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[Efficiency of pharmacophysical effects in patients with subjective tinnitus due to chronic sensorineural hearing
A I Kryukov1, E S Yanyushkina1
1Sverzhevsky Research Clinical Institute of Otorhinolaryngology, Moscow, Russia.
Objective:
To evaluate the effectiveness of pharmacophysical treatment (endaural phonoelectrophoresis) for secondary subjective tinnitus associated with chronic sensorineural hearing loss.
Material And Methods:
The results of pharmacophysical treatment with dexamethasone or B vitamins in 92 patients (109 ears) with chronic sensorineural hearing loss and subjective tinnitus as the primary complaint are presented.
Results:
The degree of subjective tinnitus bothersomeness does not correlate with the degree of hearing loss. However, with a reduction in hearing thresholds, the burdensomeness of subjective tinnitus also decreases dynamically. A significant clinical effect was achieved in 27% of cases, and a satisfactory one in 50% of cases. The greatest therapeutic effect is predicted to be achieved with treatment administered within the first 4 months of the disease, as well as with a greater number of physiotherapy sessions (optimally 8-10). The effect of the therapy lasts for at least 3 months.
Conclusion:
Endaural phonoelectrophoresis with dexamethasone and B vitamins can be considered a non-invasive, safe, and effective treatment for secondary subjective tinnitus associated with chronic sensorineural hearing loss.
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