Home Email this page Print this page Bookmark this page Decrease font size Default font size Increase font size
Noise & Health  
 Next article
 Previous article
Table of Contents

Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
Citation Manager
Access Statistics
Reader Comments
Email Alert *
Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded13    
    Comments [Add]    

Recommend this journal


Year : 2013  |  Volume : 15  |  Issue : 63  |  Page : 129--133

No cochlear dead regions detected in non-pulsatile tinnitus patients: An assessment with the threshold equalizing noise (sound pressure level) test

1 Department of Otorhinolaryngology and Head and Neck Surgery, Antwerp University Hospital, Edegem; Department of Translational Neurosciences, Faculty of Medicine, Campus Drie Eiken, Antwerp University, Wilrijk; Tinnitus Research Initiative Centre, BRAI2N, Antwerp University Hospital, Edegem, Belgium
2 Department of Surgical Sciences, Dunedin School of Medicine, University of Otago, NewZealand

Correspondence Address:
Annick Gilles
University Hospital Antwerp, Wilrijkstraat 10, 2650 Edegem
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1463-1741.110297

Rights and Permissions

One of the hypotheses on the etiology of non-pulsatile tinnitus in normal or hearing impaired patients is the existence of sharp edged cochlear dead regions (DR) flanking normal functioning hair cells. The lack of inhibition of DR on the neighboring neurons may lead to hyperactivity. Currently the Threshold Equalizing Noise test (TEN test) is the reference test to clinically assess cochlear DR. To identify cochlear DR in patients with non-pulsatile tinnitus with and without hearing loss using the TEN (sound pressure level)-test. Data were obtained from adult patients with non-pulsatile tinnitus visiting the Tinnitus Clinic of the University Hospital Antwerp. The TEN (SPL)-test was performed to assess the presence of cochlear DR for test frequencies ranging from 0.5 to 8 kHz. A total of 55 ears of 33 subjects (15 male; 18 female) with non-pulsatile tinnitus were included in the study. Subjects were divided into subgroups based on the audiometric configuration of hearing loss: Flat configuration (N = 23), high-frequency gently sloping (N = 10) and high-frequency steeply sloping (N = 22). In forty-eight ears there was no evidence of cochlear DR. In seven ears the results were inconclusive. This occurred in patients with high-frequency steeply sloping audiogram configurations. The present study does not support the TEN (SPL) test as a reliable tool for the detection of cochlear DR in a tinnitus population.


Print this article     Email this article