Tinnitus Suppression by Intracochlear Electrical Stimulation in Single Sided Deafness - A Prospective Clinical Trial: Follow-Up

Earlier studies show that a Cochlear Implant (CI), capable of providing intracochlear electrical stimulation independent of environmental sounds, appears to suppress tinnitus at least for minutes. The current main objective is to compare the long-term suppressive effects of looped (i.e. repeated) el...

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Veröffentlicht in:PloS one 2016-04, Vol.11 (4), p.e0153131-e0153131
Hauptverfasser: Arts, Remo A G J, George, Erwin L J, Janssen, Miranda, Griessner, Andreas, Zierhofer, Clemens, Stokroos, Robert J
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creator Arts, Remo A G J
George, Erwin L J
Janssen, Miranda
Griessner, Andreas
Zierhofer, Clemens
Stokroos, Robert J
description Earlier studies show that a Cochlear Implant (CI), capable of providing intracochlear electrical stimulation independent of environmental sounds, appears to suppress tinnitus at least for minutes. The current main objective is to compare the long-term suppressive effects of looped (i.e. repeated) electrical stimulation (without environmental sound perception) with the standard stimulation pattern of a CI (with environmental sound perception). This could open new possibilities for the development of a "Tinnitus Implant" (TI), an intracochlear pulse generator for the suppression of tinnitus. Ten patients with single sided deafness suffering from unilateral tinnitus in the deaf ear are fitted with a CI (MED-EL Corporation, Innsbruck, Austria). Stimulation patterns are optimized for each individual patient, after which they are compared using a randomized crossover design, with a follow-up of six months, followed by a 3 month period using the modality of patient's choice. Results show that tinnitus can be suppressed with intracochlear electrical stimulation independent of environmental sounds, even long term. No significant difference in tinnitus suppression was found between the standard clinical CI and the TI. It can be concluded that coding of environmental sounds is no requirement for tinnitus suppression with intracochlear electrical stimulation. It is therefore plausible that tinnitus suppression by CI is not solely caused by an attention shift from the tinnitus to environmental sounds. Both the standard clinical CI and the experimental TI are potential treatment options for tinnitus. These findings offer perspectives for a successful clinical application of the TI, possibly even in patients with significant residual hearing. TrialRegister.nl NTR3374.
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No significant difference in tinnitus suppression was found between the standard clinical CI and the TI. It can be concluded that coding of environmental sounds is no requirement for tinnitus suppression with intracochlear electrical stimulation. It is therefore plausible that tinnitus suppression by CI is not solely caused by an attention shift from the tinnitus to environmental sounds. Both the standard clinical CI and the experimental TI are potential treatment options for tinnitus. These findings offer perspectives for a successful clinical application of the TI, possibly even in patients with significant residual hearing. 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No significant difference in tinnitus suppression was found between the standard clinical CI and the TI. It can be concluded that coding of environmental sounds is no requirement for tinnitus suppression with intracochlear electrical stimulation. It is therefore plausible that tinnitus suppression by CI is not solely caused by an attention shift from the tinnitus to environmental sounds. Both the standard clinical CI and the experimental TI are potential treatment options for tinnitus. These findings offer perspectives for a successful clinical application of the TI, possibly even in patients with significant residual hearing. TrialRegister.nl NTR3374.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>27111333</pmid><doi>10.1371/journal.pone.0153131</doi><oa>free_for_read</oa></addata></record>
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subjects Acoustics
Background noise
Biology and Life Sciences
Care and treatment
Clinical trials
Cochlea
Cochlea - physiopathology
Cochlear implants
Cross-Over Studies
Deafness
Deafness - complications
Deafness - physiopathology
Ear
Ears & hearing
Electric Stimulation
Electrical stimuli
Engineering and Technology
Hearing loss
Humans
Materials selection
Medicine and Health Sciences
Mental health
Neurosciences
Patient outcomes
Patients
Perception
Prospective Studies
Pulse generators
Quality of life
Rehabilitation
Short term
Social Sciences
Stimulation
Studies
Surgery
Systematic review
Therapeutic applications
Tinnitus
Tinnitus - complications
Tinnitus - prevention & control
Transplants & implants
Visual Analog Scale
title Tinnitus Suppression by Intracochlear Electrical Stimulation in Single Sided Deafness - A Prospective Clinical Trial: Follow-Up
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