Effect of unilateral and simultaneous bilateral cochlear implantation on tinnitus: A Prospective Study
Objectives/Hypothesis To determine the effect of cochlear implantation on tinnitus perception in patients with severe bilateral postlingual sensorineural hearing loss and to demonstrate possible differences between unilateral and bilateral cochlear implantation. Study Design Prospective study. Metho...
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Veröffentlicht in: | The Laryngoscope 2016-04, Vol.126 (4), p.956-961 |
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creator | van Zon, Alice Smulders, Yvette E. Ramakers, Geerte G. J. Stegeman, Inge Smit, Adriana L. Van Zanten, Gijsbert A. Stokroos, Robert J. Hendrice, Nadia Free, Rolien H. Maat, Bert Frijns, Johan H. M. Mylanus, Emmanuel A. M. Huinck, Wendy J. Topsakal, Vedat Tange, Rinze A. Grolman, Wilko |
description | Objectives/Hypothesis
To determine the effect of cochlear implantation on tinnitus perception in patients with severe bilateral postlingual sensorineural hearing loss and to demonstrate possible differences between unilateral and bilateral cochlear implantation.
Study Design
Prospective study.
Methods
Thirty‐eight adult patients were included in this prospective study, as part of a multicenter randomized controlled trial investigating the benefits of bilateral cochlear implantation versus unilateral cochlear implantation. Pre‐ and postoperative tinnitus perception scores were evaluated, before and 1 year after implantation on three tinnitus questionnaires; the Tinnitus Handicap Inventory (THI), the Tinnitus Questionnaire (TQ), and a visual analogue scale for tinnitus burden.
Results
Before implantation, the tinnitus prevalence was 42.1% (16 of 38) in the whole study group. One year after implantation, the tinnitus questionnaire scores had decreased in 71.4% according to the TQ and 80.0% according to the THI. Tinnitus was induced after cochlear implantation in six patients, five in the bilateral and one in the unilateral group.
Conclusions
Our study shows that cochlear implantation is effective in the reduction of tinnitus in patients with bilateral sensorineural hearing loss who suffered from preoperative tinnitus. Conversely, tinnitus may also increase or even be induced by the cochlear implantation itself. Cochlear implant candidates should be well informed about these possible consequences before undergoing surgery.
Level of Evidence
2b Laryngoscope, 126:956–961, 2016 |
doi_str_mv | 10.1002/lary.25493 |
format | Article |
fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1775380615</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3992367011</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4233-b3b791c0b2b650370312f3b9ce13795c44870e69806248760a1238f524f014673</originalsourceid><addsrcrecordid>eNp9kV1rFDEUhoNY7Hb1pj9AAt6IMDWfk4l3a-mHsNVWW7RXIZNNMDUzsyYZ7f570067F14UAgmc5zzknBeAfYwOMELkfdBxc0A4k_QZmGFOccWk5M_BrBRp1XDyYxfspXSDEBaUoxdgl9SE8xo3M-COnLMmw8HBsfdBZxt1gLpfweS7MWTd22FMsN2WzGB-Bqsj9N066D7r7IcelpN93_s8pg9wAc_jkNZF6_9Y-C2Pq81LsON0SPbVwz0HV8dHl4en1fLLyafDxbIyjFBatbQVEhvUkrbmiApEMXG0lcZiKiQ3jDUC2Vo2qCblWSONCW0cJ8whzGpB5-Dt5F3H4fdoU1adT8aGMM2hsBCclu6ypTl48x96M4yxL79TuJEcCcQb-SQlBBOE4nvXu4kyZfAUrVPr6LsSi8JI3WWk7jJS9xkV-PWDcmw7u9qij6EUAE_AXx_s5gmVWi6-Xj9Kq6nHp2xvtz06_lJlLYKr759PlDgnH8_YRaMu6D_9Eakc</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1774723115</pqid></control><display><type>article</type><title>Effect of unilateral and simultaneous bilateral cochlear implantation on tinnitus: A Prospective Study</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>van Zon, Alice ; Smulders, Yvette E. ; Ramakers, Geerte G. J. ; Stegeman, Inge ; Smit, Adriana L. ; Van Zanten, Gijsbert A. ; Stokroos, Robert J. ; Hendrice, Nadia ; Free, Rolien H. ; Maat, Bert ; Frijns, Johan H. M. ; Mylanus, Emmanuel A. M. ; Huinck, Wendy J. ; Topsakal, Vedat ; Tange, Rinze A. ; Grolman, Wilko</creator><creatorcontrib>van Zon, Alice ; Smulders, Yvette E. ; Ramakers, Geerte G. J. ; Stegeman, Inge ; Smit, Adriana L. ; Van Zanten, Gijsbert A. ; Stokroos, Robert J. ; Hendrice, Nadia ; Free, Rolien H. ; Maat, Bert ; Frijns, Johan H. M. ; Mylanus, Emmanuel A. M. ; Huinck, Wendy J. ; Topsakal, Vedat ; Tange, Rinze A. ; Grolman, Wilko</creatorcontrib><description>Objectives/Hypothesis
To determine the effect of cochlear implantation on tinnitus perception in patients with severe bilateral postlingual sensorineural hearing loss and to demonstrate possible differences between unilateral and bilateral cochlear implantation.
Study Design
Prospective study.
Methods
Thirty‐eight adult patients were included in this prospective study, as part of a multicenter randomized controlled trial investigating the benefits of bilateral cochlear implantation versus unilateral cochlear implantation. Pre‐ and postoperative tinnitus perception scores were evaluated, before and 1 year after implantation on three tinnitus questionnaires; the Tinnitus Handicap Inventory (THI), the Tinnitus Questionnaire (TQ), and a visual analogue scale for tinnitus burden.
Results
Before implantation, the tinnitus prevalence was 42.1% (16 of 38) in the whole study group. One year after implantation, the tinnitus questionnaire scores had decreased in 71.4% according to the TQ and 80.0% according to the THI. Tinnitus was induced after cochlear implantation in six patients, five in the bilateral and one in the unilateral group.
Conclusions
Our study shows that cochlear implantation is effective in the reduction of tinnitus in patients with bilateral sensorineural hearing loss who suffered from preoperative tinnitus. Conversely, tinnitus may also increase or even be induced by the cochlear implantation itself. Cochlear implant candidates should be well informed about these possible consequences before undergoing surgery.
Level of Evidence
2b Laryngoscope, 126:956–961, 2016</description><identifier>ISSN: 0023-852X</identifier><identifier>EISSN: 1531-4995</identifier><identifier>DOI: 10.1002/lary.25493</identifier><identifier>PMID: 26255618</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>bilateral cochlear implantation ; cochlear implantation ; Cochlear Implantation - methods ; Cochlear Implants ; Ears & hearing ; Female ; Hearing loss ; Hearing Loss, Bilateral - surgery ; Hearing Loss, Sensorineural - surgery ; Humans ; Male ; Middle Aged ; Prospective Studies ; Severity of Illness Index ; Speech ; Surveys and Questionnaires ; Tinnitus ; Tinnitus - surgery ; Tinnitus Handicap Inventory ; Tinnitus Questionnaire ; Transplants & implants ; Treatment Outcome</subject><ispartof>The Laryngoscope, 2016-04, Vol.126 (4), p.956-961</ispartof><rights>2015 The American Laryngological, Rhinological and Otological Society, Inc.</rights><rights>2016 The American Laryngological, Rhinological and Otological Society, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4233-b3b791c0b2b650370312f3b9ce13795c44870e69806248760a1238f524f014673</citedby><cites>FETCH-LOGICAL-c4233-b3b791c0b2b650370312f3b9ce13795c44870e69806248760a1238f524f014673</cites><orcidid>0000-0001-7869-1313</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Flary.25493$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Flary.25493$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26255618$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>van Zon, Alice</creatorcontrib><creatorcontrib>Smulders, Yvette E.</creatorcontrib><creatorcontrib>Ramakers, Geerte G. J.</creatorcontrib><creatorcontrib>Stegeman, Inge</creatorcontrib><creatorcontrib>Smit, Adriana L.</creatorcontrib><creatorcontrib>Van Zanten, Gijsbert A.</creatorcontrib><creatorcontrib>Stokroos, Robert J.</creatorcontrib><creatorcontrib>Hendrice, Nadia</creatorcontrib><creatorcontrib>Free, Rolien H.</creatorcontrib><creatorcontrib>Maat, Bert</creatorcontrib><creatorcontrib>Frijns, Johan H. M.</creatorcontrib><creatorcontrib>Mylanus, Emmanuel A. M.</creatorcontrib><creatorcontrib>Huinck, Wendy J.</creatorcontrib><creatorcontrib>Topsakal, Vedat</creatorcontrib><creatorcontrib>Tange, Rinze A.</creatorcontrib><creatorcontrib>Grolman, Wilko</creatorcontrib><title>Effect of unilateral and simultaneous bilateral cochlear implantation on tinnitus: A Prospective Study</title><title>The Laryngoscope</title><addtitle>The Laryngoscope</addtitle><description>Objectives/Hypothesis
To determine the effect of cochlear implantation on tinnitus perception in patients with severe bilateral postlingual sensorineural hearing loss and to demonstrate possible differences between unilateral and bilateral cochlear implantation.
Study Design
Prospective study.
Methods
Thirty‐eight adult patients were included in this prospective study, as part of a multicenter randomized controlled trial investigating the benefits of bilateral cochlear implantation versus unilateral cochlear implantation. Pre‐ and postoperative tinnitus perception scores were evaluated, before and 1 year after implantation on three tinnitus questionnaires; the Tinnitus Handicap Inventory (THI), the Tinnitus Questionnaire (TQ), and a visual analogue scale for tinnitus burden.
Results
Before implantation, the tinnitus prevalence was 42.1% (16 of 38) in the whole study group. One year after implantation, the tinnitus questionnaire scores had decreased in 71.4% according to the TQ and 80.0% according to the THI. Tinnitus was induced after cochlear implantation in six patients, five in the bilateral and one in the unilateral group.
Conclusions
Our study shows that cochlear implantation is effective in the reduction of tinnitus in patients with bilateral sensorineural hearing loss who suffered from preoperative tinnitus. Conversely, tinnitus may also increase or even be induced by the cochlear implantation itself. Cochlear implant candidates should be well informed about these possible consequences before undergoing surgery.
Level of Evidence
2b Laryngoscope, 126:956–961, 2016</description><subject>bilateral cochlear implantation</subject><subject>cochlear implantation</subject><subject>Cochlear Implantation - methods</subject><subject>Cochlear Implants</subject><subject>Ears & hearing</subject><subject>Female</subject><subject>Hearing loss</subject><subject>Hearing Loss, Bilateral - surgery</subject><subject>Hearing Loss, Sensorineural - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prospective Studies</subject><subject>Severity of Illness Index</subject><subject>Speech</subject><subject>Surveys and Questionnaires</subject><subject>Tinnitus</subject><subject>Tinnitus - surgery</subject><subject>Tinnitus Handicap Inventory</subject><subject>Tinnitus Questionnaire</subject><subject>Transplants & implants</subject><subject>Treatment Outcome</subject><issn>0023-852X</issn><issn>1531-4995</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kV1rFDEUhoNY7Hb1pj9AAt6IMDWfk4l3a-mHsNVWW7RXIZNNMDUzsyYZ7f570067F14UAgmc5zzknBeAfYwOMELkfdBxc0A4k_QZmGFOccWk5M_BrBRp1XDyYxfspXSDEBaUoxdgl9SE8xo3M-COnLMmw8HBsfdBZxt1gLpfweS7MWTd22FMsN2WzGB-Bqsj9N066D7r7IcelpN93_s8pg9wAc_jkNZF6_9Y-C2Pq81LsON0SPbVwz0HV8dHl4en1fLLyafDxbIyjFBatbQVEhvUkrbmiApEMXG0lcZiKiQ3jDUC2Vo2qCblWSONCW0cJ8whzGpB5-Dt5F3H4fdoU1adT8aGMM2hsBCclu6ypTl48x96M4yxL79TuJEcCcQb-SQlBBOE4nvXu4kyZfAUrVPr6LsSi8JI3WWk7jJS9xkV-PWDcmw7u9qij6EUAE_AXx_s5gmVWi6-Xj9Kq6nHp2xvtz06_lJlLYKr759PlDgnH8_YRaMu6D_9Eakc</recordid><startdate>201604</startdate><enddate>201604</enddate><creator>van Zon, Alice</creator><creator>Smulders, Yvette E.</creator><creator>Ramakers, Geerte G. J.</creator><creator>Stegeman, Inge</creator><creator>Smit, Adriana L.</creator><creator>Van Zanten, Gijsbert A.</creator><creator>Stokroos, Robert J.</creator><creator>Hendrice, Nadia</creator><creator>Free, Rolien H.</creator><creator>Maat, Bert</creator><creator>Frijns, Johan H. M.</creator><creator>Mylanus, Emmanuel A. M.</creator><creator>Huinck, Wendy J.</creator><creator>Topsakal, Vedat</creator><creator>Tange, Rinze A.</creator><creator>Grolman, Wilko</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7869-1313</orcidid></search><sort><creationdate>201604</creationdate><title>Effect of unilateral and simultaneous bilateral cochlear implantation on tinnitus: A Prospective Study</title><author>van Zon, Alice ; Smulders, Yvette E. ; Ramakers, Geerte G. J. ; Stegeman, Inge ; Smit, Adriana L. ; Van Zanten, Gijsbert A. ; Stokroos, Robert J. ; Hendrice, Nadia ; Free, Rolien H. ; Maat, Bert ; Frijns, Johan H. M. ; Mylanus, Emmanuel A. M. ; Huinck, Wendy J. ; Topsakal, Vedat ; Tange, Rinze A. ; Grolman, Wilko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4233-b3b791c0b2b650370312f3b9ce13795c44870e69806248760a1238f524f014673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>bilateral cochlear implantation</topic><topic>cochlear implantation</topic><topic>Cochlear Implantation - methods</topic><topic>Cochlear Implants</topic><topic>Ears & hearing</topic><topic>Female</topic><topic>Hearing loss</topic><topic>Hearing Loss, Bilateral - surgery</topic><topic>Hearing Loss, Sensorineural - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Prospective Studies</topic><topic>Severity of Illness Index</topic><topic>Speech</topic><topic>Surveys and Questionnaires</topic><topic>Tinnitus</topic><topic>Tinnitus - surgery</topic><topic>Tinnitus Handicap Inventory</topic><topic>Tinnitus Questionnaire</topic><topic>Transplants & implants</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>van Zon, Alice</creatorcontrib><creatorcontrib>Smulders, Yvette E.</creatorcontrib><creatorcontrib>Ramakers, Geerte G. J.</creatorcontrib><creatorcontrib>Stegeman, Inge</creatorcontrib><creatorcontrib>Smit, Adriana L.</creatorcontrib><creatorcontrib>Van Zanten, Gijsbert A.</creatorcontrib><creatorcontrib>Stokroos, Robert J.</creatorcontrib><creatorcontrib>Hendrice, Nadia</creatorcontrib><creatorcontrib>Free, Rolien H.</creatorcontrib><creatorcontrib>Maat, Bert</creatorcontrib><creatorcontrib>Frijns, Johan H. M.</creatorcontrib><creatorcontrib>Mylanus, Emmanuel A. M.</creatorcontrib><creatorcontrib>Huinck, Wendy J.</creatorcontrib><creatorcontrib>Topsakal, Vedat</creatorcontrib><creatorcontrib>Tange, Rinze A.</creatorcontrib><creatorcontrib>Grolman, Wilko</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The Laryngoscope</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>van Zon, Alice</au><au>Smulders, Yvette E.</au><au>Ramakers, Geerte G. J.</au><au>Stegeman, Inge</au><au>Smit, Adriana L.</au><au>Van Zanten, Gijsbert A.</au><au>Stokroos, Robert J.</au><au>Hendrice, Nadia</au><au>Free, Rolien H.</au><au>Maat, Bert</au><au>Frijns, Johan H. M.</au><au>Mylanus, Emmanuel A. M.</au><au>Huinck, Wendy J.</au><au>Topsakal, Vedat</au><au>Tange, Rinze A.</au><au>Grolman, Wilko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effect of unilateral and simultaneous bilateral cochlear implantation on tinnitus: A Prospective Study</atitle><jtitle>The Laryngoscope</jtitle><addtitle>The Laryngoscope</addtitle><date>2016-04</date><risdate>2016</risdate><volume>126</volume><issue>4</issue><spage>956</spage><epage>961</epage><pages>956-961</pages><issn>0023-852X</issn><eissn>1531-4995</eissn><abstract>Objectives/Hypothesis
To determine the effect of cochlear implantation on tinnitus perception in patients with severe bilateral postlingual sensorineural hearing loss and to demonstrate possible differences between unilateral and bilateral cochlear implantation.
Study Design
Prospective study.
Methods
Thirty‐eight adult patients were included in this prospective study, as part of a multicenter randomized controlled trial investigating the benefits of bilateral cochlear implantation versus unilateral cochlear implantation. Pre‐ and postoperative tinnitus perception scores were evaluated, before and 1 year after implantation on three tinnitus questionnaires; the Tinnitus Handicap Inventory (THI), the Tinnitus Questionnaire (TQ), and a visual analogue scale for tinnitus burden.
Results
Before implantation, the tinnitus prevalence was 42.1% (16 of 38) in the whole study group. One year after implantation, the tinnitus questionnaire scores had decreased in 71.4% according to the TQ and 80.0% according to the THI. Tinnitus was induced after cochlear implantation in six patients, five in the bilateral and one in the unilateral group.
Conclusions
Our study shows that cochlear implantation is effective in the reduction of tinnitus in patients with bilateral sensorineural hearing loss who suffered from preoperative tinnitus. Conversely, tinnitus may also increase or even be induced by the cochlear implantation itself. Cochlear implant candidates should be well informed about these possible consequences before undergoing surgery.
Level of Evidence
2b Laryngoscope, 126:956–961, 2016</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>26255618</pmid><doi>10.1002/lary.25493</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-7869-1313</orcidid></addata></record> |
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source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
subjects | bilateral cochlear implantation cochlear implantation Cochlear Implantation - methods Cochlear Implants Ears & hearing Female Hearing loss Hearing Loss, Bilateral - surgery Hearing Loss, Sensorineural - surgery Humans Male Middle Aged Prospective Studies Severity of Illness Index Speech Surveys and Questionnaires Tinnitus Tinnitus - surgery Tinnitus Handicap Inventory Tinnitus Questionnaire Transplants & implants Treatment Outcome |
title | Effect of unilateral and simultaneous bilateral cochlear implantation on tinnitus: A Prospective Study |
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