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Evaluation of a customized acoustical stimulus system in the treatment of chronic tinnitus.
Otol Neurotol. 2011 Jun; 32(4):710-6.ON

Abstract

OBJECTIVE

The purpose of this study is to evaluate the efficacy of a customized acoustical stimulus (Neuromonics) system in the treatment of chronic tinnitus.

STUDY DESIGN

Multi-institutional prospective.

SETTING

Nine U.S. Tertiary Otological referral centers; ambulatory.

PATIENTS

Fifty-two adults with chronic tinnitus for a minimum of 6 months, with poor or no response to previous treatments, and not undergoing concomitant therapies were enrolled.

INTERVENTIONS

Treatment was delivered in 2 stages: Stage 1 consisted of stimulation with the patient-customized musical tracks and white noise masking of the tinnitus for 2 months, 2 to 4 hours a day. Stage 2 consisted of listening to the same tracks, with no tinnitus masking for 4 months. Both phases included education, cognitive therapy, and periodic follow-up.

MAIN OUTCOME MEASURES

Treatment response was measured through validated psychometric testing: the Tinnitus Reaction Questionnaire and the Tinnitus Handicap Inventory. Other measures included the Hospital Anxiety Depression Scale and loudness discomfort levels.

RESULTS

Patients' responses were recorded from 38 patients at 6 months, 28 patients at 12 months, and 12 patients at 24 months after initiation of treatment. A total of 14 patients withdrew or were lost to follow-up, and the rest had not reached the 12- or 24-month testing interval. The Tinnitus Reaction Questionnaire score was significantly reduced in 74% of patients at 12 months and 84% of patients at 24 months. Tinnitus Handicap Inventory scores were significantly reduced in 77% of patients at 12 months and 50% at 24 months.

CONCLUSION

The customized acoustical stimulus system offers a safe and effective means of tinnitus management for patients with chronic tinnitus.

Authors+Show Affiliations

Silverstein Institute, Sarasota, Florida 34239, USA. jwazen@earsinus.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

21451428

Citation

Wazen, Jack J., et al. "Evaluation of a Customized Acoustical Stimulus System in the Treatment of Chronic Tinnitus." Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, vol. 32, no. 4, 2011, pp. 710-6.
Wazen JJ, Daugherty J, Pinsky K, et al. Evaluation of a customized acoustical stimulus system in the treatment of chronic tinnitus. Otol Neurotol. 2011;32(4):710-6.
Wazen, J. J., Daugherty, J., Pinsky, K., Newman, C. W., Sandridge, S., Battista, R., Ramos, P., & Luxford, W. (2011). Evaluation of a customized acoustical stimulus system in the treatment of chronic tinnitus. Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, 32(4), 710-6. https://doi.org/10.1097/MAO.0b013e318217d459
Wazen JJ, et al. Evaluation of a Customized Acoustical Stimulus System in the Treatment of Chronic Tinnitus. Otol Neurotol. 2011;32(4):710-6. PubMed PMID: 21451428.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Evaluation of a customized acoustical stimulus system in the treatment of chronic tinnitus. AU - Wazen,Jack J, AU - Daugherty,Julie, AU - Pinsky,Karen, AU - Newman,Craig W, AU - Sandridge,Sharon, AU - Battista,Robert, AU - Ramos,Patricia, AU - Luxford,William, PY - 2011/4/1/entrez PY - 2011/4/1/pubmed PY - 2011/12/13/medline SP - 710 EP - 6 JF - Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology JO - Otol Neurotol VL - 32 IS - 4 N2 - OBJECTIVE: The purpose of this study is to evaluate the efficacy of a customized acoustical stimulus (Neuromonics) system in the treatment of chronic tinnitus. STUDY DESIGN: Multi-institutional prospective. SETTING: Nine U.S. Tertiary Otological referral centers; ambulatory. PATIENTS: Fifty-two adults with chronic tinnitus for a minimum of 6 months, with poor or no response to previous treatments, and not undergoing concomitant therapies were enrolled. INTERVENTIONS: Treatment was delivered in 2 stages: Stage 1 consisted of stimulation with the patient-customized musical tracks and white noise masking of the tinnitus for 2 months, 2 to 4 hours a day. Stage 2 consisted of listening to the same tracks, with no tinnitus masking for 4 months. Both phases included education, cognitive therapy, and periodic follow-up. MAIN OUTCOME MEASURES: Treatment response was measured through validated psychometric testing: the Tinnitus Reaction Questionnaire and the Tinnitus Handicap Inventory. Other measures included the Hospital Anxiety Depression Scale and loudness discomfort levels. RESULTS: Patients' responses were recorded from 38 patients at 6 months, 28 patients at 12 months, and 12 patients at 24 months after initiation of treatment. A total of 14 patients withdrew or were lost to follow-up, and the rest had not reached the 12- or 24-month testing interval. The Tinnitus Reaction Questionnaire score was significantly reduced in 74% of patients at 12 months and 84% of patients at 24 months. Tinnitus Handicap Inventory scores were significantly reduced in 77% of patients at 12 months and 50% at 24 months. CONCLUSION: The customized acoustical stimulus system offers a safe and effective means of tinnitus management for patients with chronic tinnitus. SN - 1537-4505 UR - https://www.unboundmedicine.com/medline/citation/21451428/Evaluation_of_a_customized_acoustical_stimulus_system_in_the_treatment_of_chronic_tinnitus_ L2 - https://doi.org/10.1097/MAO.0b013e318217d459 DB - PRIME DP - Unbound Medicine ER -