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. 2021 Nov;278(11):4199-4207.
doi: 10.1007/s00405-020-06501-x. Epub 2021 Jan 3.

Clinical characteristics of subjective idiopathic tinnitus and preliminarily analyses for the effect of tinnitus multielement integration sound therapy

Lin Yan  1 , Weiqing Wang  1 , Xiaoman Wu  1 , Qi Fang  1 , Jianming Yang  2
Affiliations

Clinical characteristics of subjective idiopathic tinnitus and preliminarily analyses for the effect of tinnitus multielement integration sound therapy

Lin Yan et al. Eur Arch Otorhinolaryngol. 2021 Nov.

Abstract

Objective: To study the psychoacoustic and audiological characteristics of patients with chronic subjective tinnitus and provide basis for the personalized diagnosis and treatment of tinnitus through a single tinnitus multielement integration sound therapy (T-MIST) and analysis of efficacy preliminarily.

Methods: 145 patients with tinnitus were assessed by systematic medical history collection, professional examination of otolaryngology, audiology examination, full precision test (FPT), residual inhibition test (RIT), tinnitus handicap inventory (THI) and visual analog scale (VAS) annoyance. The correlation among factors was performed.

Results: The frequency of tinnitus was correlated with the frequency of maximum hearing loss (P < 0.05). The loudness of tinnitus was correlated with the loudness of maximum hearing loss (P < 0.05). In this study, T-MIST was used to treat tinnitus. After treatment, tinnitus alleviated VAS annoyance (P < 0.05). The results of RIT were correlated with the effect of T-MIST (P < 0.05).

Conclusion: There was a correlation between tinnitus and hearing loss. The RIT may indicate the effectiveness of acoustic therapy in patients. The FPT can find the hidden hearing loss without display on routine pure tone audiometry, so as to provide a clinical reference for the detection of early hearing loss in tinnitus patients.

Keywords: Chronic subjective tinnitus; Full precision test (FPT); Residual inhibition test (RIT); Tinnitus handicap inventory (THI); Tinnitus multielement integration sound therapy (T-MIST).

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