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Cochlear synaptopathy persists as a hot topic in hearing research and auditory neuroscience, and there is intense debate on developing a clinical test for it.
We must establish conventions for physiological testing (devices and signal processing) and adopt them internationally; conduct additional thoughtful experiments; implement tighter controls (age, biological sex, occupation); and because the effects of hearing damage on physiological function are likely small, drastically increase the sample sizes of studies. No matter the outcome, at a minimum, patients with tinnitus will likely require assessment beyond the conventional audiogram for clinicians to better understand the status of the ear.
Clearly, quantifying an internal perception such as a phantom sound is not a trivial task, especially when there is no clear cause.