The Effect of Cochlear Implantation on Tinnitus and Quality of Life: A Systematic Review and Meta-analysis

Yuen, Erick; Ma, Cheng; Nguyen, Shaun A.; Meyer, Ted A.; Lambert, Paul R.

doi:10.1097/mao.0000000000003172

Cited by 19 publications

(14 citation statements)

References 46 publications

(248 reference statements)

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“…Cochlear implantation improves general hearing abilities, speech perception, and sound localization in patients with asymmetric hearing loss (AHL) ( 2 ), single-sided (unilateral) deafness (SSD) ( 3 ), and double-sided (bilateral) deafness (DSD) ( 4 ). Accumulating evidence suggests that the beneficial effects of implantation extend beyond the main indication (improvement of auditory abilities) and can positively impact cognition ( 5 – 7 ), health-related quality of life ( 6 , 8 ), and comorbid symptoms such as depression or anxiety ( 9 ). Additionally, the predominantly positive influence of implantation on tinnitus presence and tinnitus-induced distress is well-documented ( 9 , 10 ), although the exact mechanism of this phenomenon is still not fully understood.…”

Section: Introductionmentioning

confidence: 99%

“…Accumulating evidence suggests that the beneficial effects of implantation extend beyond the main indication (improvement of auditory abilities) and can positively impact cognition ( 5 – 7 ), health-related quality of life ( 6 , 8 ), and comorbid symptoms such as depression or anxiety ( 9 ). Additionally, the predominantly positive influence of implantation on tinnitus presence and tinnitus-induced distress is well-documented ( 9 , 10 ), although the exact mechanism of this phenomenon is still not fully understood.…”

Section: Introductionmentioning

confidence: 99%

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Effects of auditory rehabilitation with cochlear implant on tinnitus prevalence and distress, health-related quality of life, subjective hearing and psychological comorbidities: Comparative analysis of patients with asymmetric hearing loss (AHL), double-sided (bilateral) deafness (DSD), and single-sided (unilateral) deafness (SSD)

et al. 2023

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IntroductionAuditory rehabilitation with a cochlear implant (CI), in many cases, positively impacts tinnitus. However, it is unclear if the tinnitus-related benefit of CI is equal for patients with various indications for CI. Therefore, this study aimed to determine differences in tinnitus prevalence and distress, health-related quality of life, subjective hearing, perceived stress, and psychological comorbidities between patients diagnosed with asymmetric hearing loss (AHL), single-sided (unilateral) deafness (SSD), and double-sided (bilateral) deafness (DSD) before and six months after cochlear implantation.MethodsOne hundred-one CI candidates were included in this prospective study (39 AHL patients, 23 DSD patients, and 39 SSD patients). The patients completed questionnaires measuring tinnitus distress, health-related quality of life, subjective hearing, perceived stress, and psychological comorbidities before and 6 months after CI.ResultsThe prevalence of tinnitus in the entire cohort (80.2% before CI) decreased 6 months after CI to 71.3%. The DSD group had the lowest tinnitus prevalence at both time points. The degree of tinnitus-induced distress decreased significantly in all three groups after CI. Differences in quality of life, subjective hearing, and psychological comorbidities between the groups at the study onset disappeared after CI. Significant correlations existed between anxiety, depression, and tinnitus distress in AHL and SSD but not in DSD patients before and after CI.DiscussionOur results demonstrate significant differences between the three groups of CI candidates, which might affect the implantation outcome. These differences suggest a need for personalized psychological counseling during the auditory rehabilitation process, focusing on anxiety and depressive symptoms for SSD and AHL patients.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effects of auditory rehabilitation with cochlear implant on tinnitus prevalence and distress, health-related quality of life, subjective hearing and psychological comorbidities: Comparative analysis of patients with asymmetric hearing loss (AHL), double-sided (bilateral) deafness (DSD), and single-sided (unilateral) deafness (SSD)

et al. 2023

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“…Hearing aid referral 1,78,[208][209][210][211] or cochlear implant [212][213][214][215][216][217] Mitigating hearing loss with hearing aids can decrease the perception of tinnitus. Tinnitus retraining therapy 218 A multimodal habituation-based treatment; tinnitus-specific educational counseling and sound therapy.…”

Section: Hearing Habilitation and Audiology Servicesmentioning

confidence: 99%

Evaluation and Management of Tinnitus: Are There Opportunities for Improvement?

Grundfast

Jamil

2022

Otolaryngol.--head neck surg.

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Objective To review current information about diagnosis and management of tinnitus aiming to identify opportunities for achieving a cost-effective, efficient, evidence-based approach that meets the needs of tinnitus sufferers. Data Sources PubMed/MEDLINE. Review Methods In total, 249 relevant published reports were reviewed. Pertinent keywords and MeSH terms identified reports via PubMed and EMBASE. Acknowledged experts were consulted on ways to improve tinnitus management. Conclusions There may be opportunities to improve evaluation and management of patients with tinnitus using modern modes of communication and a multidisciplinary therapeutic approach. Implications for Practice Tinnitus can adversely affect quality of life while being time-consuming and costly to evaluate and manage. Based on both personal experience and the reports of others, patients with tinnitus who choose to see a physician primarily want to know two things: (1) that the tinnitus that is so distressing will not remain at the same level of severity forever and (2) that something can be done to help cope with the tinnitus that is so annoying. Recent advancements in internet communications, social media, information technology, artificial intelligence, machine learning, holistic medical care, mind-body integrative health care, and multidisciplinary approaches in medical therapeutics may be possibly making new ways of meeting the needs of patients with tinnitus.

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“…CIs can restore hearing by directly stimulating the auditory nerve electrically. Several studies and reviews have concluded that CI use improves the speech perception ability and health-related quality of life (HRQOL) of people with SNHL [ 9 , 10 , 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

Do Not Go Gentle into That Deaf Night: A Holistic Perspective on Cochlear Implant Use as Part of Healthy Aging

Illg¹,

Lukaschyk²,

Kludt³

et al. 2022

JPM

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Research suggests that cochlear implant (CI) use in elderly people improves speech perception and health-related quality of life (HRQOL). CI provision could also prevent dementia and other comorbidities and support healthy aging. The aim of this study was (1) to prospectively investigate potential changes in HRQOL and speech perception and (2) to identify clinical action points to improve CI treatment. Participants (n = 45) were CI recipients aged 60–90 with postlingual deafness. They were divided into groups, according to age: Group 1 (n = 20) received a CI between the age of 60–70 years; group 2 (n = 25) between the age of 71–90 years. HRQOL and speech perception were assessed preoperatively, and three and twelve months postoperatively. HRQOL and speech perception increased significantly within one year postoperatively in both groups. No difference between groups was found. We conclude that CI treatment improves speech perception and HRQOL in elderly users. Improvement of the referral process for CI treatment and a holistic approach when discussing CI treatment in the elderly population could prevent auditory deprivation and the deterioration of cognitive abilities.

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The Effect of Cochlear Implantation on Tinnitus and Quality of Life: A Systematic Review and Meta-analysis

Abstract: Supplemental Digital Content is available in the text

Cited by 19 publications

References 46 publications

Evaluation and Management of Tinnitus: Are There Opportunities for Improvement?

Do Not Go Gentle into That Deaf Night: A Holistic Perspective on Cochlear Implant Use as Part of Healthy Aging

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