Open ear hearing aids in tinnitus therapy: An efficacy comparison with sound generators

Parazzini, Marta; Bo, Luca Del; Jastreboff, Margaret M.; Tognola, Gabriella; Ravazzani, Paolo

doi:10.3109/14992027.2011.572263

Cited by 78 publications

(94 citation statements)

References 14 publications

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“…For example, Schaette et al [2010] reported that hearing aids and noise devices can lead to a significant reduction in tinnitus loudness not only during device usage, but also when the device was switched off. Parazzini et al [2011] also reported a significant reduction in tinnitus loudness in bilateral open-fit hearing aid users, when they were asked to judge the average tinnitus loudness over the past month. Interestingly, bilateral sounds generators were as effective as hearing aids, suggesting that a 'tinnitus gain mechanism' in the auditory system might be sensitive simply to the overall level of input.…”

Section: Clinical Relevance Of Abnormal Neural Activitymentioning

confidence: 99%

Pump Up the Volume: Could Excessive Neural Gain Explain Tinnitus and Hyperacusis?

Brotherton

Plack²,

Maslin³

et al. 2015

Audiol Neurotol

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Naturally occurring stimuli can vary over several orders of magnitude and may exceed the dynamic range of sensory neurons. As a result, sensory systems adapt their sensitivity by changing their responsiveness or ‘gain'. While many peripheral adaptation processes are rapid, slow adaptation processes have been observed in response to sensory deprivation or elevated stimulation. This adaptation process alters neural gain in order to adjust the basic operating point of sensory processing. In the auditory system, abnormally high neural gain may result in higher spontaneous and/or stimulus-evoked neural firing rates, and this may have the unintended consequence of presenting as tinnitus and/or sound intolerance, respectively. Therefore, a better understanding of neural gain, in health and disease, may lead to more effective treatments for these aberrant auditory perceptions. This review provides a concise summary of (i) evidence for changes in neural gain in the auditory system of animals, (ii) physiological and perceptual changes in adult human listeners following an acute period of enhanced acoustic stimulation and/or deprivation, (iii) physiological evidence of excessive neural gain in tinnitus and hyperacusis patients, and (iv) the relevance of neural gain in the clinical treatment of tinnitus and hyperacusis.

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Section: Clinical Relevance Of Abnormal Neural Activitymentioning

confidence: 99%

Pump Up the Volume: Could Excessive Neural Gain Explain Tinnitus and Hyperacusis?

Brotherton

Plack²,

Maslin³

et al. 2015

Audiol Neurotol

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show abstract

“…Two factors related to tinnitus are important and should be differentiated: the intensity of the tinnitus symptoms and the discomfort caused to the patient's life 25 . After the use of the prosthesis the discomfort level decreased significantly in the studied sample, and research 26,27 shows that the combined use of amplification and sound generators for the relief of bothersome tinnitus seemed to be more efficient than pure amplification, and that this reduction may be observed progressively from the third month of use of the devices 28 .…”

Section: Discussionmentioning

confidence: 90%

Benefit of Using the Prosthesis with Sound Generators in Individuals with Tinnitus Associated With Mild to Moderately Severe Hearing Loss

Berberian¹,

Ribas²,

Imlau³

et al. 2016

The International Tinnitus Journal

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Introduction: One of the treatments currently available for the remission of tinnitus, when associated with hearing loss is the use of hearing aids with sound generator. Such treatment is based on the capability that the human brain has to get used to a new sound over another. Objective: To describe the results found in a group of people who have undergone treatment with sound generators. Method: Audiologic follow-up protocols of 25 adult subjects with hearing loss and complaint of tinnitus were analyzed. It was applied: free field audiometry with hearing aids, Visual Analog Scale to determine the degree of annoyance of the tinnitus and Tinnitus Handicap Inventory to assess tinnitus impact on the quality of life before and after treatment. Results: after the use of hearing aids there was significant improvement in hearing thresholds; there was a significant reduction in the degree of annoyance caused by tinnitus; there was a significant reduction of tinnitus and, consequently, on the quality of life of the respondents. Conclusion: This study allowed the verification that the use of hearing aids with sound generator is a good resource for the treatment of tinnitus associated with mild to moderately severe hearing loss.

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“…Für die Tinnituseffektivität (Übersicht in [58]) von konventionellen Hörgeräten liegen nur Arbeiten mit mäßigen oder schwachen Evidenzstärken vor [34,52,61,70]. Zudem sind die Ergebnisse widersprüch-lich.…”

Section: Materials Und Methodenunclassified

Zur interdisziplinären S3-Leitlinie für die Therapie des chronisch-idiopathischen Tinnitus

Zenner

Delb

Kröner‐Herwig

et al. 2015

HNO

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No recommendations can be made for drug-based treatment of CIT, audiotherapy, transcranial magnetic or electrical stimulation, specific forms of acoustic stimulation or music therapy; or such recommendations must remain open due to the lack of available evidence. Polypragmatic tinnitus treatment with therapeutic strategies for which there is no evidence of efficacy from controlled studies is to be refused.

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Open ear hearing aids in tinnitus therapy: An efficacy comparison with sound generators

Abstract: TRT was equally effective with sound generator or open ear hearing aids: they gave basically identical, statistically indistinguishable results.

Cited by 78 publications

References 14 publications

Pump Up the Volume: Could Excessive Neural Gain Explain Tinnitus and Hyperacusis?

Pump Up the Volume: Could Excessive Neural Gain Explain Tinnitus and Hyperacusis?

Benefit of Using the Prosthesis with Sound Generators in Individuals with Tinnitus Associated With Mild to Moderately Severe Hearing Loss

Zur interdisziplinären S3-Leitlinie für die Therapie des chronisch-idiopathischen Tinnitus

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