DTB: Tinnitus

Source: DTB Area: Evidence> Disease Focused Reviews This review in the Drug and Therapeutics Bulletin (DTB) on tinnitus discusses assessment and referral, and symptomatic drug and non-drug treatments for subjective in adults.   Non-drug treatment covered include: acupuncture, auditory perceptual training, cognitive behavioural therapy, hearing aids, hyperbaric oxygen therapy, hypnotherapy, information/education, low-power laser therapy, relaxation therapy, repetitive transcranial magnetic stimulation, sound enrichment or masking therapy, tinnitus retraining therapy, ultrasound.   Drug treatments discussed include: acamprosate, anticonvulsants, antidepressants, anxiolytics, ginkgo biloba, and melatonin.
Source: NeLM - Disease Focused Reviews - Category: Internal Medicine Source Type: news

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Objective and subjective tinnitus can often be differentiated based on comprehensive history, physical examination, and audiogram. Examples of objective tinnitus include vascular abnormalities, palatal myoclonus, patulous eustachian tube, and stapedial/tensor tympani muscle spasm. Subjective tinnitus is usually associated with hearing loss. Rarely, tinnitus is the result of an underlying condition. In these cases, imaging and additional testing may be indicated. Classification of the type, quality, and intensity of tinnitus is helpful in the work-up and treatment of tinnitus. Treatment modalities include cognitive behavior...
Source: Medical Clinics of North America - Category: Primary Care Authors: Source Type: research
Conclusion Based on the results of the current study, we can conclude that the participants improved both the auditory perception and the tinnitus handicap. [...] Thieme Revinter Publicações Ltda Rio de Janeiro, BrazilArticle in Thieme eJournals: Table of contents  |  Abstract  |  open access Full text
Source: International Archives of Otorhinolaryngology - Category: ENT & OMF Authors: Tags: Original Research Source Type: research
Publication date: Available online 20 September 2018Source: NeuroscienceAuthor(s): Martin PienkowskiAbstractSound therapies are a common component of treatments for tinnitus and hyperacusis. The original idea was to partially or completely mask tinnitus with broadband noise delivered by sound generators or hearing aids, for a few hours each day. Over several months, many patients reported that their tinnitus became quieter or easier to bear, and that loud sounds became less aversive. However, it wasn’t always clear that these benefits could be attributed to sound therapy rather than to other aspects of treatment, suc...
Source: Neuroscience - Category: Neuroscience Source Type: research
ConclusionThe present study concluded that the audiological intervention with any level of sound stimulus is enough to obtain a positive prognosis in the medium term. Data that specifies that the verification of sound generator was effective at the real ear measurements are important in the evaluation and intervention of the complaint. In addition, it points out that the greater the tinnitus perception, the greater its severity, and the greater the nuisance, the higher the psychoacoustics thresholds of frequency and the minimum threshold of masking.ResumoIntroduçãoO zumbido está presente em grande part...
Source: Brazilian Journal of Otorhinolaryngology - Category: ENT & OMF Source Type: research
CONCLUSION: Family physicians play the primary role in managing patients with tinnitus and are well situated to address both the physiologic and the psychological manifestations. As tinnitus is very common, helping patients cope with the symptoms through conservative measures and reassurance can prove to have the best outcomes. PMID: 30002023 [PubMed - in process]
Source: Canadian Family Physician Medecin de Famille Canadien - Category: Primary Care Authors: Tags: Can Fam Physician Source Type: research
Abstract To obtain real-world insights into the hearing difficulties of individuals, the field of hearing research has recently started to adopt ecological momentary assessment. Using this approach, study participants describe their experiences in real time, in their own natural environment. This paper describes the use of ecological momentary assessment in hearing research to date. Several studies have shown the approach is feasible and has good construct validity for use with adults with hearing impairment and/or tinnitus. Two recent studies conducted by the authors are described. The first study investigated th...
Source: Hearing Research - Category: Audiology Authors: Tags: Hear Res Source Type: research
Semin Hear 2018; 39: 123-134 DOI: 10.1055/s-0038-1641739Persons with clinically significant tinnitus also may have mild sensorineural hearing loss (MSNHL). The purpose of this study was to describe patients with tinnitus and MSNHL and factors predicting hearing-aid uptake (HAU). We conducted a retrospective chart review with regression modeling of patients presenting to a specialty tinnitus clinic over a 2.5-year period. Stepwise logistic regression on data from patient charts was conducted. Of 133 patients seen, two-thirds had MSNHL (95% confidence interval [CI]: 58.9–75.0; mean age = 53.4 years; stand...
Source: Seminars in Hearing - Category: Audiology Authors: Tags: Review Article Source Type: research
Conclusions A considerable proportion of patients with tinnitus would accept a variety of invasive treatments despite the associated risks or costs. When clinical neuromodulatory studies for tinnitus are to be performed, particular attention should be given to obtaining informed consent, including explaining the potential risks and providing a realistic outcome expectation.
Source: American Journal of Audiology - Category: Audiology Source Type: research
Conclusions: Further studies on the use and effects of combined amplification and sound generation for tinnitus are indicated, including further efficacy studies, evidence synthesis, development of guidelines, and recommended procedures that are based on existing knowledge, expert knowledge, and clinical service evaluations.
Source: Ear and Hearing - Category: Audiology Tags: Scoping Review Source Type: research
Hearing-related injuries are one of the top medical issues for military veterans. ... Find out how the VA can help with testing, hearing aids and more.
Source: AARP.org News - Category: American Health Source Type: news
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