7.Cognitive Behavioral Therapy for Tinnitus: Evidence and Efficacy.
Korean Journal of Audiology 2013;17(3):101-104
Tinnitus is defined as auditory perception without external sound. There is currently no cure for tinnitus. Cognitive behavioral therapy (CBT) is a tinnitus treatment that addresses the affected individual's reaction to tinnitus. It aims not to eliminate auditory perception as sound but to reduce or correct one's negative response to tinnitus. CBT identifies negative automatic thought and then evaluates its validity with the patient. It also aims to change negative automatic thought to more positive and realistic thought. In this way, tinnitus sufferers can function well despite the presence of tinnitus. Many studies have supported the efficacy of CBT for treating tinnitus. A meta-analysis of CBT for tinnitus also concluded that CBT is effective in treating tinnitus. Thus, CBT is considered a good option for treating tinnitus. We herein discuss the use of CBT for tinnitus with a literature review.
Auditory Perception
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Cognitive Therapy*
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Humans
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Tinnitus*
8.One case of pulsatile tinnitus and literatures review.
Tao WANG ; Jianping LIANG ; Bei LIU
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2013;27(10):497-500
To investigate the etiology.diagnosis and treatment of pulsatile tinnitus. One case with pulsatile tinnitus in our hospital admitted in May 2012 was reported and the relevant literatures were reviewed. The chief complaint when visited was pulsatile tinnitus. This case was treated by surgery. Pulsatile tinnitus was completely subsided without recurrence. Pulsatile tinnitus is an uncommon otologic symptom, which often presents a diagnostic and treatment dilemma to the otolaryngologist. The majority of patients with pulsatile tinnitus have a treatable cause. Failure to establish correct diagnosis may have disastrous consequences, because a potentially life threatening and underlying disorder may be present.
Adult
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Female
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Humans
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Tinnitus
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diagnosis
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etiology
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therapy
9.The analysis of masking therapy in the early stage of the patients with noise-induced tinnitus.
Hongsheng CHEN ; Xiaojing LU ; Lingyun MEI ; Xiangning CUI ; Chufeng HE ; Hua ZHANG ; Yong FENG
Journal of Clinical Otorhinolaryngology Head and Neck Surgery 2015;29(1):75-78
OBJECTIVE:
To explore the effect of masking therapy for the early stage of the patients with noise-induced tinnitus,and imply the treatment for patients with noise-induced tinnitus.
METHOD:
Sixty-eight cases with tinnitus were studied. All the patients took the audiological examinations and tinnitus tests firstly, and accepted the masking therapy for 6 months. The therapeutic effiency was evaluated according to tinnitus handicap inventory (THI) and subjective visual-analogue scale (VAS). The minimum masking intensity was also evaluated.
RESULT:
The majority of the patients with noise-induced tinnitus (59 cases, 86. 8%) had tinnitus frequency of 4 kHz,and most of them (44 cases, 64. 7%) had positive residual inhibition tests. Tinnitus completely disappeared in 3 cases after masking therapy, and the efficiency of this treatment is 83. 8%. There was significant difference in the scores of THI and VAS before and after therapy(P<0. 01), and there was also significant difference in the minimum masking intensity (P<0. 01).
CONCLUSION
Masking therapy is the most important treatment for the patients in the early stage of noise-induced tinnitus. The therapeutic effiency is significant and should be promoted.
Humans
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Noise
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adverse effects
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Tinnitus
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etiology
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therapy
10.Acupuncture combined with oral western medication for Meniere's disease: a randomized controlled trial.
Dong WU ; Bo LIU ; Hongcai WANG ; Peijing RONG ; Luquan CHEN ; Jinping DUAN ; Chao CHEN ; Xu ZHAI
Chinese Acupuncture & Moxibustion 2018;38(10):1047-1052
OBJECTIVE:
To compare the effect difference between acupuncture combined with western medication and simple western medication for Meniere's disease.
METHODS:
Ninety-six patients with Meniere's disease were randomly assigned into a combination group (48 cases, 12 cases dropping) and a medication group (48 cases, 9 cases dropping). Betastatin mesylate tablets (once 12 mg, 3 times a day) and mecobalamin tablets (once 0.5 mg, 3 times a day) were prescribed orally in the two groups. Acupuncture was used in the combination group, twice a week, 20 min a time, and the acupoints were Baihui (GV 20), Fengchi (GB 20), Tinggong (SI 19), Hegu (LI 4), Quchi (LI 11), Zusanli (ST 36), Fenglong (ST 40), Taichong (LR 3), Taixi (KI 3) and Tianshu (ST 25). All the treatment was given for continuous 12 weeks. The symptoms were observed by dizziness handicap inventory (DHI), tinnitus handicap inventory (THI), pure tone audiometry score and stuffy ear visual analogue scale (VAS). The effects were compared in the aspects of dizziness, hearing and activity.
RESULTS:
The scores of DHI, THI, pure tone audiometry and VAS scores after treatment were lower than those before treatment in the two groups (all <0.05), with lower scores of the above 4 indexes in the combination group after treatment (all <0.05). The difference values before and after treatment of the 4 indexes in the combination group were higher than those in the medication group (all <0.05). The effective rates of dizziness, hearing and activity in the combination group were 97.2% (35/36), 91.7% (33/36), 88.9% (32/36), which were better than 71.8% (28/39), 74.4% (29/39) and 69.2% (27/39) in the medication group (all <0.05).
CONCLUSION
Acupuncture combined with conventional medication achieve better effect than simple conventional medication.
Acupuncture Therapy
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Humans
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Meniere Disease
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therapy
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Tinnitus
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Treatment Outcome