Epidemiology of Tinnitus in Children

  • Claudia Barros CoelhoEmail author


  1. 1.

    Children experience tinnitus and might present ­similar suffering as observed in adults but they rarely mention the symptom unless directly asked about it.

  2. 2.

    Difficulty on concentration, sleeping, hearing, leisure activities, sports practice, and hyperacusis are the most frequent complaints associated to tinnitus in children.

  3. 3.

    Only a few population studies have been performed and have disclosed prevalence rates from 6% to 59%. Many factors might be implicated in the large inter-study variability of tinnitus prevalence in children.

  4. 4.

    Age, gender, hearing loss, motion sickness, hyperacusis, and noise exposure have been suggested as risk factors to development of tinnitus in children.

  5. 5.

    A proper model to investigate children should be developed for the purpose of obtaining accurate information about the prevalence of tinnitus in children.

  6. 6.

    Preventive measures should aim at hearing education about the risk of hearing loss and tinnitus. Prevention of noise exposure should be promoted as early as possible.



Tinnitus Epidemiology Children Hyperacusis Preventive measures Sleep 





Temporary threshold shift


Hearing Level


  1. 1.
    Coelho, CB, TG Sanchez, and RS Tyler, Tinnitus in children and assciated risk factors. Prog Brain Res, 2007 166:179–91PubMedCrossRefGoogle Scholar
  2. 2.
    Mills, RP, DM Albert, and CE Brain, Tinnitus in childhood. Clin Otolaryngol Allied Sci, 1986 11(6):431–4PubMedCrossRefGoogle Scholar
  3. 3.
    Nodar, R and M Lezak, Paediatric tinnitus: a thesis revisited. J Laryng Otol, 1984 9:234–5CrossRefGoogle Scholar
  4. 4.
    Savastano, M, Characteristics of tinnitus in childhood. Eur J Pediatr, 2006 166(8):797–801PubMedCrossRefGoogle Scholar
  5. 5.
    Coelho, CB and RS Tyler, Management of tinnitus in children, in Paediatric Audiological Medicine, V Newton, Editor 2009, Wiley & Sons: West Sussex, 418–27Google Scholar
  6. 6.
    Martin, K and S Snashall, Children presenting with tinnitus: a retrospective study. Br J Audiol, 1994 28(2):111–5PubMedCrossRefGoogle Scholar
  7. 7.
    Gabriels, Children with tinnitus in 5th International Tinnitus Seminar.1996 Portland: USA American Tinnitus AssociationGoogle Scholar
  8. 8.
    Aksoy, S, et al, The extent and levels of tinnitus in children of central Ankara. Int J Pediatr Otorhinolaryngol, 2007 71(2):263–8PubMedCrossRefGoogle Scholar
  9. 9.
    Drukier, GS, The prevalence and characteristics of tinnitus with profound sensori-neural hearing impairment. Am Ann Deaf, 1989 134(4):260–4PubMedGoogle Scholar
  10. 10.
    Kentish, RC, SR Crocker, and L McKenna, Children’s experience of tinnitus: a preliminary survey of children presenting to a psychology department. Br J Audiol, 2000 34(6):335–40PubMedCrossRefGoogle Scholar
  11. 11.
    Kentish, RC and SR Crocker, Scary monsters and waterfalls: tinnitus narrative therapy for children, in Tinnitus Treatment Clinacal Protocols, R Tyler, Editor 2006, Thieme: New YorkGoogle Scholar
  12. 12.
    Nodar, RH, Tinnitus aurium in scholl age children: a survey. J Aud Res, 1972 12:133Google Scholar
  13. 13.
    Graham, J, Tinnitus aurium. Acta Otolaryng, 1965 Suppl(202):24–6Google Scholar
  14. 14.
    Leonard, G, F Black, and J Schramm, Tinnitus in Children, in Pediatric Otolaryngology, CD Bluestone, S Stool, and S Arjona, Editors 1983, W Saunders: Philadelphia, 271–277Google Scholar
  15. 15.
    Møller AR and P Rollins, The non-classical auditory system is active in children but not in adults. Neurosci Lett, 2002 319:41–4.PubMedCrossRefGoogle Scholar
  16. 16.
    Mills, RP and JR Cherry, Subjective tinnitus in children with otological disorders. Int J Pediatr Otorhinolaryngol, 1984 7(1):21–7PubMedCrossRefGoogle Scholar
  17. 17.
    Viani, LG, Tinnitus in children with hearing loss. J Laryngol Otol, 1989 103(12):1142–5PubMedCrossRefGoogle Scholar
  18. 18.
    Savastano, M, A protocol of study for tinnitus in childhood. Int J Pediatr Otorhinolaryngol, 2002 64(1):23–7PubMedCrossRefGoogle Scholar
  19. 19.
    Stouffer, J, et al, Tinnitus in normal-hearing and hearing-impaired children. In IV International Tinnitus Seminar 1991 Kugler Publications: BordeauxGoogle Scholar
  20. 20.
    Aust, G, Tinnitus in childhood. Int Tinnitus J, 2002 8(1):20–6PubMedGoogle Scholar
  21. 21.
    Holgers, K and Svedlund C, Tinnitus in childhood. J Psychosomat Res, 2003 55(2):135CrossRefGoogle Scholar
  22. 22.
    Eley, TC, P Lichtenstein, and J Stevenson, Sex differences in the etiology of aggressive and nonaggressive antisocial behavior: results from two twin studies. Child Dev, 1999 70(1):155–68PubMedCrossRefGoogle Scholar
  23. 23.
    Penner, MJ, Linking spontaneous otoacoustic emissions and tinnitus. Br J Audiol, 1992 26(2):115–23PubMedCrossRefGoogle Scholar
  24. 24.
    Burns, EM, KH Arehart, and SL Campbell, Prevalence of spontaneous otoacoustic emissions in neonates. J Acoust Soc Am, 1992 91(3):1571–5PubMedCrossRefGoogle Scholar
  25. 25.
    Weiss, LA, et al, Sex-specific genetic architecture of whole blood serotonin levels. Am J Hum Genet, 2005 76(1):33–41PubMedCrossRefGoogle Scholar
  26. 26.
    Tremere, LA, JK Jeong and R Pinaud, Estradiol shapes auditory processing in the adult brain by regulating inhibitory transmission and plasticity-associated gene expression. J Neurosci, 2009 29(18):5949–63PubMedCrossRefGoogle Scholar
  27. 27.
    Graham, JM, Tinnitus in children with hearing loss. Ciba Found Symp, 1981 85:172–92PubMedGoogle Scholar
  28. 28.
    Norena, AJ and JJ Eggermont, Enriched acoustic ­environment after noise trauma reduces hearing loss and prevents cortical map reorganization. J Neurosci, 2005 25(3): 699–705PubMedCrossRefGoogle Scholar
  29. 29.
    Holgers, KM and B Pettersson, Noise exposure and subjective hearing symptoms among school children in Sweden. Noise Health, 2005 7(27):27–37PubMedCrossRefGoogle Scholar
  30. 30.
    Smoorenburg, GF, Risk of noise-induced hearing loss ­following exposure to Chinese firecrackers. Audiology, 1993 32(6):333–43PubMedCrossRefGoogle Scholar
  31. 31.
    Axelsson, A, et al, Noisy toys – a risk of hearing injuries? Lakartidningen, 1984 81(45):4162–6PubMedGoogle Scholar
  32. 32.
    Rytzner, B and C Rytzner. Schoolchildren and noise. The 4 kHz dip-tone screening in 14391 schoolchildren. Scand Audiol, 1981 10(4):213–6PubMedCrossRefGoogle Scholar
  33. 33.
    Segal, S, et al, Inner ear damage in children due to noise exposure from toy cap pistols and firecrackers: a retrospective review of 53 cases. Noise Health, 2003 5(18):13–8.PubMedGoogle Scholar
  34. 34.
    Bulbul, SF, et al, Subjective tinnitus and hearing problems in adolescents. Int J Pediatr Otorhinolaryngol, 2009 73(8):1124–31PubMedCrossRefGoogle Scholar
  35. 35.
    Robertson, D and DR Irvine, Plasticity of frequency organization in auditory cortex of guinea pigs with partial unilateral deafness. J Comp Neurol, 1989 282(3):456–71PubMedCrossRefGoogle Scholar
  36. 36.
    Komiya, H and JJ Eggermont, Spontaneous firing activity of cortical neurons in adult cats with reorganized tonotopic map following pure-tone trauma. Acta Otolaryngol, 2000 120(6):750–6PubMedCrossRefGoogle Scholar
  37. 37.
    Rauschecker, JP, Auditory cortical plasticity: a comparison with other sensory systems. Trends Neurosci, 1999 22(2):74–80PubMedCrossRefGoogle Scholar
  38. 38.
    Norena, A, et al, Psychoacoustic characterization of the ­tinnitus spectrum: implications for the underlying mechanisms of tinnitus. Audiol Neurootol, 2002 7(6):358–69PubMedCrossRefGoogle Scholar
  39. 39.
    Norena, AJ and JJ Eggermont, Changes in spontaneous ­neural activity immediately after an acoustic trauma: implications for neural correlates of tinnitus. Hear Res, 2003 183(1–2):137–53PubMedCrossRefGoogle Scholar
  40. 40.
    Uneri, A and D Turkdogan, Evaluation of vestibular functions in children with vertigo attacks. Arch Dis Child, 2003 88(6):510–1PubMedCrossRefGoogle Scholar
  41. 41.
    Tyler, RS and LJ Baker, Difficulties experienced by tinnitus sufferers. J Speech Hear Disord, 1983 48(2):150–4PubMedGoogle Scholar
  42. 42.
    Coelho, CB, TG Sanchez, and RS Tyler, Hyperacusis, sound annoyance and loudness hypersensitivity in children. Prog Brain Res, 2007 166:169–78PubMedCrossRefGoogle Scholar

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© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of Otolaryngology and Head and Neck SurgeryUniversity of IowaIowa CityUSA
  2. 2.Grupo de Pesquisa em OtologiaHospital de Clínicas de Porto AlegrePosto AlegreBrazil

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