extremely significantP < 0.0001
Similar male preponderance was found in other comparable studies.[ 15 18 20 ] In some cases, although there was a female preponderance in others.[ 17 ] The higher male preponderance is not biological but could be due to environmental and lifestyle factors such as higher occupational exposure towards loud noise, greater prevalence of tobacco, and alcohol abuse and their higher probabilities of visiting the hospital than women.[ 21 ] An intragroup analysis revealed that following treatment, the reduction in mean THI score, and mean TFI score from baseline was extremely significant in each group at 4 weeks, 8 weeks, and 12 weeks ( P < 0.0001).