Online ISSN: 2515-8260

Keywords : tinnitus


THE EFFICACY OF TINNITUS RETRAINING THERAPY (TRT) FOR TINNITUS RELIEF

Anusha Shukla, Ankit Mishra, Shilpi Parihar

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 4, Pages 1241-1248

Background:Since the first description of tinnitus retraining therapy (TRT), clinicians have modified and customised the method of TRT in order to suit their practice and their patients. A simplified form of TRT is used at Ealing Primary Care Trust Audiology Department. Simplified TRT is different from TRT in the type and (shorter) duration of the counseling but is similar to TRT in the application of sound therapy except for patients exhibiting tinnitus with no hearing loss and no decreased sound tolerance (wearable sound generators were not mandatory or recommended here, whereas they are for TRT). The main goal of this retrospective study was to assess the efficacy of simplified TRT.
Materials and Methods: Data were collected from a series of 42 consecutive patients who underwent simplified TRT for a period of 3 to 23 months. Perceived tinnitus handicap was measured by the Tinnitus Handicap Inventory (THI) and perceived tinnitus loudness, annoyance and the effect of tinnitus on life were assessed through the Visual Analog Scale (VAS).
Results: The mean THI and VAS scores were significantly decreased after 3 to 23 months of treatment. The mean decline of the THI score was 45 (SD = 22) and the difference between preand post-treatment scores was statistically significant. The mean decline of the VAS scores was 1.6 (SD = 2.1) for tinnitus loudness, 3.6 (SD = 2.6) for annoyance, and 3.9 (SD = 2.3) for effect on life. The differences between pre- and post-treatment VAS scores were statistically significant for tinnitus loudness, annoyance, and effect on life. The decline of THI scores was not significantly correlated with age and duration of tinnitus.
Conclusion: The differences between pre- and post-treatment were statistically significant for tinnitus loudness, annoyance, and effect on life. The results suggest that benefit may be obtained from a substantially simplified form of TRT. TRT improved self-perceived disability induced by chronic tinnitus for a long time after the end of therapy.

Assessment of tinnitus in patients with internal derangement of TMJ

Dr.Archana Kumari, Dr.Ranjan Kumar

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 1478-1481

Background: Tinnitus has been shown to be strongly associated with anxiety and
depression. The present study was conducted to assess tinnitus in patients with internal
derangement of TMJ.
Materials & Methods:170 patients with complaint of tinnitus referred for arthrographic
examination of the TMJ were enrolled in the study. Disk positions were diagnosed as
normal superior position, anterior disk displacement with reduction or anterior disk
displacement without reduction. Symptoms such as tinnitus and blockage sensation in the
ear was recorded. Tinnitus was recorded as absent or present
Results: Out of 170 patients, males were 100 and females were 70. Tinnitus was present in
130 and absent in 40. Location of pain was TMJ in 80, lower lateral face in 20, bac of eye
in 10 and temporal region in 20 cases. Other findings were painful chewing in 35, stressful
life in 42, limited mouth opening in 78 and bruxism in 40 cases. The difference was
significant (P< 0.05).
Conclusion: There was high rate of tinnitus in patients with internal disc derangement of
TMJ.

Assessment and evaluation of hearing, tinnitus, and vertigo in children with endocrine disorders

Dr Rajveer Basu, Dr Preeti Lahari, Kiran Lahari, Dr Jugvendra Lahari .

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 1805-1811

Background: Metabolic and endocrine disorders are related to a significant proportion of
mortality and morbidity seen in the child population globally. The disorders and associated
comorbidities affecting various body organs including inner ear functions include diabetes
mellitus, growth hormone deficiency, childhood obesity, precocious puberty, etc.
Aims: The present clinical trial was carried out to assess high-frequency hearing,
associated tinnitus and vertigo in children with endocrine disorders including growth
hormone deficiency, precocious puberty, type 1 diabetes mellitus, obesity and idiopathic
short stature.
Materials and Methods: 120 subjects having a growth hormone deficiency, precocious
puberty, type 1 diabetes mellitus, obesity and/or idiopathic short stature, and 32 healthy
children were evaluated with a complete otolaryngologic examination followed by
otoscopic ear examination, tympanometry, vertigo, and tinnitus. The collected data were
subjected to statistical evaluation and results were formulated.
Results: PTA˃20dB was seen in 2.5% (n=3) subjects, HFA ˃20dB was seen in 5% (n=6),
PTA and HFA ˃20dB in 5% (n=6) subjects (p= 1.000, 0.465, and 1.000). 18.6% (n=19) had
tinnitus, and 8.82% (n=9) had vertigo. Presence of vertigo and tinnitus in study subjects
with ISS seen in 22.7% (p=0.04). Vertigo with PTA and HFA value ˃20dB was seen in
3.84% (n=1) subject with GHD, 5.88% (n=2) with Type1 DM, 4% (n=1) with obesity, and
3.06% (n=3) subjects in whole experimental group.
Conclusion: Within its limitations, the present study concludes that endocrine diseases
manifested in childhood can lead to alterations in the inner ear with poorly understood
aetiology. However, the study suggests a balance examination and thorough hearing
examination be done in all children visiting endocrinology clinics to detect and treat any
associated abnormality at an early stage.