The use of fractal tones in tinnitus patient management

Sweetow, Robert W.

doi:10.4103/1463-1741.110289

Cited by 15 publications

(12 citation statements)

References 37 publications

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“…It may be preferable for some people but not for others. The use of amplification, combined with flexible music-like signals containing relaxation inducing properties may be a further asset to tinnitus management procedures [2]. An example is the use of fractal (randomly generated) tones, which differs from conventional music in terms of its familiarity but similar preferences for using music for relaxation and tinnitus sound therapy appear to apply.…”

Section: In-ear Medical Devices As Instrument For Current Acoustic Thmentioning

confidence: 99%

In-ear medical devices for acoustic therapies in tinnitus treatments, state of the art

et al. 2018

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Cochrane reviews indicate there is very limited support for all forms of sound therapy and cognitive behavioral therapy has the strongest support. American Academy of Otolaryngology (AAO) recently published some guidelines which recommends Cognitive Behavioral Therapy (CBT) for tinnitus intervention, and only indicates that sound therapy should be considered an "option" for intervention. Nevertheless, acoustic therapy could lead to cause changes in the tinnitus perception and has been appreciated by the affected people for years. In the last decades, the use of sound or sound enrichment has become a central part of many tinnitus management programs used by audiologists, whether the intention was to mask tinnitus, suppress tinnitus, or interrupt the tinnitus generating neural activity. Several acoustic therapies have been developed and implemented in the last 40 years, but how can we determine which one is the most effective? We can determine the effects based on the results reported in many research studies, but in those studies are many factors that differ from one study to another, like in-ear medical devices used to apply acoustic therapy for tinnitus treatment. In this article, we review and analyze the different types of in-ear medical devices used in the most recently acoustic therapies in treatments against tinnitus, allowing us to identify the pros and cons. By our analysis, an optimal medical device could be characterized to enhance the application of acoustic therapies and in consequence the global results of the sound therapies that already exist. In this review, it was considered acoustic therapies, the technology implemented in medical devices and the clinical needs.

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Section: In-ear Medical Devices As Instrument For Current Acoustic Thmentioning

confidence: 99%

In-ear medical devices for acoustic therapies in tinnitus treatments, state of the art

et al. 2018

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“…Examples of these features include sound signals that are intended to be conducive to relaxation [39]; alternatively, others can be applied in order to provide some form of sound enrichment or masking. A low number of small-scale studies have reported that these systems can be useful for the management of tinnitus, with the supplementation of appropriate counseling [33].…”

Section: Discussionmentioning

confidence: 99%

Technical Feasibility of Acoustic Coordinated Reset Therapy for Tinnitus Delivered via Hearing Aids: A Case Study

Hauptmann

Williams²,

Vinciati³

et al. 2017

Case Reports in Otolaryngology

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Primary tinnitus has a severe negative influence on the quality of life of a substantial portion of the general population. When acoustic coordinated reset (CR) neuromodulation stimuli are delivered for several hours per day over several weeks a clinically significant symptom reduction in patients with primary tonal tinnitus has been reported by several clinical sites. Here, we reported the first case where CR neuromodulation was delivered through a hearing aid. A 52-year-old man with chronic primary tonal tinnitus was previously considered untreatable with sound therapy. He initially received the classic CR treatment protocol with signals delivered with the separate proprietary device with his hearing aids removed during treatment. He was subsequently treated with the therapy being deployed through a set of contemporary hearing aids. After 5 months of classic CR treatment with the separate custom device, the THI and VASL/A scores worsened by 57% and 13%/14%, respectively. Using the hearing aid without CR treatment for 5 months no change in tinnitus symptoms was observed. However, after three months of CR treatment delivered through the hearing aids, the THI and VASL/A scores were reduced by 70% and 32%/32%, respectively.

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“…Sweetow from San Francisco criticizes sound therapy and the missing evidence of many studies [145] because they generally do not consider sufficiently the concomitant hearing loss. He presents new music-related therapy approaches in terms of interrupted sounds.…”

Section: Neuromodulation – Instrument-based Medical Interventionsmentioning

confidence: 99%

Evidence and evidence gaps in tinnitus therapy

Hesse¹

2016

GMS Current Topics in Otorhinolaryngology - Head and Neck Surgery; 15:Doc04

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The use of fractal tones in tinnitus patient management

Cited by 15 publications

References 37 publications

In-ear medical devices for acoustic therapies in tinnitus treatments, state of the art

In-ear medical devices for acoustic therapies in tinnitus treatments, state of the art

Technical Feasibility of Acoustic Coordinated Reset Therapy for Tinnitus Delivered via Hearing Aids: A Case Study

Evidence and evidence gaps in tinnitus therapy

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