INFLUENCE OF COCHLEAR IMPLANTATION ON THE EXPRESSION OF TINNITUS IN PATIENTS WITH DEEP REDUCTION OF HEARING AND DEAFNESS

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Abstract


The aim of the study was to study the dynamics of tinnitusin patients after cochlear implantation and to assess the effect of cochlear implantation on the severity of tinnitus. The authors analyzed the results of the questionnaire of 392 patients, assessed the dynamics of changes in the noise level in patients after cochlear implantation during six months in four stages. The assumptions about the mechanisms of tinnitus reduction after cochlear implantation are made. Conclusion. According to the results of the study, a decrease in the level of noise in the ears with the use of a cochlear implant is associated not so much with the effect of habituation, as was generally assumed earlier, but, more likely, with direct electric stimulation of the auditory nerve and acoustic masking. These observations provide the evidence base for a new indication for cochlear implantation as an effective treatment for patients with unilateral deafness and pronounced tinnitus.

Y K Yanov

St. Petersburg Research Institute of Ear, Throat, Nose and Speech

Full member of the RAS

A A Korneenkov

St. Petersburg Research Institute of Ear, Throat, Nose and Speech

E A Levina

St. Petersburg Research Institute of Ear, Throat, Nose and Speech

E E Serova

St. Petersburg Research Institute of Ear, Throat, Nose and Speech

S V Levin

St. Petersburg Research Institute of Ear, Throat, Nose and Speech

V E Kuzovkov

St. Petersburg Research Institute of Ear, Throat, Nose and Speech

S V Astaschenko

St. Petersburg Research Institute of Ear, Throat, Nose and Speech

  1. Tyler R.C. Tinnitus treatment: Clinical Protocols. New York: Thieme Medical Publishers Inc, 2005. 240 p.
  2. Морозова С.В., Павлюшина Е.М., Аксенова О.В. Шум в ушах: основные принципы диагностики и лечения // Consilium Medicum. (Прил.). 2006. № 10. С. 5-10. [Morozova S.V., Pavlyushina E.M., Aksenova O.V. Tinnitus: the basic principles of diagnosis and treatment, Consilium Medicum. (Att.), 2006. No 10. рр. 5-10.]
  3. Manchaiah V.K.C., Molander P., Rönnberg J., Andersson G., Lunner T. The acceptance of hearing disability among adults experiencing hearing difficulties: a cross-sectional study // BMJ Open. 2014. Vol. 4 (1): e004066. doi: 10.1136/bmjopen-2013-004066
  4. Солдатов И.Б., Маркин А.Я., Храппо Н.С. Шум в ушах как симптом патологии слуха. М.: Медицина, 1984. 231 с. [Soldatov I.B., Markin A.Yа., Hrappo N.S. Tinnitus as a symptom of the pathology of hearing. Moscow: Medicine, 1984. 231 p.]
  5. Левина Е.А., Левин С.В., Кузовков В.Е., Серова Е.Э., Астащенко С.В. Особенности ушного шума у пациентов с кохлеарным имплантом // Материалы XIX съезда оториноларингологов России, 2016. С. 312. [Levina E.A., Levin S.V., Kuzovkov V.E., Serova E.E., Astaschenko S.V. Features of ear noise in patients with cochlear implant, Materials of the XIX Congress of Otorhinolaryngologists of Russia, 2016. р. 312.]
  6. Vallés-Varela H., Royo-López J., Carmen-Sampériz L., Sebastián-Cortés J.M., Alfonso-Collado I. The cochlear implant as a tinnitus treatment // Acta Otorrinolaringol Esp. 2013. Vol. 64. P. 253-257. doi: 10.1016/j.otoeng.2013.08.013
  7. Van de Heyning P., Vermeire K., Diebl M., Nopp P., Anderson I., De Ridder D. Incapacitating unilateral tinnitus in single-sided deafness treated by cochlear implantation // Ann. Otol. Rhinol. Laryngol. 2008. Vol. 117, Nо 9. P. 645-652. doi: 10.1177/000348940811700903
  8. Servais J.J., Hörmann K., Wallhäusser-Franke E. Unilateral Cochlear Implantation Reduces Tinnitus Loudness in Bimodal Hearing: A Prospective Study // Front. Neurol. 2017. Vol. 8 (60). P. 34-40. doi: 10.3389/fneur.2017.00060.
  9. Vernon J.A., Meikle M.B. Masking devices and alprazolam treatment for tinnitus // Otolaryngol. Clin. North Am. 2003. Vol. 36, Nо 2. P. 307-320. doi: 10.1016/S0030-6665(02)00163-9
  10. Jastreboff P.J. 25 years of tinnitus retraining therapy // HNO. 2015. Vol. 63, Nо 4. P. 307-311. doi: 10.1007/s00106-014-2979-1.
  11. McMillan G.P., Thielman E.J., Wypych K., Henry J.A. A Bayesian Perspective on Tinnitus Pitch Matching // Ear Hear. 2014. Vol. 35, Nо 6. Р. 687-694. doi: 10.1097/AUD.0000000000000081.
  12. Левина Е.А., Левин С.В., Кузовков В.Е., Астащенко С.В., Сугарова С.Б. Односторонняя глухота: пути решения // Consilium Medicum. 2015. № 11. C. 99-102. [Levina E.A., Levin S.V., Kuzovkov V.E., Astaschenko S.V., Sugarova S.B. Unilateral deafness: solutions, Consilium Medicum. 2015. No 11. рр. 99-102.]
  13. Левина Е.А. Сенсоневральная тугоухость - общие принципы медикаментозного подхода // Consilium Medicum. 2013. № 15 (11). C. 64-71. [Levina E.A. Sensorineural hearing loss - general principles of the drug approach, Consilium Medicum. 2013. No 15 (11). рр. 64-71.]
  14. Кузовков В.Е., Янов Ю.К., Левин С.В. Аномалии развития внутреннего уха и кохлеарная имплантация // Рос. оторинолар. 2009. № 2. С. 102-107. [Kuzovkov V.E., Yanov Y.K., Levin S.V. Anomalies in the development of the inner ear and cochlear implantation, Ros. otorinolar. 2009. No 2. рр. 102-107.]
  15. Королева И.В. Реабилитация глухих детей и взрослых после кохлеарной и стволомозговой имплантации. СПб: КАРО, 2016. 872 с. [Koroleva I. V. Rehabilitation of deaf children and adults after cochlear and brain stem implantation. Saint-Petersburg: KARO, 2016. 872 p.]
  16. Bortz J. Statistik für Sozialwissenschaftler. Berlin: Springer-Verlag, 1993. 137 p.
  17. Arts R.A., George E.L., Janssen M., Griessner A., Zierhofer C., Stokroos R.J. Tinnitus Suppression by Intracochlear Electrical Stimulation in Single Sided Deafness - A Prospective Clinical Trial: Follow-Up // PLoS One. 2016. Vol. 11, Nо 4: e0153131. doi: 10.1371/journal.pone.0153131.
  18. Olze H., Knopke S., Gräbel S., Szczepek A.J. Rapid positive influence of cochlear implantation on the quality of life in adults 70 years and older // Ear Hear. 2016. Vol. 37, N 6. P. 402-408. doi: 10.1097/AUD.0000000000000341
  19. Stelzig Y., Jacob R., Mueller J.J. Preliminary speech recognition results after cochlear implantation in patients with unilateral hearing loss: a case series // J. Med. Case Report. 2011. Vol. 5. P. 343. doi: 10.1186/1752-1947-5-343.

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Copyright (c) 2017 Yanov Y.K., Korneenkov A.A., Levina E.A., Serova E.E., Levin S.V., Kuzovkov V.E., Astaschenko S.V.

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