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Tinnitus Management: Randomized Controlled Trial Comparing Extended-Wear Hearing Aids, Conventional Hearing Aids, and

James A Henry¹, Garnett McMillan¹, Serena Dann¹

¹National Center for Rehabilitative Auditory Research, VA RR&D Service, VA Portland Health Care System, Portland, OR.

Journal of the American Academy of Audiology

|June 8, 2017

Summary

This summary is machine-generated.

This study found that conventional hearing aids (HA), HA with sound generators (HA+SG), and extended-wear hearing aids (EWHA) all provided tinnitus relief. No single device type showed significantly greater efficacy, but all improved functional tinnitus effects.

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Area of Science:

Audiology
Otolaryngology
Medical Devices

Background:

Limited controlled studies exist on hearing aids for tinnitus relief.
Tinnitus is a common condition often treated with hearing aids.

Purpose of the Study:

To compare the efficacy of receiver-in-the-canal hearing aids (HA), HA with sound generators (HA+SG), and extended-wear hearing aids (EWHA) for tinnitus relief.
To evaluate these devices via a randomized controlled trial.

Main Methods:

55 participants with hearing loss and bothersome tinnitus were randomized to HA, HA+SG, or EWHA.
Devices were worn for approximately 4 months, with regular fittings and adjustments.
Primary outcome was Tinnitus Functional Index (TFI); secondary outcomes included hearing questionnaires and QuickSIN.

Main Results:

All groups showed tinnitus symptom reduction, with average TFI improvements of 21 (HA), 31 (EWHA), and 33 (HA+SG) points.
Clinically significant TFI improvement was observed in 67% (HA), 82% (EWHA), and 79% (HA+SG) of participants.
No statistically significant differences in TFI reduction or improvements in secondary measures were found between device groups.

Conclusions:

Insufficient evidence exists to declare one device superior for tinnitus relief over others.
All tested ear-level devices demonstrated potential for improving the functional impact of tinnitus.