{"id":26607,"date":"2025-09-02T12:06:17","date_gmt":"2025-09-02T12:06:17","guid":{"rendered":"https:\/\/natussensory.com\/insights\/tinnitus-assessment-a-guide-for-audiologists\/"},"modified":"2025-09-24T13:44:35","modified_gmt":"2025-09-24T13:44:35","slug":"evaluation-des-acouphenes-guide-de-laudioprothesiste","status":"publish","type":"insights","link":"https:\/\/natussensory.com\/fr\/insights\/evaluation-des-acouphenes-guide-de-laudioprothesiste\/","title":{"rendered":"\u00c9valuation des acouph\u00e8nes: Guide audioproth\u00e9siste"},"content":{"rendered":"","protected":false},"author":4,"template":"","insight_type":[320],"insights_category":[412],"insights_tag":[],"class_list":["post-26607","insights","type-insights","status-publish","hentry","insight_type-sensory","insights_category-evaluation-auditive"],"acf":{"category_image":{"ID":26600,"id":26600,"title":"Tinnitus-guide_insights-category","filename":"Tinnitus-guide_insights-category.jpg","filesize":106786,"url":"https:\/\/natussensory.com\/wp-content\/uploads\/Tinnitus-guide_insights-category.jpg","link":"https:\/\/natussensory.com\/fr\/insights\/evaluation-des-acouphenes-guide-de-laudioprothesiste\/tinnitus-guide_insights-category-2\/","alt":"Tinnitus Assessment","author":"4","description":"","caption":"","name":"tinnitus-guide_insights-category-2","status":"inherit","uploaded_to":26607,"date":"2025-09-02 11:52:59","modified":"2025-09-02 11:53:24","menu_order":0,"mime_type":"image\/jpeg","type":"image","subtype":"jpeg","icon":"https:\/\/natussensory.com\/wp-includes\/images\/media\/default.png","width":500,"height":400,"sizes":{"thumbnail":"https:\/\/natussensory.com\/wp-content\/uploads\/Tinnitus-guide_insights-category.jpg","thumbnail-width":120,"thumbnail-height":96,"medium":"https:\/\/natussensory.com\/wp-content\/uploads\/Tinnitus-guide_insights-category.jpg","medium-width":500,"medium-height":400,"medium_large":"https:\/\/natussensory.com\/wp-content\/uploads\/Tinnitus-guide_insights-category.jpg","medium_large-width":500,"medium_large-height":400,"large":"https:\/\/natussensory.com\/wp-content\/uploads\/Tinnitus-guide_insights-category.jpg","large-width":500,"large-height":400,"1536x1536":"https:\/\/natussensory.com\/wp-content\/uploads\/Tinnitus-guide_insights-category.jpg","1536x1536-width":500,"1536x1536-height":400,"2048x2048":"https:\/\/natussensory.com\/wp-content\/uploads\/Tinnitus-guide_insights-category.jpg","2048x2048-width":500,"2048x2048-height":400}},"content_blocks":[{"acf_fc_layout":"spacer","_acfe_flexible_toggle":"","spacer":{"module_options":{"":null,"module_id":"n68b6dc804a703","module_class":"","module_background_type":"color","module_background_color":"#473089","module_background_image":false,"module_background_video":"","activate_custom_padding":false,"padding_top_desktop":0,"padding_top_tablet":"","padding_top_mobile":"","padding_bottom_desktop":"","padding_bottom_tablet":"","padding_bottom_mobile":"","activate_custom_margin":false,"margin_top_desktop":"","margin_top_tablet":"","margin_top_mobile":"","margin_bottom_desktop":"","margin_bottom_tablet":"","margin_bottom_mobile":"","disable_on":[],"content_alignment_desktop":"left","content_alignment_tablet":"left","content_alignment_mobile":"left"},"height":"160"}},{"acf_fc_layout":"simple_content","_acfe_flexible_toggle":"","content_full_width_landing":{"module_options":{"":null,"module_id":"n68d3b4a6ea811","module_class":"","module_background_type":"color","module_background_color":"#d4e9f9","module_background_image":false,"module_background_video":"","activate_custom_padding":false,"padding_top_desktop":0,"padding_top_tablet":"","padding_top_mobile":"","padding_bottom_desktop":"","padding_bottom_tablet":"","padding_bottom_mobile":"","activate_custom_margin":false,"margin_top_desktop":"","margin_top_tablet":"","margin_top_mobile":"","margin_bottom_desktop":"","margin_bottom_tablet":"","margin_bottom_mobile":"","disable_on":[],"content_alignment_desktop":"left","content_alignment_tablet":"left","content_alignment_mobile":"left"},"activate_custom_container_width":false,"container_width":"","content":"

\u00c9valuation des acouph\u00e8nes : Guide de l\u2019audioproth\u00e9siste<\/h1>\n"}},{"acf_fc_layout":"contact","_acfe_flexible_toggle":"","left_image_right_content_single_cta_landing":{"module_options":{"":null,"module_id":"n68b6dc805f6f6","module_class":"","module_background_type":"color","module_background_color":"","module_background_image":false,"module_background_video":"","activate_custom_padding":false,"padding_top_desktop":0,"padding_top_tablet":"","padding_top_mobile":"","padding_bottom_desktop":"","padding_bottom_tablet":"","padding_bottom_mobile":"","activate_custom_margin":false,"margin_top_desktop":"","margin_top_tablet":"","margin_top_mobile":"","margin_bottom_desktop":"","margin_bottom_tablet":"","margin_bottom_mobile":"","disable_on":[],"content_alignment_desktop":"left","content_alignment_tablet":"left","content_alignment_mobile":"left"},"image":{"ID":8268,"id":8268,"title":"Tinnitus_woman_spot","filename":"Tinnitus_woman_spot.jpg","filesize":140398,"url":"https:\/\/natussensory.com\/wp-content\/uploads\/Tinnitus_woman_spot.jpg","link":"https:\/\/natussensory.com\/fr\/tinnitus_woman_spot-2\/","alt":"Tinnitus assessment","author":"4","description":"","caption":"","name":"tinnitus_woman_spot-2","status":"inherit","uploaded_to":0,"date":"2023-09-28 13:25:54","modified":"2025-09-02 11:55:01","menu_order":0,"mime_type":"image\/jpeg","type":"image","subtype":"jpeg","icon":"https:\/\/natussensory.com\/wp-includes\/images\/media\/default.png","width":800,"height":450,"sizes":{"thumbnail":"https:\/\/natussensory.com\/wp-content\/uploads\/Tinnitus_woman_spot.jpg","thumbnail-width":128,"thumbnail-height":72,"medium":"https:\/\/natussensory.com\/wp-content\/uploads\/Tinnitus_woman_spot.jpg","medium-width":800,"medium-height":450,"medium_large":"https:\/\/natussensory.com\/wp-content\/uploads\/Tinnitus_woman_spot-768x432.jpg","medium_large-width":768,"medium_large-height":432,"large":"https:\/\/natussensory.com\/wp-content\/uploads\/Tinnitus_woman_spot.jpg","large-width":800,"large-height":450,"1536x1536":"https:\/\/natussensory.com\/wp-content\/uploads\/Tinnitus_woman_spot.jpg","1536x1536-width":800,"1536x1536-height":450,"2048x2048":"https:\/\/natussensory.com\/wp-content\/uploads\/Tinnitus_woman_spot.jpg","2048x2048-width":800,"2048x2048-height":450}},"label":"","title":"","description":"

L\u2019\u00e9valuation des acouph\u00e8nes est le second \u00e9l\u00e9ment d\u2019un examen plus large des acouph\u00e8nes par l\u2019audioproth\u00e9siste, apr\u00e8s une \u00e9valuation standard de l\u2019audition. Cette pr\u00e9sentation se focalise exclusivement sur certains tests sp\u00e9cifiques relatifs aux acouph\u00e8nes. Elle d\u00e9passe le cadre strict d\u2019une \u00e9valuation auditive standard, de mani\u00e8re \u00e0 obtenir un tableau clinique complet du patient souffrant d\u2019acouph\u00e8nes. Pour plus de d\u00e9tails sur les autres \u00e9l\u00e9ments constitutifs de l\u2019examen des acouph\u00e8nes, consultez la\u00a0Bo\u00eete \u00e0 outils des acouph\u00e8nes<\/a>.<\/p>\n","link":null}},{"acf_fc_layout":"simple_content","_acfe_flexible_toggle":"","content_full_width_landing":{"module_options":{"":null,"module_id":"n68b6dc806a2e6","module_class":"","module_background_type":"color","module_background_color":"","module_background_image":false,"module_background_video":"","activate_custom_padding":false,"padding_top_desktop":0,"padding_top_tablet":"","padding_top_mobile":"","padding_bottom_desktop":"","padding_bottom_tablet":"","padding_bottom_mobile":"","activate_custom_margin":false,"margin_top_desktop":"","margin_top_tablet":"","margin_top_mobile":"","margin_bottom_desktop":"","margin_bottom_tablet":"","margin_bottom_mobile":"","disable_on":[],"content_alignment_desktop":"left","content_alignment_tablet":"left","content_alignment_mobile":"left"},"activate_custom_container_width":false,"container_width":"","content":"

Comment \u00e9valuer les patients souffrants d’acouph\u00e8nes\u00a0?<\/h4>\n

R\u00e9alis\u00e9 apr\u00e8s le test auditif g\u00e9n\u00e9ral, l\u2019\u00e9valuation sp\u00e9cifique des acouph\u00e8nes consiste \u00e0 prendre des mesures objectives et subjectives, \u00e0 demander au patient de r\u00e9pondre \u00e0 des questionnaires psychanalytiques, de mani\u00e8re \u00e0 pouvoir quantifier les sympt\u00f4mes et \u00e0 se faire une meilleure id\u00e9e de l\u2019impact de ces sympt\u00f4mes sur la qualit\u00e9 de vie du patient. Cette \u00e9tape aide \u00e9galement l\u2019audioproth\u00e9siste \u00e0 classifier les acouph\u00e8nes : subjectifs ou objectifs (pulsatiles), primaires ou secondaires, aigus ou chroniques et g\u00eanants ou non g\u00eanants.<\/p>\n

Les acouph\u00e8nes sont souvent associ\u00e9s \u00e0 des atteintes auditives comme la perte de l\u2019audition et l\u2019hyperacousie, mais aussi \u00e0 des atteintes non auditives telles que le stress, l\u2019anxi\u00e9t\u00e9, la d\u00e9pression et l\u2019insomnie.<\/p>\n

Vous cherchez \u00e0 en savoir plus sur la prise en charge des acouph\u00e8nes g\u00eanants? T\u00e9l\u00e9chargez notre livre blanc en cliquant sur ce lien.<\/a><\/p>\n

 <\/p>\n

 <\/p>\n

\"\"<\/p>\n

<\/h4>\n

1. Mesure subjective : Questionnaires sur les acouph\u00e8nes<\/h4>\n

Un protocole d\u2019\u00e9valuation des acouph\u00e8nes comprend des outils et des questionnaires permettant d\u2019\u00e9valuer la r\u00e9action du patient aux acouph\u00e8nes et son \u00e9tat psychologique. Il existe trois questionnaires pour quantifier la composante subjective des acouph\u00e8nes\u00a0: l\u2019\u00a0\u00e9chelle THI des handicaps caus\u00e9s par les acouph\u00e8nes (THI)<\/a>\u00a0 et l\u2019indice fonctionnel des acouph\u00e8nes (TFI)<\/a> qui \u00e9valuent et quantifient la gravit\u00e9 et l\u2019impact n\u00e9gatif des acouph\u00e8nes sur le patient1<\/sup>\u00a0et le\u00a0questionnaire THS sur les acouph\u00e8nes et l\u2019audition<\/a>, un outil permettant de diff\u00e9rentier les probl\u00e8mes auditifs potentiels des probl\u00e8mes li\u00e9s aux acouph\u00e8nes.2 <\/sup>On utilise en outre ces outils d\u2019\u00e9valuation pour mesurer les progr\u00e8s et les r\u00e9sultats th\u00e9rapeutiques dans la prise en charge des acouph\u00e8nes..<\/p>\n"}},{"acf_fc_layout":"testimonial","_acfe_flexible_toggle":"","testimonial_full_width_landing":{"module_options":{"":null,"module_id":"n68b6dc8081b81","module_class":"","module_background_type":"color","module_background_color":"","module_background_image":false,"module_background_video":"","activate_custom_padding":false,"padding_top_desktop":0,"padding_top_tablet":"","padding_top_mobile":"","padding_bottom_desktop":"","padding_bottom_tablet":"","padding_bottom_mobile":"","activate_custom_margin":false,"margin_top_desktop":"","margin_top_tablet":"","margin_top_mobile":"","margin_bottom_desktop":"","margin_bottom_tablet":"","margin_bottom_mobile":"","disable_on":[],"content_alignment_desktop":"left","content_alignment_tablet":"left","content_alignment_mobile":"left"},"inner_background":"#7288c4","icon_color":"","testimonial":"Le questionnaire sur les acouph\u00e8nes et l\u2019audition est un excellent outil clinique pour identifier les patients qui attribuent leurs difficult\u00e9s de communication \u00e0 leurs acouph\u00e8nes plut\u00f4t qu\u2019\u00e0 leurs d\u00e9ficiences auditives.","name":"Dany Pineault, AuD","title":""}},{"acf_fc_layout":"simple_content","_acfe_flexible_toggle":"","content_full_width_landing":{"module_options":{"":null,"module_id":"n68b6dc808c093","module_class":"","module_background_type":"color","module_background_color":"","module_background_image":false,"module_background_video":"","activate_custom_padding":false,"padding_top_desktop":0,"padding_top_tablet":"","padding_top_mobile":"","padding_bottom_desktop":"","padding_bottom_tablet":"","padding_bottom_mobile":"","activate_custom_margin":false,"margin_top_desktop":"","margin_top_tablet":"","margin_top_mobile":"","margin_bottom_desktop":"","margin_bottom_tablet":"","margin_bottom_mobile":"","disable_on":[],"content_alignment_desktop":"left","content_alignment_tablet":"left","content_alignment_mobile":"left"},"activate_custom_container_width":false,"container_width":"","content":"

2. Mesure objective : \u00c9valuation sp\u00e9cifique aux acouph\u00e8nes<\/h4>\n

La seconde \u00e9tape de l\u2019\u00e9valuation des acouph\u00e8nes en audiologie consiste \u00e0 mieux circonscrire les attributs auditifs du patient atteints d\u2019acouph\u00e8nes en termes de fr\u00e9quences et de volume des sons per\u00e7us. On cherche \u00e9galement \u00e0 d\u00e9terminer dans quelle mesure les acouph\u00e8nes peuvent \u00eatre masqu\u00e9s au moyen de sons externes. Les mesures psychoacoustiques de ces indicateurs cl\u00e9s pour les acouph\u00e8nes consistent en des proc\u00e9dures de mise en correspondance de fr\u00e9quences et de volumes, de test du niveau maximum de masquage possible et de l\u2019inhibition r\u00e9siduelle. Les proc\u00e9dures de mise en correspondance des fr\u00e9quences et du volume sont critiques lorsque l\u2019on prescrit une amplification pour ces patients. Les travaux de recherche montrent en effet que les audioproth\u00e8ses seront plus b\u00e9n\u00e9fiques aux patients dont les attributs psychoacoustiques tombent dans la bande passante des fr\u00e9quences de l\u2019audioproth\u00e8se.3,4<\/sup><\/p>\n

 <\/p>\n

2. \u00c9valuation de la sant\u00e9 mentale\u00a0: Questionnaires psychanalytiques<\/h4>\n

Les questionnaires psychanalytiques sont la derni\u00e8re \u00e9tape de l\u2019\u00e9valuation des acouph\u00e8nes. Ils vous permettent d\u2019identifier le niveau de d\u00e9tresse psychologique des patients caus\u00e9e par leurs acouph\u00e8nes. Parmi les probl\u00e8mes de sant\u00e9 mentale les plus courants associ\u00e9s aux acouph\u00e8nes g\u00eanants, on cite :\u00a0la d\u00e9pression, les troubles anxieux, les troubles du sommeil et les troubles post-traumatiques.<\/p>\n

Il existe des outils cliniques assortis d\u2019instructions claires permettant de mesurer facilement les r\u00e9actions n\u00e9gatives des patients face \u00e0 leurs sympt\u00f4mes. Entre autres\u00a0: l\u2019inventaire de Beck<\/a>\u00a0pour la d\u00e9pression, l\u2019\u00a0inventaire d’anxi\u00e9t\u00e9 situationnelle et de trait d’anxi\u00e9t\u00e9 de Spielberger<\/a>\u00a0et le\u00a0questionnaire de d\u00e9pistage de l\u2019\u00e9tat de stress post-traumatique du g\u00e9n\u00e9raliste<\/a>. Avoir une appr\u00e9hension plus compl\u00e8te de l\u2019\u00e9tat psychologique du patient atteint d\u2019acouph\u00e8nes est critique pour pouvoir d\u00e9velopper une strat\u00e9gie de prise en charge appropri\u00e9e et pour am\u00e9liorer la qualit\u00e9 de vie du patient. La valeur th\u00e9rapeutique du counseling des patients atteins d\u2019acouph\u00e8nes est bien \u00e9tablie. Le counseling est m\u00eame l\u2019intervention la plus importante parmi toutes les interventions audiologiques.5,6<\/sub><\/sup><\/p>\n

 <\/p>\n

Pour en savoir plus sur la gestion des acouph\u00e8nes et les possibilit\u00e9s de traitement, cliquez ci-dessous pour regarder la conf\u00e9rence du Dr Hashir Aazh intitul\u00e9e \u00ab\u00a0Audiologist-Delivered CBT for Tinnitus, Hyperacusis and Misophonia\u00a0\u00bb.<\/a><\/strong>\u00a0 Le s\u00e9minaire est en anglais.<\/p>\n

 <\/p>\n

 <\/p>\n

R\u00e9f\u00e9rences bibliographiques\u00a0:<\/strong><\/p>\n

1. Meikle, M. B., Henry, J. A., Griest, S. E., Stewart, B. J., Abrams, H. B., McArdle, R., Myers, P. J., Newman, C. W., Sandridge, S., Turk, D. C., Folmer, R. L., Frederick, E. J., House, J. W., Jacobson, G. P., Kinney, S. E., Martin, W. H., Nagler, S. M., Reich, G. E., Searchfield, G., \u2026 Vernon, J. A. (2012). The Tinnitus Functional Index: Development of a New Clinical Measure for Chronic, Intrusive Tinnitus. Ear &; Hearing, 33(2), 153\u2013176. https:\/\/doi.org\/https:\/\/www.ncrar.research.va.gov\/Education\/Documents\/TinnitusDocuments\/TFI_EarHearing_2011.pdf<\/span><\/p>\n

2. Henry, J. A., Griest, S., Zaugg, T. L., Thielman, E., Kaelin, C., Galvez, G., & Carlson, K. F. (2015). Tinnitus and hearing survey: a screening tool to differentiate bothersome tinnitus from hearing difficulties. American journal of audiology, 24(1), 66\u201377. https:\/\/doi.org\/10.1044\/2014_AJA-14-0042<\/span><\/p>\n

3. McNeill, C., Tavora-Vieira, D., Alnafjan, F., Searchfield, G.D. & Welch, D. (2012). Tinnitus pitch, masking, and the effectiveness of hearing aids for tinnitus therapy. International Journal of Audiology; 51: 914-919. 32.<\/span><\/p>\n

4. Araujo Tde, M. & Iorio, M.C. (2015). Effects of sound amplification in selfperception of tinnitus and hearing loss in the elderly. Brazilian Journal of Otorhinolaryngology; 82(3):289-296<\/span><\/p>\n

5. American Speech-Language-Hearing Association. Guidelines for audiologists providing informational and adjustment counseling to families of infants and young children with hearing loss birth to 5 years of age (guidelines), 2008; www.asha.org\/policy on 20.07.09<\/span><\/p>\n

6. Aazh H, Moore BC, Lammaing K, Cropley M. Tinnitus and hyperacusis therapy in a UK National Health Service audiology department: Patients\u2019 evaluations of the effectiveness of treatments. Int J Audiol. 2016 Sep;55(9):514-22<\/span><\/p>\n

 <\/p>\n

040810 RevB<\/span><\/p>\n

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