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Diagnostic Criteria for Somatosensory Tinnitus: A Delphi Process and Face-to-Face Meeting to Establish Consensus.
University of Antwerp, Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, Wilrijk, Belgium. Department of Otorhinolaryngology, Faculty of Medicine and Health Sciences, Antwerp University Hospital, Edegem, Belgium. .
Instituto Ganz Sanchez, São Paulo, Brazil. University of Sao Paulo, ENT Department, School of Medicine, Brazil..
Tel Aviv University, Department of Otolaryngology, Head, Neck and Maxillofacial Surgery, Sackler School of Medicine, Tel-Aviv Sourasky Medical Center, Israel.
Department of Otorhinolaryngology, Faculty of Medicine and Health Sciences, Antwerp University Hospital, Edegem, Belgium. University of Antwerp, Department of Translational Neurosciences, Faculty of Medicine and Health Sciences, Wilrijk, Belgium. University College Ghent, Department of Human and Social Welfare, Belgium.
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2018 (English)In: Trends in hearing, E-ISSN 2331-2165, Vol. 22, article id 2331216518796403Article in journal (Refereed) Published
Abstract [en]

Since somatic or somatosensory tinnitus (ST) was first described as a subtype of subjective tinnitus, where altered somatosensory afference from the cervical spine or temporomandibular area causes or changes a patient's tinnitus perception, several studies in humans and animals have provided a neurophysiological explanation for this type of tinnitus. Due to a lack of unambiguous clinical tests, many authors and clinicians use their own criteria for diagnosing ST. This resulted in large differences in prevalence figures in different studies and limits the comparison of clinical trials on ST treatment. This study aimed to reach an international consensus on diagnostic criteria for ST among experts, scientists and clinicians using a Delphi survey and face-to-face consensus meeting strategy. Following recommended procedures to gain expert consensus, a two-round Delphi survey was delivered online, followed by an in-person consensus meeting. Experts agreed upon a set of criteria that strongly suggest ST. These criteria comprise items on somatosensory modulation, specific tinnitus characteristics, and symptoms that can accompany the tinnitus. None of these criteria have to be present in every single patient with ST, but in case they are present, they strongly suggest the presence of ST. Because of the international nature of the survey, we expect these criteria to gain wide acceptance in the research field and to serve as a guideline for clinicians across all disciplines. Criteria developed in this consensus paper should now allow further investigation of the extent of somatosensory influence in individual tinnitus patients and tinnitus populations.

Place, publisher, year, edition, pages
Sage Publications, 2018. Vol. 22, article id 2331216518796403
Keywords [en]
Delphi survey, face-to-face consensus, somatic, somatosensory, tinnitus
National Category
Psychology
Research subject
SOCIAL SCIENCE, Psychology; Child and Youth studies
Identifiers
URN: urn:nbn:se:hv:diva-12942DOI: 10.1177/2331216518796403ISI: 000444743000001PubMedID: 30213235Scopus ID: 2-s2.0-85053461771OAI: oai:DiVA.org:hv-12942DiVA, id: diva2:1251444
Note

First Published September 13, 2018

Funders:  ‘Fonds voor wetenschappelijk onderzoek Vlaanderen’ (FWO; T001916N)

Available from: 2018-09-27 Created: 2018-09-27 Last updated: 2019-05-24Bibliographically approved

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Erlandsson, Soly

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