Annals of Medical Research, cilt.27, ss.1469-1473, 2020 (Hakemli Üniversite Dergisi)
Abstract
Aim: The aim of this study was to investigate the role of oxidative stress (OS) in the etiopathogenesis of acute subjective idiopathic
tinnitus (SIT). We investigated the plasma thiol-disulphide ratios which were markers of OS in SIT.
Materials and Methods: The thiol and disulphide levels and ratios of 65 patients who were admitted with acute SIT and 46 healthy
volunteers were determined and compared by the method published recently. Native (NT) and total thiol (TT), disulphide (Ds),
disulphide/native thiol (Ds/NT), disulphide/total thiol (Ds/TT), native/total thiol (NT/TT) were determined to investigate the thioldisulphide balance. Audiologic tests including tinnitus frequency and severity, pure tone audiograms were also compared among
the groups.
Results: In patient group, NT, TT levels and NT/TT ratio were significantly lower, Ds level and Ds/NT, Ds/TT ratios were significantly
higher than the healthy group. NT was significantly related to acute SIT in binary logistic regression model (p<0.001). ROC-curve
analysis showed that NT levels over 409 mmol/L predicted acute SIT with 66% sensitivity and 35% specificity.
Conclusion: Oxidative stress, as pointed in our research by thiol-disulphide measures, may have an important role in the etiology of
acute SIT.
Keywords: Antioxidant; disulphide; hearing loss; thiol; tinnitus