Pietro De Luca, Massimo Ralli, Claudia Cassandro, Francesca Yoshie Russo, Federico Maria Gioacchini, Matteo Cavaliere, Marco Fiore, Antonio Greco, Ettore Cassandro, Alfonso Scarpa
{"title":"Surgical Management of Intractable Meniere's Disease.","authors":"Pietro De Luca, Massimo Ralli, Claudia Cassandro, Francesca Yoshie Russo, Federico Maria Gioacchini, Matteo Cavaliere, Marco Fiore, Antonio Greco, Ettore Cassandro, Alfonso Scarpa","doi":"10.5935/0946-5448.20220007","DOIUrl":"https://doi.org/10.5935/0946-5448.20220007","url":null,"abstract":"<p><p>Meniere's Disease (MD) is an inner ear disorder characterized by spontaneous recurrent vertigo, fluctuating sensorineural hearing loss, aural fullness and low-pitch tinnitus. Therapeutic management of MD includes dietary restriction and medical therapy. A minority of cases is characterized by frequent vertigo attacks, progressive hearing loss and persistent tinnitus even through the continuous medical treatments; this condition is called intractable MD and requires a therapeutic escalation from non-invasive medical treatment to surgical intervention. Invasive procedures include endolymphatic sac surgery, vestibular nerve section and labyrinthectomy. These procedures have a very high success rate on symptom control but may have a severe impact on the hearing function. However, the simultaneous combined approach of demolitive surgery and cochlear implantation may be a valid approach to treat symptoms of intractable MD and preserve hearing function. In the present study, we review current literature focusing on intractable MD to describe and discuss advantages and disadvantages of established and newly proposed surgical treatments for intractable MD.</p>","PeriodicalId":39842,"journal":{"name":"International Tinnitus Journal","volume":"26 1","pages":"50-56"},"PeriodicalIF":0.0,"publicationDate":"2022-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40622600","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Effectiveness of Mindfulness-Based Cognitive Therapy in the Management of Tinnitus.","authors":"Chanchai Jariengprasert, Kasinee Watanapornmongkol, Sivaporn Kiatthanabumrung, Tosapohn Wisupagan","doi":"10.5935/0946-5448.20220001","DOIUrl":"https://doi.org/10.5935/0946-5448.20220001","url":null,"abstract":"<p><p>Mindfulness-based cognitive therapy (MBCT) has been suggested as an effective modality in reducing the effects of tinnitus and improving quality of life. This article aimed to compare the effectiveness of MBCT with that of standard treatment in the management of tinnitus in Thai patients. All participants were voluntarily divided into experimental MBCT and control groups depending on their availability. In addition to educational sessions and standard treatment, the MBCT group completed four weekly 120-minute sessions of mindfulness practicing skills. The Thai version of the Tinnitus Handicap Inventory (THI-T) and Hospital Anxiety and Depression Scale (HADs-T) were administered at baseline, 4th week, and 12th week. Tinnitus intensity (dB) was measured at baseline and 12th week. All data were compared between the different time points, within each group, and between the two groups. A total of 45 patients were enrolled, 24 in the MBCT group and 21 in the control group. When comparing baseline to post-treatment measurements, statistically significant improvements were observed in all outcomes except tinnitus intensity in both groups. The THI-T and HADs-T scores in the MBCT group were significantly lower than those in the control group at the 12th week. The reduction in the THI-T scores, HADs-T scores, and tinnitus intensity tended to be greater in the MBCT group after the 4-week course and at the 3-month follow-up assessment. The MBCT showed benefits in the management of tinnitus in terms of improved THI-T and HADs-T scores, and overall quality of life.</p>","PeriodicalId":39842,"journal":{"name":"International Tinnitus Journal","volume":"26 1","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2022-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40541603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Helga Moura Kehrle, Ronaldo Campos Granjeiro, Andre Luiz L Sampaio, Maria Stella de Farias, Vaneli Silva Martins, Carlos Augusto C P de Oliveira
{"title":"Ten Years Follow Up of Patients with Tinnitus and Normal Hearing.","authors":"Helga Moura Kehrle, Ronaldo Campos Granjeiro, Andre Luiz L Sampaio, Maria Stella de Farias, Vaneli Silva Martins, Carlos Augusto C P de Oliveira","doi":"10.5935/0946-5448.20220008","DOIUrl":"https://doi.org/10.5935/0946-5448.20220008","url":null,"abstract":"<p><strong>Objective: </strong>To describe the natural history of tinnitus in normal hearing patients.</p><p><strong>Study design: </strong>This is a prospective longitudinal observational study.</p><p><strong>Setting: </strong>Tertiary University Hospital.</p><p><strong>Methods: </strong>In 2009 we studied 68 patients with significant tinnitus and normal hearing (Study Group-SG) compared to 46 patients with normal hearing and no tinnitus (Control Group-CG). We have been able to contact and recruit 24 patients from SG (35.3 %) and ten patients from CG) (21.74%) in 2019. Both groups were submitted to conventional audiometry, Distortion Product Otoacoustic Emissions (DPOAE), Tinnitus Handicap Inventory (THI), Visual Analog Scale (VAS) and Beck`S Depression and Anxiety Scales (BDS, BAS). These measures were compared with the same ones performed ten years ago in the same groups of patients. The software SPSS for windows version 21 was used. P values <0.05 were considered significant. Student t test was used to compare SG and CG results in 2019 and to compare 2009 and 2019 outcomes..</p><p><strong>Results: </strong>Hearing loss, especially in the higher frequencies, were significantly worse in SG compared to GC in 2019. DPOAE were significantly worse in SG and CG in 2019 however CG had more abnormal results than SG. These results suggest that outer hair cells lesions are not the only determinant for tinnitus and hearing loss development.</p><p><strong>Conclusions: </strong>These results suggest that outer hair cells lesions are not the only determinant for tinnitus and hearing loss development.</p>","PeriodicalId":39842,"journal":{"name":"International Tinnitus Journal","volume":"26 1","pages":"57-62"},"PeriodicalIF":0.0,"publicationDate":"2022-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40622601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Treatment of Meniere's disease by Multi-session Dexamethasone Injections.","authors":"Haider Alsarhan, Sura Kadhim","doi":"10.5935/0946-5448.20220011","DOIUrl":"https://doi.org/10.5935/0946-5448.20220011","url":null,"abstract":"<p><strong>Background: </strong>Meniere's Disease (MD) is a complex and multifactorial inner ear problem characterized by episodic vertigo, unilateral sensori-neural hearing loss and tinnitus or fullness in the ear due to Endolymphatic hydrops. There are multiple treatment options available for this disease; from which cortisone therapy can be given in different routes and in different doses.</p><p><strong>Objectives: </strong>is to identify the successfulness of treatment of MD by multi-session intra-tympanic dexamethasone injection compared to the single-session method.</p><p><strong>Method: </strong>Interventional prospective study of study 70 cases of definite MD treated by 4 sessions of intra-tympanic injection weekly and compared to a control group of 66 cases of age matched patients with definite MD treated by the traditional single intra-tympanic injection. Patients In the study and the control group were observed for 6 months after the treatment for the development of any vertiginous attacks.</p><p><strong>Results: </strong>only 3 patients in the study group and 30 patients in the control group failed to respond to treatment and developed vertigo in the period of 6 months after treatment. The difference between the success rate in the two groups was statistically highly significant.</p><p><strong>Conclusion: </strong>multi-session Intra-tympanic dexamethasone injection is superior to the single injection in control of vertigo in patients with definite MD.</p>","PeriodicalId":39842,"journal":{"name":"International Tinnitus Journal","volume":"26 1","pages":"75-78"},"PeriodicalIF":0.0,"publicationDate":"2022-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40623050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Resonant Circuit Involving the Vestibule and Cochlea Base Could Cause Extremely Low-Frequency Tinnitus, also Called \"The Hum\" or \"Taos Hum\".","authors":"Franz Günter Frosch","doi":"10.5935/0946-5448.20220006","DOIUrl":"https://doi.org/10.5935/0946-5448.20220006","url":null,"abstract":"<p><strong>Introduction: </strong>\"The Hum\" or \"Taos Hum\" are common names for the sound associated with tinnitus at extremely low frequencies.</p><p><strong>Objectives: </strong>This study aimed to identify the cause and place of origin of the hum using relevant data from the literature along with data extracted from a questionnaire and other related information.</p><p><strong>Results and conclusion: </strong>The vestibule and cochlea base seem to play a crucial role in the generation and elimination of the hum. The origin of the hum seems to appear in a region near the vestibule and cochlea base, in which a phase resonance could occur between the electrical signal of the vestibule, the sound pressure signal of the cochlear base, and External Sounds.</p>","PeriodicalId":39842,"journal":{"name":"International Tinnitus Journal","volume":"26 1","pages":"42-49"},"PeriodicalIF":0.0,"publicationDate":"2022-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40622599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparison of Indicators of Short and Long Latency Auditory Evoked Potentials in Newborns.","authors":"Madrimova Aziza Gaipnazarovna, Sapayeva Sharofat Aminovna","doi":"10.5935/0946-5448.20220003","DOIUrl":"https://doi.org/10.5935/0946-5448.20220003","url":null,"abstract":"<p><p>Auditory evoked potentials (EVP) are an effective and non-invasive way to assess the functional state of the auditory nerve and auditory sensory pathways of the brainstem. An increase in the latent periods of peaks III, IV, V, as well as a lengthening of the time of central sound conduction of III-V and I-V waves in all newborns with hyperbilirubinemia, indicates a pathology of hearing of central origin with impaired conduction along the auditory pathways at the level of the lower and middle third of the brain pons.</p>","PeriodicalId":39842,"journal":{"name":"International Tinnitus Journal","volume":"26 1","pages":"16-19"},"PeriodicalIF":0.0,"publicationDate":"2022-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40541605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tinnitus: Summary of Current Understanding of the Pathophysiology Mechanisms in different Ear Diseases.","authors":"Kamlesh Dubey","doi":"10.5935/0946-5448.20220009","DOIUrl":"https://doi.org/10.5935/0946-5448.20220009","url":null,"abstract":"<p><strong>Introduction: </strong>Tinnitus is well known since ancient time with wide prevalence in our community everywhere. Despite advancement in technology, we are far from knowing confirmed Pathomechanism and one treatment of choice for tinnitus. Present review article is an attempt to investigate various pathophysiology mechanisms available, in literature to explain the generation of tinnitus with respect to known diagnoses in which tinnitus is a significant complaint.</p><p><strong>Method: </strong>Author performed detailed online data search for publications on PubMed, Medline, Google Search, Scopus between 1990-2020. Author's focus during search was, on the tinnitus and pathophysiology behind the diagnoses involving external ear, middle ear, and inner ear as site of pathology.</p><p><strong>Result: </strong>Few studies are available explaining likely pathophysiology and mechanism of tinnitus development in diseases involving different subsites of ear.</p><p><strong>Conclusion: </strong>We still do not know with surety the likely cause behind the generation of tinnitus in various diseases except for objective which are treatable. While rest of subjective type there is no curative treatment available.</p>","PeriodicalId":39842,"journal":{"name":"International Tinnitus Journal","volume":"26 1","pages":"63-67"},"PeriodicalIF":0.0,"publicationDate":"2022-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40622602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Reuben Thomas, Asma A, Noor Dina H, Loh Sheau Torng, Aniza Ismail, Shalisah Sharip
{"title":"Association of Tinnitus with Anxiety and Depression among Active-Duty Army Personnel and Veterans at Hospital Angkatan Tentera Tuanku Mizan, Malaysia.","authors":"Reuben Thomas, Asma A, Noor Dina H, Loh Sheau Torng, Aniza Ismail, Shalisah Sharip","doi":"10.5935/0946-5448.20220010","DOIUrl":"https://doi.org/10.5935/0946-5448.20220010","url":null,"abstract":"<p><strong>Objectives: </strong>To study the prevalence of tinnitus, its characteristic and its association with anxiety and depression among active-duty army personnel and veterans. This study also wants to determine the correlation of Tinnitus Handicap Inventory (THI) with Hospital Anxiety Depression Scale (HADS) among active-duty army personnel and veterans at Hospital Angkatan Tentera Tuanku Mizan.</p><p><strong>Materials and methods: </strong>A cross-sectional study was conducted at the Otorhinolaryngology Head and Neck Surgery Department of Hospital Angkatan Tentera Tuanku Mizan from January 2020 until June 2021, involving active-duty army personnel and veterans with at least 3 years of service. Those patients who fulfilled inclusion and exclusion criteria were recruited. Their feedback was recorded based on Malay version of Tinnitus Handicap Inventory (THI) and Malay version of Hospital Anxiety Depression Scale (HADS).</p><p><strong>Results: </strong>106 subjects responded to our questionnaires, (51 active-duty army personnel and 55 veterans) in which 4.7% (n=5) reported to have anxiety and none had depression. Overall mean score for Total THI was 27.66, suggesting that majority of our subjects only felt mild handicap due to their tinnitus. Individual THI subdomain mean scores shows that the functional subdomain (17.79) affects subjects the most as compared to the emotional (5.7) and catastrophic scores (4.21).</p><p><strong>Conclusion: </strong>Tinnitus can occur in all degrees of hearing loss, and it is associated with poor functional THI scores. Tinnitus is associated with anxiety but not depression among army personnel. These findings suggest that tinnitus should be addressed by healthcare providers in the military in order to maximise function and Quality of Life (QOL) among the nation's military personnel.</p>","PeriodicalId":39842,"journal":{"name":"International Tinnitus Journal","volume":"26 1","pages":"68-74"},"PeriodicalIF":0.0,"publicationDate":"2022-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40622603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Evaluation of Medial Olivocochlear Neural Efferent Pathway in Tinnitus Perception in Normal-hearing Individuals.","authors":"Amitkumar Tayade, Denise Tucker","doi":"10.5935/0946-5448.20220004","DOIUrl":"https://doi.org/10.5935/0946-5448.20220004","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study is to investigate a possible role of the Medial Olivocochlear (MOC) efferent neural pathway and neural connections responsible for tinnitus generation in silence/sensory deprivation.</p><p><strong>Design: </strong>By placing normal hearing participants in a sound booth for 10 minutes, silence/sensory deprivation was created. This offered assessment of MOC neural pathway in normal hearing participants in silence. Hyperactivity of MOC neural pathway was assessed by its more suppressive effect on Transient Otoacoustic Emissions (TEOAEs) in silence. The required auditory measurements were recorded in the sound booth using recommended diagnostic protocols to ensure the effect of 'only silence' on auditory structures. TEOAE were recorded from the right ear and suppression was measured by placing noise in the left ear. Fifty-eight normal hearing male individuals between age 18-35 years were recruited as participants in this study.</p><p><strong>Results: </strong>Approximately, forty-one percent of the participants perceived some type of tinnitus during/after 10 minutes of silence. No statistically significant difference was found in the total TEOAE amplitude and TEOAE suppression amplitude before and after ten minutes of silence. Post silence total TEOAE suppression between tinnitus perceiving and non-perceiving tinnitus participants were not statistically significantly different.</p><p><strong>Conclusion: </strong>These results suggest that the medial olivocochlear efferent pathway or lower brain stem area does not appear to play a role in the emergence of temporary tinnitus in silence however indicate the involvement of higher central auditory nervous system structures in perception of the tinnitus which support the well-accepted notion that tinnitus is the central auditory processing phenomenon.</p>","PeriodicalId":39842,"journal":{"name":"International Tinnitus Journal","volume":"26 1","pages":"20-26"},"PeriodicalIF":0.0,"publicationDate":"2022-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40541606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hearing Impairment in Infants with Asphyxia.","authors":"Madrimova Aziza, Yuldashev Bs","doi":"10.5935/0946-5448.20220002","DOIUrl":"https://doi.org/10.5935/0946-5448.20220002","url":null,"abstract":"<p><p>In recent decades, despite significant advances in medicine and perinatal care, asphyxia remains a serious condition, leading to significant mortality and morbidity. The incidence of severe perinatal asphyxia varies from 1 to 3 per 1000 live births, in developed countries 5-10 per 1000 or more in developing countries, and is the third most common cause of neonatal death (23%) after preterm birth (28%) and severe infection (26%). Neonatal asphyxia is often accompanied by multiple organ failure, mainly involving the kidneys, brain, and heart. Asphyxia results in significant tissue hypoperfusion and reduced oxygen supply, which can cause neurological damage and damage to cochlear hair cells. Under our supervision were 35 (n=30) newborns who were in the neonatal intensive care unit of the Perinatal Center of the Khorezm region in the period from 2018 to 2019. Of these, 22 (I (main) group n=22), who were in the neonatal pathology department, had signs of perinatal CNS damage; The comparison group included 13 newborns (n=13), with Apgar scores >7 in the first minute. There is a clear correlation between the degree of hearing impairment in infants and the degree of pathology of the CNS. However, the degree of impairment of the auditory analyzer increased in parallel with the degree of asphyxia and severity (P≤0,05).</p>","PeriodicalId":39842,"journal":{"name":"International Tinnitus Journal","volume":"26 1","pages":"11-15"},"PeriodicalIF":0.0,"publicationDate":"2022-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40541604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}