Otoacoustic emissions, ear fullness and tinnitus in the recovery course of sudden deafness

Ishida, Ieda Maria; Sugiura, Makoto; Teranishi, Masaaki; Katayama, Naomi; Nakashima, Tsutomu

doi:10.1016/j.anl.2007.04.003

Cited by 20 publications

(21 citation statements)

References 9 publications

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“…Improvement of tinnitus complaints after implantation has been reported in many studies [4]. But also worsening of a pre-existing tinnitus or new development of tinnitus after electrode insertion has been described [5]. However documentation and definition of tinnitus complaints in CI patients are often not standardized and therefore difficult to compare to results obtained from classical tinnitus therapies.…”

Section: Introductionmentioning

confidence: 99%

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Curing tinnitus with a Cochlear Implant in a patient with unilateral sudden deafness: a case report

et al. 2009

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Cochlear implantation is a routine procedure for patients with bilateral profound sensorineural hearing loss. Some reports demonstrated a suppression of tinnitus as a side-effect after implantation. We describe the case of a 55-year-old man suffering from severe right-sided tinnitus in consequence of sudden right-sided deafness. Multiple therapeutic efforts including intravenous steroids and tympanoscopy with grafting of the round window remained unsuccessful. One year after onset of symptoms right-sided cochlear implantation was performed, which resulted in a complete abolishment of tinnitus after activating the implant. Severe unilateral tinnitus after sudden deafness might represent a new indication for cochlear implantation.

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Section: Introductionmentioning

confidence: 99%

“…Especially in cases with persistent hearing loss patients frequently complain of tinnitus [6]. Here we present the case of a patient with unilateral disabling tinnitus as a consequence of sudden deafness, who was treated successfully with cochlear implantation.…”

Section: Introductionmentioning

confidence: 99%

Curing tinnitus with a Cochlear Implant in a patient with unilateral sudden deafness: a case report

et al. 2009

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“…On the other extreme, studies enrolling ISSNHL patients with more severe hearing loss show only small to moderate hearing recovery and small to moderate reductions in tinnitus incidence, if at all ( 11 , 12 ); for example, 12 months after onset tinnitus was still present in 60% of patients with severe ISSNHL ( 11 ). Recovery in hearing in general seems to occur more rapidly than a decrease in tinnitus loudness or tinnitus remission ( 13 ).…”

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confidence: 99%

Characteristics and Spontaneous Recovery of Tinnitus Related to Idiopathic Sudden Sensorineural Hearing Loss

Mühlmeier

Baguley

Cox

et al. 2016

Otology &Amp; Neurotology

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Objective:To evaluate the characteristics and spontaneous recovery of tinnitus related to idiopathic sudden sensorineural hearing loss (ISSNHL).Study Design:Retrospective analysis from two randomized placebo-controlled clinical trials for treatment of ISSNHL within 48 hours from onset (Study A), or of tinnitus related to ISSNHL within 3 months from onset (Study B).Setting:Forty-eight European sites (academic tertiary referral centers, private ENT practices).Patients:One hundred thirteen adult patients of which 65 with hearing loss ≥30 dB (Study A) and 48 with persistent acute tinnitus (Study B) at baseline.Interventions:Intratympanic (i.t.) injection of placebo gel in single dose or in triple dose during 3 consecutive days.Main Outcome Measures:Frequency of tinnitus, subjective tinnitus loudness, rates of complete tinnitus remission, and complete hearing recovery during 3 months follow-up.Results:In acute ISSNHL, tinnitus loudness decreased rapidly in cases of mild-moderate hearing loss, and tinnitus had completely resolved in two-thirds of patients after 3 months. Hearing recovery preceded tinnitus resolution. When associated with severe-profound hearing loss, tinnitus improved significantly less. Complete hearing recovery and full tinnitus remission were both about three times more frequent in mild-moderate hearing loss patients than in severe-profound cases. Improvement in tinnitus loudness over time can be approximated by a negative exponential function.Conclusions:Prognosis for ISSNHL-related tinnitus is relatively poor in case of severe-profound hearing loss and the longer it has persisted. Alleviation or management of tinnitus should be a key therapeutic objective especially in pronounced ISSNHL cases.

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“…There are studies in the literature that demonstrate a prognostic role for OAEs in the ISSHL [21,26].…”

Section: Discussionmentioning

confidence: 99%

Intratympanic Drug Delivery for Tinnitus Treatment

Barreto¹,

Ledesma²,

Boger³

et al. 2017

Up to Date on Meniere's Disease

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Objective: The aim of the study to evaluate the effectiveness of oral and injection intratympanic methylprednisolone to treat acute tinnitus associated with idiopathic sudden sensorineural hearing loss. Study design:Analytical, prospective and longitudinal study.Setting: Brasilia Institute of Otorhinolaryngology. Subjects and methods:Twenty-three subjects with acute tinnitus and idiopathic sudden sensorineural hearing loss, 13 treated with oral steroids only (Group 1) and 10 treated with methylprednisolone intratympanic injection as rescue therapy (Group 2), and evaluated by audiometry, otoacoustic emission, tinnitus handicap inventory (THI) and visual analog scale (VAS) to assess the degree of tinnitus annoyance, before treatment and after 3 months. Results:The annoyance due to tinnitus resulted in a mean VAS of 7.69 in the beginning of treatment and 5.15 3 months after treatment (Group 1), and 8.30 at the beginning and 6.00 3 months later (Group 2). In THI, average was 64.77 points at the beginning of treatment and 49.92 points 3 months later (Group 1) and 72.20 points at the beginning and 51.60 points after 3 months (Group 2). The results of audiometry and otoacoustic emissions showed significant improvement in both groups with significant differences intragroups before and after, but not between the groups. Conclusion:The results suggest that both oral and injection intratympanic methylprednisolone are effective treatment for acute tinnitus associated with idiopathic sudden sensorineural hearing loss in these patients.

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Otoacoustic emissions, ear fullness and tinnitus in the recovery course of sudden deafness

Cited by 20 publications

References 9 publications

Curing tinnitus with a Cochlear Implant in a patient with unilateral sudden deafness: a case report

Curing tinnitus with a Cochlear Implant in a patient with unilateral sudden deafness: a case report

Characteristics and Spontaneous Recovery of Tinnitus Related to Idiopathic Sudden Sensorineural Hearing Loss

Intratympanic Drug Delivery for Tinnitus Treatment

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