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Fluctuations in Subjective Tinnitus Ratings Over Time: Implications for Clinical Research
Conclusions: Tinnitus self-report is inherently variable but can converge on reliable values with extended testing. Repeated, self-directed tinnitus assessments may have implications for identifying malingerers. Further, these findings suggest that extending the baseline phase of tinnitus characterizations will increase the statistical power for future studies focused on tinnitus interventions.
Source: Otology and Neurotology - September 15, 2020 Category: ENT & OMF Tags: MEDICAL NEUROTOLOGY Source Type: research

A New Buzz for Tinnitus —It’s in the Genes!
“Does tinnitus run in your family?” Seldom is that question asked by clinicians to their patients with tinnitus, but why would they ask? Audiologists and ear, nose, and throat specialists see patients with tinnitus in association with either conductive or sensorineural hearing loss, which has le d to the clinical dogma that tinnitus is secondary and by definition a symptom arising from the hearing disorder. However, tinnitus may occur in absence of any detectable auditory dysfunction, most particularly in young individuals, which raises the question on the origins of these more sporadic cas es of phantom percept. In th...
Source: JAMA Otolaryngology - Head and Neck Surgery - September 24, 2020 Category: ENT & OMF Source Type: research

Association Between Tinnitus Pitch and Consonant Recognition in Noise.
Conclusions The findings suggest that the effect of tinnitus on consonant recognition in noise may involve higher level functions more than perceptual characteristics of tinnitus. Furthermore, for individuals with speech-in-noise concerns, clinical evaluation should address both hearing sensitivity and the presence of tinnitus. Future speech-in-noise studies should incorporate cognitive tests and, possibly, brain imaging to parse out the contribution of cognitive factors, such as cognitive control, in speech-in-noise in tinnitus. PMID: 33237797 [PubMed - as supplied by publisher]
Source: American Journal of Audiology - November 25, 2020 Category: Audiology Authors: Tai Y, Husain FT Tags: Am J Audiol Source Type: research

Identification of factors associated with tinnitus outcomes following the microsurgical treatment of vestibular schwannoma patients.
CONCLUSIONS AND SIGNIFICANCE: Tinnitus prognosis in VS patients is better following TL microsurgery relative to RS microsurgery and is also better in patients with worse preoperative hearing. New-onset tinnitus was more likely to occur in patients with better preoperative hearing that underwent tumor removal via a TL approach. PMID: 33439063 [PubMed - as supplied by publisher]
Source: Acta Oto-Laryngologica - January 13, 2021 Category: ENT & OMF Authors: Zhang C, Wang F, Cao W, Ma X, Chen J, Shen W, Yang S Tags: Acta Otolaryngol Source Type: research

An Evaluation of the Relationship between Retinal Nerve Fiber Thickness, Cochlear Nerve Thickness, the Level of Tinnitus, and Hearing Loss in Unilateral Tinnitus Patients
Conclusion: The study results clearly showed a relationship between cochlear nerve fiber thickness and hearing loss and the severity of tinnitus in cases with unilateral tinnitus and that there could be neurodegenerative factors in the disease etiology. A similar relationship seen with the RNFL supports the study hypothesis.Audiol Neurotol
Source: Audiology and Neurotology - February 24, 2021 Category: Audiology Source Type: research

Conventional versus notch filter amplification for the treatment of tinnitus in adults with mild-to-moderate hearing loss
DISCUSSION: Results of the present study suggest no significant effect of either conventional or notch filter amplification on average ratings of tinnitus severity following a 12-week hearing aid trial. However, as clinically meaningful changes in tinnitus severity were identified for some participants, future work is needed to better identify those individuals most likely to benefit, as well as optimal amplification characteristics.PMID:33637220 | DOI:10.1016/bs.pbr.2020.06.020
Source: Brain Research - February 27, 2021 Category: Neurology Authors: Steven C Marcrum Erin M Picou Thomas Steffens Ronny Hannemann Veronika Vielsmeier Martin Schecklmann Berthold Langguth Winfried Schlee Source Type: research

Tinnitus and tinnitus disorder: Theoretical and operational definitions (an international multidisciplinary proposal)
Prog Brain Res. 2021;260:1-25. doi: 10.1016/bs.pbr.2020.12.002. Epub 2021 Feb 1.ABSTRACTAs for hypertension, chronic pain, epilepsy and other disorders with particular symptoms, a commonly accepted and unambiguous definition provides a common ground for researchers and clinicians to study and treat the problem. The WHO's ICD11 definition only mentions tinnitus as a nonspecific symptom of a hearing disorder, but not as a clinical entity in its own right, and the American Psychiatric Association's DSM-V doesn't mention tinnitus at all. Here we propose that the tinnitus without and with associated suffering should be differen...
Source: Brain Research - February 27, 2021 Category: Neurology Authors: Dirk De Ridder Winfried Schlee Sven Vanneste Alain Londero Nathan Weisz Tobias Kleinjung Giriraj Singh Shekhawat Ana Bel én Elgoyhen Jae-Jin Song Gerhard Andersson Divya Adhia Andreia Aparecida de Azevedo David M Baguley Eberhard Biesinger Ana Carolina B Source Type: research

Conventional versus notch filter amplification for the treatment of tinnitus in adults with mild-to-moderate hearing loss
DISCUSSION: Results of the present study suggest no significant effect of either conventional or notch filter amplification on average ratings of tinnitus severity following a 12-week hearing aid trial. However, as clinically meaningful changes in tinnitus severity were identified for some participants, future work is needed to better identify those individuals most likely to benefit, as well as optimal amplification characteristics.PMID:33637220 | DOI:10.1016/bs.pbr.2020.06.020
Source: Brain Research - February 27, 2021 Category: Neurology Authors: Steven C Marcrum Erin M Picou Thomas Steffens Ronny Hannemann Veronika Vielsmeier Martin Schecklmann Berthold Langguth Winfried Schlee Source Type: research

Tinnitus and tinnitus disorder: Theoretical and operational definitions (an international multidisciplinary proposal)
Prog Brain Res. 2021;260:1-25. doi: 10.1016/bs.pbr.2020.12.002. Epub 2021 Feb 1.ABSTRACTAs for hypertension, chronic pain, epilepsy and other disorders with particular symptoms, a commonly accepted and unambiguous definition provides a common ground for researchers and clinicians to study and treat the problem. The WHO's ICD11 definition only mentions tinnitus as a nonspecific symptom of a hearing disorder, but not as a clinical entity in its own right, and the American Psychiatric Association's DSM-V doesn't mention tinnitus at all. Here we propose that the tinnitus without and with associated suffering should be differen...
Source: Brain Research - February 27, 2021 Category: Neurology Authors: Dirk De Ridder Winfried Schlee Sven Vanneste Alain Londero Nathan Weisz Tobias Kleinjung Giriraj Singh Shekhawat Ana Bel én Elgoyhen Jae-Jin Song Gerhard Andersson Divya Adhia Andreia Aparecida de Azevedo David M Baguley Eberhard Biesinger Ana Carolina B Source Type: research

An Empowerment Model for Individuals with Chronic Tinnitus
Conclusion: Tolerance of tinnitus requires finding balance between limiting one’s social participation and spontaneity in carrying out meaningful activities. Tolerance can be enhanced by the preservation of one’s energy and the mediating role of enjoyment through the fulfillment of gratifying goals. In patient counseling, it is essential to address the individual’s desire for direct relief from tinnitus through its elimination. Individuals should be made aware that such a desire will likely be thwarted, resulting in the worsening of intrusiveness. Improvement in tolerance is accompanied by the attenuation of nigg...
Source: Ear and Hearing - March 1, 2021 Category: Audiology Tags: Research Article Source Type: research

Modulation of hyperacusis and tinnitus loudness in tinnitus patients with and without hearing loss following 3 weeks of acoustic stimulation: A proof-of-concept study
This study investigates the effect of sound stimulation on both tinnitus and hyperacusis in the same patients. Two distinct series of tinnitus participants were tested: one with normal or near-normal hearing (n=16) and one with hearing loss (n=14). A broadband noise shaped to cover most of the tinnitus frequency spectrum was delivered through hearing aids using the noise generator feature (no amplification) and verified through real-ear measurements. Participants received sound stimulation for 3 weeks and were tested before (at baseline), then after 1 week and at the end of the 3 weeks of sound stimulation. There was also ...
Source: Brain Research - May 1, 2021 Category: Neurology Authors: Philippe Fournier Charlotte Bigras Alexandre Lehmann Arnaud J Nore ña Sylvie H ébert Source Type: research

Vagus nerve stimulation for tinnitus: A review and perspective
In conclusion, although the potential to use VNS to drive neural plasticity to reduce or eliminate the neural drivers of ongoing tinnitus is exciting, much work is needed to more completely understand the neural basis of tinnitus and to develop tailored therapies to address the suffering caused by this heterogeneous condition. Whether pairing of the vagus stimulation with non-tinnitus or tinnitus-matched sounds is essential is still to be determined.PMID:33931191 | DOI:10.1016/bs.pbr.2020.08.011
Source: Brain Research - May 1, 2021 Category: Neurology Authors: Dirk De Ridder Berthold Langguth Sven Vanneste Source Type: research

Modulation of hyperacusis and tinnitus loudness in tinnitus patients with and without hearing loss following 3 weeks of acoustic stimulation: A proof-of-concept study
This study investigates the effect of sound stimulation on both tinnitus and hyperacusis in the same patients. Two distinct series of tinnitus participants were tested: one with normal or near-normal hearing (n=16) and one with hearing loss (n=14). A broadband noise shaped to cover most of the tinnitus frequency spectrum was delivered through hearing aids using the noise generator feature (no amplification) and verified through real-ear measurements. Participants received sound stimulation for 3 weeks and were tested before (at baseline), then after 1 week and at the end of the 3 weeks of sound stimulation. There was also ...
Source: Brain Research - May 1, 2021 Category: Neurology Authors: Philippe Fournier Charlotte Bigras Alexandre Lehmann Arnaud J Nore ña Sylvie H ébert Source Type: research

Vagus nerve stimulation for tinnitus: A review and perspective
In conclusion, although the potential to use VNS to drive neural plasticity to reduce or eliminate the neural drivers of ongoing tinnitus is exciting, much work is needed to more completely understand the neural basis of tinnitus and to develop tailored therapies to address the suffering caused by this heterogeneous condition. Whether pairing of the vagus stimulation with non-tinnitus or tinnitus-matched sounds is essential is still to be determined.PMID:33931191 | DOI:10.1016/bs.pbr.2020.08.011
Source: Brain Research - May 1, 2021 Category: Neurology Authors: Dirk De Ridder Berthold Langguth Sven Vanneste Source Type: research

What Tinnitus Therapy Outcome Measures Are Important for Patients? – A Discrete Choice Experiment
Conclusion: Based on this study, tinnitus patients consider loudness the most important outcome measure. However, there is a variance in preference as indicated by the latent class analysis. This study underlines the importance of research into tinnitus heterogeneity. Next, this study highlights the need for research into tinnitus therapies that focus on diminishing tinnitus loudness.
Source: Frontiers in Neurology - May 25, 2021 Category: Neurology Source Type: research