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Usually occurs after age 50, but deterioration in hearing has been found to start very early, from about the age of 18 years. The ISO standard 7029 shows expected threshold changes due purely to age for carefully screened populations (i.e. excluding those with ear disease, noise exposure etc.), based on a meta-analysis of published data.
The prognosis has improved with the recent advancements in digital hearing aid technology, such as directional microphones, open-fit hearing aids, and more advanced algorithms. Hearing aids can mask or cover up the tinnitus, and many with hearing loss and tinnitus find relief by using hearing aids. [136]
The diagnosis of tinnitus is usually based on a patient's description of the symptoms they are experiencing. [3] Such a diagnosis is commonly supported by an audiogram, and an otolaryngological and neurological examination. [1] [3] How much tinnitus interferes with a person's life may be quantified with questionnaires. [3]
Since the inner ear is not directly accessible to instruments, identification is by patient report of the symptoms and audiometric testing. Of those who present to their doctor with sensorineural hearing loss, 90% report having diminished hearing, 57% report having a plugged feeling in ear, and 49% report having ringing in ear ().
Noise damage is cumulative; all sources of damage must be considered to assess risk. In the US, 12.5% of children aged 6–19 years have permanent hearing damage from excessive noise exposure. [55] The World Health Organization estimates that half of those between 12 and 35 are at risk from using personal audio devices that are too loud. [11]
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Tinnitus activities treatment (TAT) is a clinical adaptation of TRT that focuses on four areas: thoughts and emotions, hearing and communication, sleep, and concentration. [13] Progressive tinnitus management (PTM) is a five-step structured clinical protocol for management of tinnitus that may include tinnitus retraining therapy. The five steps ...