoustic emissions in adults with tinnitus","volume":"30","author":"Omidvar S","year":"2016","journal-title":"Med J Islam Repub 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