Invasive Tinnitus Management: Update 2012
Folmer (2012) reports although there is no true cure for tinnitus, there are many management options available. Most patients are helped using a non-invasive management strategy, which may include hearing aids, sound generators, cognitive-behavioral therapy, and/or progressive tinnitus management. Folmer reports some 15 to 20 percent of all adults experience persistent tinnitus and approximately 1 in 5 (of the same group) report tinnitus as a “clinically significant problem.”
Folmer reports implantable devices are often shown to reduce the perception of tinnitus for selected and appropriate patients. For example stapedectomy, bone-anchored hearing solutions, middle-ear implants, cochlear implants, auditory brainstem implants, neural implants, brain surface electrode implants and vagus nerve stimulators have proven effective with regard to tinnitus management in selected patients. Folmer notes that all tinnitus patients should explore non-invasive tinnitus management strategies prior to considering surgical solutions.
For More Information, References, and Recommendations
Aazh H, Moore BCJ, Roberts P. (2009) Patient-Centered Tinnitus Management Tool: A Clinical Audit. American Journal of Audiology (18):7–13.
Baigi A, Oden A, Almlid-Larsen V, Barrenas ML, Holgers KM. (2011) Tinnitus in the General Population With a Focus on Noise and Stress—A Public Health Study. Ear & Hearing 32(6)787–789.
Bauer CA, Brozoski TJ. (2008) Tinnitus Assessment and Treatment: Integrating Clinical Experience with the Basic Science of Tinnitus. Seminars in Hearing, Tinnitus Part Two 29(4).
Beck, DL. (2011a) Hearing Aid Amplification and Tinnitus—2011 Overview. Hearing Journal 64(6):12–14.
Folmer RL. (2012) Implants Can Improve Tinnitus but Most Offer No Quick Fixes. Hearing Journal 65(3), March.
Kochkin S, Tyler R, Born J. (2011) MarkeTrak VIII: The Prevalence of Tinnitus in the United States and the Self-Reported Efficacy of Various Treatments. Hearing Review18(12):10–26.
Parazzini M, Del Bo L, Jastreboff M, Tognola G, Ravazzani P. (2011) Open Ear Hearing Aids In Tinnitus Therapy - An Efficacy Comparison with Sound Generators. International Journal of Audiology 50:548–553.
Salvi R, Langguth B, Kraus S, Ladngrebe M, Allman B, Ding D, Lobarinas E. (2011) Tinnitus and Hearing Loss and Changes in Hippocampus. Seminars In Hearing 32(2):203–211.
Sanchez TG, Akemi MA. (2008) Modulating Tinnitus with Visual, Muscular and Tactile Stimulation. Seminars in Hearing, Tinnitus Part Two 29(4).