en Original Tinnitus, Hyperacusis, Hearing Loss 171 178 https://ijorl.mums.ac.ir/article_27781.html Javaneh Jahanshahi jahansgahi287@yahoo.com 122136 No Department of Otorhinolaryngology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran. Roya Najafi Vosough roya.najafivosough@gmail.com 122137 No Biostatistics, Research Center for Health, Institute of Health Sciences and Technology, Hamadan University of Medical Sciences, Hamadan, Iran. Azade Mohammad-Amini azadehmohammadamini@gmail.com 122138 No Department of Otorhinolaryngology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran. Seyede Faranak Emami faranak_imami@yahoo.com 122139 Yes Department of Audiology, School of Rehabilitation Sciences, Hamadan University of Medical Sciences, Hamadan, Iran.