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Phase II Clinical Study on Low-Intensity-Noise Tinnitus Suppression (LINTS) for Tinnitus Treatment
Konstantin Tziridis1, Lara Heep1, Nathalie Piwonski1
1ENT Clinic Head and Neck Surgery, Experimental Otolaryngology, University Hospital Erlangen, Waldstrasse 1, 91054 Erlangen, Germany.
Brain Sciences
|November 27, 2025
Summary
This study shows that individualized low-intensity noise (LIN) treatment can significantly reduce tinnitus loudness and may even completely suppress the perception in some patients. Optimal fitting of the LIN is key for successful tinnitus management.
Area of Science:
- Audiology and Otolaryngology
- Neuroscience of Hearing
- Tinnitus Research
Background:
- Current tinnitus treatments primarily focus on coping strategies due to the lack of causal therapies.
- The Erlangen model of tinnitus development informed the use of individualized low-intensity noise (LIN) for tinnitus reduction.
Purpose of the Study:
- To investigate the efficacy of individualized, non-masking low-intensity noise (LIN) in reducing tinnitus loudness.
- To assess the impact of LIN treatment on tinnitus severity and patient-reported outcomes.
Main Methods:
- Seventy-two adult patients with specific tinnitus severity and hearing loss criteria were enrolled.
- Patients were double-blinded into a treatment-only (TO) group or a placebo-and-treatment (PT) group.
- Audiograms, tinnitus parameters, and tinnitus health questionnaire (THQ) scores were measured bi-weekly, with long-term effects assessed post-treatment.
Main Results:
- The TO group showed a significant decrease in THQ scores after two and four weeks of LIN treatment, sustained four weeks post-treatment.
- Subjective reports indicated potential complete suppression of tinnitus perception with LIN treatment.
- The PT group experienced less benefit, suggesting placebo stimulation may counteract LIN effects.
Conclusions:
- Individually fitted LIN treatment demonstrates potential for suppressing tinnitus, with some patients achieving complete suppression.
- The precise fitting of LIN is critical for achieving successful therapeutic outcomes in tinnitus management.

