A hearing aid for the relief of tinnitus aurium

Saltzman, Maurice; Ersner, Matthew S.

doi:10.1288/00005537-194705000-00005

Cited by 107 publications

(45 citation statements)

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“…The use of sound devices to relieve tinnitus dates from Aristotle, who toyed with the idea that a stronger sound could mask a weaker sound.21 When a patient also presents hearing loss, sound stimulation has to be done through hearing aids; 27 in such cases amplification of ambient sound may partially reduce or eliminate tinnitus-associated annoyance. [28][29][30][31][32] Von Wedel et al (1989) compared the benefits of hearing aids and tinnitus maskers in 74 patients during three years and found total or partial masking of tinnitus with hearing aids in 80% of cases.33 Similar results were also presented by Moura et al (2004), who showed improvement of tinnitus in 87.2% of 47 cases; in this study, there was total masking of tinnitus in 51% of patients after 3 to 8 months of hearing aid use.…”

Section: Discussionmentioning

confidence: 99%

A eficácia do molde aberto para o controle do zumbido

Ferrari

Sánchez

Pedalini

2007

Rev. Bras. Otorrinolaringol.

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Heari ng aids may be a option to improve tinnitus and hearing loss. Aim: to evaluate tinnitus after one month use of BTE hearing aids with open molds and pressure vent molds in patients with symmetric sensorineural hearing loss. Methods: 50 patients seen at our Tinnitus Clinic who presented bilateral tinnitus and hearing loss underwent a randomized blind crossover clinical trial: 26 first used BTE hearing aids with open molds, and the remaining 24 first used pressure vent molds. After 30 days using the first mold and a wash-out period, the type of earmold was changed and was applied for another 30-day-period. Tinnitus evaluation was done qualitatively (improved, unchanged and worsened) and quantitatively (variation on a numeric scale from 0 to 10). Results: 82% of the cases reported improvement of tinnitus with at least one type of earmold; there was no significant difference in the reduction of discomfort due to tinnitus in the quantitative and qualitative evaluations. Although similar tinnitus control was obtained with both methods, 66% of the patients preferred the open mold. Conclusion: In a shortterm evaluation improvement of tinnitus by the use of hearing aids does not depend on earmold ventilation.

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Section: Discussionmentioning

confidence: 99%

A eficácia do molde aberto para o controle do zumbido

Ferrari

Sánchez

Pedalini

2007

Rev. Bras. Otorrinolaringol.

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“…Acoustic sound enrichment by either conventional hearing aids [Saltzman and Ersner, 1947;Shekhawat et al, 2013;Hoare et al, 2014], tinnitus maskers [Erlandsson et al, 1987;Vernon and Meikle, 2003;Fioretti et al, 2012] or music with tinnitus-related modification [Davis et al, 2007;Pantev et al, 2012a, b;Reavis et al, 2012;Tass et al, 2012] is a potential treatment option but shows a large variability in effectiveness among patients. This variability may be explained by the heterogeneity of tinnitus, which is caused by auditory deprivation and can occur at various positions along the auditory pathway.…”

Section: Introductionmentioning

confidence: 99%

Tinnitus Suppression by Intracochlear Electrical Stimulation in Single-Sided Deafness: A Prospective Clinical Trial - Part I

et al. 2015

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Cochlear implantation is a viable treatment option for tinnitus, but the underlying mechanism is yet unclear. Is the tinnitus suppression due to the reversal of the assumed maladaptive neuroplasticity or is it the shift in attention from the tinnitus to environmental sounds and therefore a reduced awareness that reduces tinnitus perception? In this prospective trial, 10 patients with single-sided deafness were fitted with a cochlear implant to investigate the effect of looped intracochlear electrical stimulation (i.e. stimulation that does not encode environmental sounds) on tinnitus, in an effort to find optimal stimulation parameters. Variables under investigation were: amplitude (perceived stimulus loudness), anatomical location inside the cochlea (electrode/electrodes), amplitude modulation, polarity (cathodic/anodic first biphasic stimulation) and stimulation rate. The results suggest that tinnitus can be reduced with looped electrical stimulation, in some cases even with inaudible stimuli. The optimal stimuli for tinnitus suppression appear to be subject specific. However, medium-to-loud stimuli suppress tinnitus significantly better than soft stimuli, which partly can be explained by the masking effect. Although the long-term effects on tinnitus would still have to be investigated and will be described in part II, intracochlear electrical stimulation seems a potential treatment option for tinnitus in this population.

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“…This not only improves hearing (Ferrari, Sanchez, & Pedalini, 2007) but also stimulates the auditory cortex, which leads to permanent reductions in the neural activity responsible for causing the sensation of tinnitus (Searchfield, 2006). However, despite the hearing aid having been used as a tool for controlling tinnitus over the past 60 years (Saltzman & Ersner, 1947), a recent finding showed that the majority of people with tinnitus do not regard the hearing aid as a treatment strategy (Kochkin, Tyler, & Born, 2011). …”

Section: Introductionmentioning

confidence: 99%

The Influence of Sound Generator Associated With Conventional Amplification for Tinnitus Control: Randomized Blind Clinical Trial

et al. 2014

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Hearing aids with an integrated sound generator have been used to enhance the treatment of tinnitus. The main aim of this study was to verify whether the combined use of amplification and sound generator is more effective than conventional amplification alone in reducing tinnitus annoyance by means of the use of a new hearing aid with an integrated sound generator. A total of 49 patients underwent a blind randomized clinical trial. Tinnitus annoyance was measured by Tinnitus Handicap Inventory and numerical scales, and psychoacoustic measures of tinnitus were also performed. The sound generator was set at the lowest intensity capable of providing relief from tinnitus. Results showed that 62.5% of the patients presented a reduction in tinnitus annoyance in the combined fitting group and in the group with amplification alone, 78% showed a reduction. This difference between the groups was not statistically significant.

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A hearing aid for the relief of tinnitus aurium

Cited by 107 publications

References 1 publication

A eficácia do molde aberto para o controle do zumbido

A eficácia do molde aberto para o controle do zumbido

Tinnitus Suppression by Intracochlear Electrical Stimulation in Single-Sided Deafness: A Prospective Clinical Trial - Part I

The Influence of Sound Generator Associated With Conventional Amplification for Tinnitus Control: Randomized Blind Clinical Trial

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