Evaluation and Selection of Maskers and Other Devices Used in the Treatment of Tinnitus and Hyperacusis

Sandlin, Robert E.; Olsson, Robert

doi:10.1177/108471389900400102

Cited by 14 publications

(10 citation statements)

References 24 publications

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“…One of the obstacles that faced the researchers was the fluctuations of hearing thresholds and the repeated programming of the hearing aids and/or the tinnitus maskers. 8 In the current study, marked improvement was reported by 10 patients and average alleviation was reported by 6 other patients. The dynamic technology of hearing aids as well as the availability of control capabilities of the hearing aids on cellular phones increased the success rate of hearing devices in TP.…”

Section: Discussionsupporting

confidence: 57%

Use of sound therapy in management of tullio phenomenon associated with unilateral endolymphatic hydrops

Mustafa

Abdelmaksoud

2020

Int J Otorhinolaryngol Head Neck Surg

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Background: The tullio phenomenon consists of the production of vestibular signs or symptoms by an acoustic stimulus. TP was found to be present in many inner ear pathologies such as superior semicircular canal dehiscence, perilymphatic fistula and endolymphatic hydrops. No previous study probed the value of tinnitus maskers in the alleviation of Tullio phenomenon associated with endolymphatic hydrops.Methods: Twenty one patients who had a confirmed unilateral endolymphatic hydrops associated with Tullio phenomenon were selected for the study. Their age ranged from 20 to 52 years old. Tinnitus masker±amplification was used according to the audiological findings of each patient. The device was used in the affected ear for a minimum of 6 months.Results: Ten patients reported marked improvement on a graded scale with a mean of 8.6±1.2 as regards the occurrence of tullio phenomenon. Six patients achieved an average amelioration (mean 5.9±0.12) while five patients reported failure of the device (mean 3.4±0.6).Conclusions: Sound therapy using tinnitus masker±amplification is a good tool for alleviation of tullio phenomenon associated with unilateral endolymphatic hydrops.

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Section: Discussionsupporting

confidence: 57%

Use of sound therapy in management of tullio phenomenon associated with unilateral endolymphatic hydrops

Mustafa

Abdelmaksoud

2020

Int J Otorhinolaryngol Head Neck Surg

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“…Specialized devices equipped with compression circuitry also have been promoted for compensating patients with hyperacusis. [84][85][86] Consider that for compression circuitry to be effective for a hyperacusic hearing-impaired listener, the compression characteristics must be greatly exaggerated. This excessive compression would necessarily augment distortion of the signal.…”

Section: Extension Of Trt Principles To Sound Tolerance and Dynamic Rmentioning

confidence: 99%

Modification of Loudness Discomfort Level: Evidence for Adaptive Chronic Auditory Gain and Its Clinical Relevance

Formby¹,

Gold²

2002

Semin Hear

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A vexing problem in audiology has been the modification of sound tolerance. Sound intolerance and restricted dynamic ranges are common conditions that audiologists encounter daily in the hearing-impaired population, especially in the fitting of hearing aids. To date, no clinical protocol has proven to be successful for modifying sound tolerance among the hearingimpaired population. This report describes the use of low-level, broadband sound in a habituation-based treatment protocol termed Tinnitus Retraining Therapy (TRT). Over the past decade, TRT has become increasingly popular as an intervention for severe tinnitus and hyperacusis. One of the primary treatment effects from TRT is that over the course of the intervention the patient's loudness discomfort level (LDL) thresholds routinely shift to higher levels. Ostensibly, the resulting higher LDL thresholds reflect treatment effects associated with the resetting of a plastic and adaptive auditory gain process that somehow regulates the supra-threshold sensitivity of the auditory system in response to chronic changes in the sound input from the auditory periphery to the central auditory pathways. Tinnitus patients with significant hearing losses and sound tolerance problems respond successfully to TRT and, as a consequence, their LDL thresholds are usually elevated (improved) and, concomitantly, their dynamic ranges are expanded. Many of these patients, who before the TRT intervention could not tolerate amplified sound, then have been able to make a comfortable transition into appropriate amplification after treatment. In principle, TRT would seem to offer a viable intervention strategy for modifying sound tolerance in the general hearingimpaired population. If so, then the clinical applications of TRT principles may extend well beyond the treatment of tinnitus and hyperacusis.

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“…The use of hearing aids has long been recommended for tinnitus relief (Vernon and Schleuning, 1978;Coles, 1987;Hazell et al, 1985). Many studies reported a decrease in the prominence of tinnitus in up to 85% of patients with sensorineural hearing loss after hearing aid fitting (Hazell et al, 1985;Surr et al, 1985;Tyler and Bentler, 1987;Sandlin and Olsson, 1999;Henry et al, 2015). Many patients report tinnitus has helped when they receive hearing aids (Moffat et al, 2009;Schaette et al, 2010;Kochkin et al, 2011).…”

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confidence: 99%

Tinnitus Sound Therapy Trial Shows Effectiveness for Those with Tinnitus

Tyler

Perreau

Powers³

et al. 2020

J Am Acad Audiol

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It is well accepted among clinicians that maskers and hearing aids combined with counseling are generally helpful to tinnitus patients, but there are few controlled studies exploring the efficacy of maskers alone to decrease the prominence of tinnitus.We investigated the benefit of maskers for patients with chronic, bothersome tinnitus.Crossover single-participant design, where each participant served as their own control.18 adults with subjective, nonpulsatile, sensorineural tinnitus.Participants participated in two six-week trials: one with sound therapy and one without. No counseling was provided in either group. Masking devices were fit with sounds intended to reduce the tinnitus prominence.Participants rated tinnitus loudness, tinnitus annoyance, and acceptability of the background sounds using a numeric 0–100 interval scale and completed the Tinnitus Primary Functions Questionnaire (TPFQ).Three participants dropped out. On the total score of the TPFQ, 5 of 15 remaining participants (33%) showed a benefit. Using a derived score based on functions showing a handicap before the study, maskers benefit was observed in the areas of sleep (five of nine), hearing (three of eight), thoughts and emotions (three of four), and concentration (four of eight). The TPFQ and annoyance data complemented each other well.This study demonstrates the benefit of partial masking, encouraging patients to seek help from audiologists interested in providing support for tinnitus patients.

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Evaluation and Selection of Maskers and Other Devices Used in the Treatment of Tinnitus and Hyperacusis

Cited by 14 publications

References 24 publications

Use of sound therapy in management of tullio phenomenon associated with unilateral endolymphatic hydrops

Use of sound therapy in management of tullio phenomenon associated with unilateral endolymphatic hydrops

Modification of Loudness Discomfort Level: Evidence for Adaptive Chronic Auditory Gain and Its Clinical Relevance

Tinnitus Sound Therapy Trial Shows Effectiveness for Those with Tinnitus

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