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Personal experience with tinnitus retraining therapy.

Egisto Molini1, Mario Faralli, Claudio Calenti

  • 1Otolaryngology and Cervicofacial Surgery Clinic, University of Perugia, Perugia, Italy.

European Archives of Oto-Rhino-Laryngology : Official Journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : Affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery
|June 23, 2009
PubMed
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Tinnitus retraining therapy (TRT) effectively treated tinnitus and hyperacusis in 79% of patients over 18 months. Initial symptom scores and Tinnitus Handicap Inventory (THI) predicted outcomes, with sound generators enhancing success.

Area of Science:

  • Audiology
  • Otolaryngology
  • Neuroscience

Background:

  • Tinnitus and hyperacusis significantly impact quality of life.
  • Tinnitus Retraining Therapy (TRT) is a management approach.
  • Patient classification is crucial for tailoring TRT.

Purpose of the Study:

  • To evaluate the effectiveness of TRT in patients with tinnitus and/or hyperacusis.
  • To identify predictors of treatment success.
  • To assess the contribution of different TRT components.

Main Methods:

  • Patients were classified into five categories based on questionnaires and the Tinnitus Handicap Inventory (THI).
  • Therapy included counseling, sound enrichment, sound generators, and hearing aids.
  • Outcomes were assessed over an 18-month period.

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Main Results:

  • Therapeutic success was achieved in 79% of patients after 18 months.
  • Initial symptom severity and THI scores predicted treatment outcomes.
  • Sound generators, counseling, and ambient sound enrichment all contributed to success.

Conclusions:

  • TRT is an effective treatment for tinnitus and hyperacusis, not attributable to placebo.
  • Prognostic factors like initial THI scores can guide treatment.
  • Patient adherence, particularly with hearing aids for those with hypacusia, is vital for optimal outcomes.