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Initial Response to Combination Therapies for Tinnitus: Lessons Learned From a Retrospective Analysis

Title
Initial Response to Combination Therapies for Tinnitus: Lessons Learned From a Retrospective Analysis
Authors
Shin, Seung-HoByun, Sung WanLee, Ho Yun
Ewha Authors
변성완신승호이호윤
SCOPUS Author ID
변성완scopus; 신승호scopus
Issue Date
2024
Journal Title
OTOLOGY & NEUROTOLOGY
ISSN
1531-7129JCR Link

1537-4505JCR Link
Citation
OTOLOGY & NEUROTOLOGY vol. 45, no. 1, pp. 100 - 106
Keywords
Hearing aidsNeuromodulationSound intoleranceTinnitusTinnitus retraining therapy
Publisher
LIPPINCOTT WILLIAMS &

WILKINS
Indexed
SCIE; SCOPUS WOS
Document Type
Article
Abstract
ObjectiveTo investigate the initial reduction of tinnitus effects by combining common therapies applicable in general otology clinics and establishing optimal treatment strategies.Study DesignRetrospective cohort study.SettingA tertiary university hospital.PatientsPatients with nonpulsatile subjective tinnitus who visited the hospital between January and December 2022.Intervention(s)Combination therapies consisting of at least one of the directive counseling based on the neurophysiological model, hearing aids, medication, and/or neuromodulation were performed.Main Outcome Measure(s)Tinnitus Handicap Inventory (THI) questionnaire at both their initial visit and 1-month follow-up.ResultsA total of 151 patients were enrolled. THI improvement of 20 points or more was observed in 31.8% of participants. One-way analysis of variance revealed that counseling had a significant reduction in THI, whereas neuromodulation, medication, and hearing aids did not. THI improvement was significantly associated with received counseling, severity of initial THI, and mean loudness discomfort level. Hearing aids and neuromodulation were not significant prognostic factors for improvement.ConclusionCounseling alone is the best treatment for most patients with tinnitus. There will be other patients with tinnitus that, in addition to counseling, would benefit from hearing aids, medications, and/or certain forms of neuromodulation.
DOI
10.1097/MAO.0000000000004030
Appears in Collections:
의과대학 > 의학과 > Journal papers
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