Temporal processing abilities in normal hearing individuals with tinnitus: a systematic review

Malavika Puthiyadath, P. Prabhu, K. Nisha
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Abstract

Tinnitus, characterized by the perception of auditory phantoms, is prevalent worldwide and can lead to a range of hearing-related issues. Understanding its influence on temporal processing helps to delineate the auditory manifestations of tinnitus. This systematic review aimed to identify the patterns of temporal processing difficulties in individuals with tinnitus and normal hearing abilities. Furthermore, this review evaluates the potential of specific measurement techniques as tools for diagnosing temporal processing deficits in tinnitus.A comprehensive search was conducted in multiple international databases, followed by rigorous screening of the titles, abstracts, and full-length content. The inclusion and exclusion criteria were formulated using the Population, intervention, compression, Outcome, and Study design (PICOS) format, and the study bias was determined. After excluding irrelevant articles, nine studies were selected for the analysis.Over 50% of the selected studies demonstrated a significant impact on temporal processing in individuals with tinnitus, especially with gap detection test (GDT) and gaps in noise (GIN) tests, indicating of the deficits in peripheral temporal process in tinnitus individuals with normal hearing. However, the other central auditory tests showed no major changes.The findings from this review underscore the importance of understanding temporal processing impairments in tinnitus and hold promise for enhancing the diagnostic accuracy and treatment outcomes, ultimately improving the lives of those affected by tinnitus. This review highlights the potential of the GDT and GIN tests as sensitive tools for assessing temporal processing deficits in the peripheral auditory system, which in turn can manifest as central changes in temporal processing.http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42021287194, Prospero [CRD42021287194].
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耳鸣患者正常听力的时间处理能力:系统性综述
耳鸣以听觉幻觉为特征,在全球范围内普遍存在,可导致一系列与听力相关的问题。了解其对时间处理的影响有助于界定耳鸣的听觉表现。本系统综述旨在确定耳鸣患者和听力正常者的时间处理困难模式。此外,本综述还评估了特定测量技术作为耳鸣患者时间处理障碍诊断工具的潜力。我们在多个国际数据库中进行了全面检索,随后对标题、摘要和全文内容进行了严格筛选。采用人群、干预、压缩、结果和研究设计(PICOS)格式制定了纳入和排除标准,并确定了研究偏倚。所选研究中,50% 以上的研究表明,对耳鸣患者的时间处理有显著影响,尤其是间隙检测测试(GDT)和噪声间隙测试(GIN),这表明听力正常的耳鸣患者在外周时间处理方面存在缺陷。本综述的研究结果强调了了解耳鸣患者颞叶处理障碍的重要性,并有望提高诊断准确性和治疗效果,最终改善耳鸣患者的生活。本综述强调了GDT和GIN测试作为评估外周听觉系统时间处理缺陷的灵敏工具的潜力,这些缺陷反过来又会表现为时间处理的中枢变化。http://www.crd.york.ac.uk/PROSPERO/display_record.asp?ID=CRD42021287194, Prospero [CRD42021287194].
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