Evaluation of severe tinnitus patients after treatment by TRT (Tinnitus Retraining Therapy)
Seventy-one patients (33 male, 38 female) treated who complained of severe tinnitus had been treated in the department of Otolaryngology of Nippon Koukan Hospital and Koukan Clinic during the 1-year period, from April 2004. Thirty-seven patients(19 male, 18 female) had been treated by TRT (Tinnitus...
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| Published in | AUDIOLOGY JAPAN Vol. 49; no. 2; pp. 162 - 166 |
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| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
Japan Audiological Society
2006
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| Online Access | Get full text |
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| Abstract | Seventy-one patients (33 male, 38 female) treated who complained of severe tinnitus had been treated in the department of Otolaryngology of Nippon Koukan Hospital and Koukan Clinic during the 1-year period, from April 2004. Thirty-seven patients(19 male, 18 female) had been treated by TRT (Tinnitus Retraining Therapy) with a TCI (Tinnitus Control Instrument) and followed up for 6 months after treatment. We evaluated recovery from the tinnitus by questionnire. The THI (Tinnitus Handicap Inventory) and VAS (Visual Analoque Scale) improved after treatment by TRT. We devided all cases into 2 groups, Hearing Gap (+) group and Hearing Gap (-) group, in whether there was a more than 10dB hearing gap between the right ear and the left ear or not. Both THI and VAS test improved in the Hearing Gap (-) group (25 cases) after 1 month of tratment, whereas the Hearing Gap (+) group (12 cases) improved after 6 months of treatment. These results suggest that it takes a long time forthe Hearing Gap (+) group to improve. |
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| AbstractList | Seventy-one patients (33 male, 38 female) treated who complained of severe tinnitus had been treated in the department of Otolaryngology of Nippon Koukan Hospital and Koukan Clinic during the 1-year period, from April 2004. Thirty-seven patients(19 male, 18 female) had been treated by TRT (Tinnitus Retraining Therapy) with a TCI (Tinnitus Control Instrument) and followed up for 6 months after treatment. We evaluated recovery from the tinnitus by questionnire. The THI (Tinnitus Handicap Inventory) and VAS (Visual Analoque Scale) improved after treatment by TRT. We devided all cases into 2 groups, Hearing Gap (+) group and Hearing Gap (-) group, in whether there was a more than 10dB hearing gap between the right ear and the left ear or not. Both THI and VAS test improved in the Hearing Gap (-) group (25 cases) after 1 month of tratment, whereas the Hearing Gap (+) group (12 cases) improved after 6 months of treatment. These results suggest that it takes a long time forthe Hearing Gap (+) group to improve. |
| Author | Kohama, Yukie Sakamoto, Koji Ito, Mari Soma, Keiko |
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| References | 5) 松田太志, 関谷芳正, 高橋真理子・他: Noise Generator を用いた Tinnitus Retrainig Therapy による耳鳴の治療経験 Audiology Japan 44: 163-170, 2001 11) Eggermont JJ.: Central tinnitus. Auris Nasus Larynx. Feb; 30 Suppl: S7-12, 2003 8) HildigI AC: Studies on the otic labyrinth. V. The possible relation of the insertion of the tectorial membrane to acoustic trauma, nerve deafness and tinnitus. Ann Otol Rhinol Laryngol 62 (2): 470-476, 1953 9) Tonndorf J.: Acute cochlear disorders: the combination of hearing loss, recruitment, poor speech discrimination, and tinnitus. Ann Otol Rhinol Laryngol 89 (4 Pt 1): 353-358,1980 2) Henry JA, Jastreboff PJ and Jastreboff MM: Assesment of patients for treatment with tinnitus retraining therapy. J Am Acad Audiol 13 (10): 523-544, 2002 12) Eggermont JJ Roberts LE: The neuroscience of tinnitus. Trends Neurosci 27 (11): 676-682, 2004 4) 関谷芳正, 松田太志, 高橋真理子・他: 耳鳴りに対する新しい治療法・TRT療法 耳鼻咽喉科臨床 95: 639-646, 2002 7) Kanda Y: A new tinnitus treatment. A first report on Non-linear Masking Therapy (Kanda's Method). Otology 2000: Achievement and Perspectives. Annual Meeting of the Politzer society, 123, 1999 14) 森康一: 耳鳴の成因に関する最近の知見2. 中枢性発生機序MB ENT 49: 7-11, 2005 10) Konopka W, Zalewski P, Olszewski J, et al: Tinnitus suppression by electrical promontory stimulation (EPS) in patients with sensorineural hearing loss. Auris Nasus Larynx 28 (1): 35-40, 2001 3) Jastreboff PJ: Phantom auditory perception (tinnitus): mechanisms of generation and perception. Neurisci Res 8: 221-254, 1990 1) Jastreboff PJ, Jastreboff MM: Tinnitus retraining therapy for patients with tinnitus and decreased sound torelance. Otolaryngol Clin North Am 36: 321-336, 2003 13) Gerken GM.: Central denervation hypersen-sitivity in the auditory system of the cat. J Acoust Soc Am 66 (3): 721-727, 1979 6) 新田清一, 小川郁: TRTの効く症例効かない症例 クリニカルトレンド4 中山書店: 103-104 |
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