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Tinnitus: surgical treatment.

J W House, D E Brackmann

    Ciba Foundation Symposium
    |January 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Surgical interventions for tinnitus, including nerve cutting and implants, show varied results. While some patients experience relief, surgery is not a consistently reliable treatment for subjective tinnitus.

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    Area of Science:

    • Otolaryngology
    • Neurosurgery
    • Audiology

    Background:

    • Tinnitus is a common auditory symptom.
    • Surgical interventions have been explored for tinnitus management.
    • Various surgical procedures carry risks and varying efficacy.

    Purpose of the Study:

    • To evaluate the effectiveness of surgical treatments for tinnitus.
    • To assess outcomes of different surgical approaches, including destructive procedures and nerve sections.
    • To determine the reliability of surgical management for subjective tinnitus.

    Main Methods:

    • Review of surgical procedures for tinnitus, including acoustic neuroma removal, eighth nerve section, middle cranial fossa vestibular nerve section, stapedectomy, and cochlear implantation.
    • Analysis of patient-reported outcomes regarding tinnitus improvement or worsening post-surgery.

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    Main Results:

    • Surgical removal of acoustic tumors with auditory nerve excision resulted in tinnitus improvement in only 40% of patients.
    • Translabyrinthine eighth nerve section for tinnitus showed improvement in 45% of patients, with 55% reporting no change or worsening.
    • Stapedectomy improved tinnitus in approximately 50% of patients, while cochlear implants showed potential benefits for severe tinnitus.

    Conclusions:

    • Surgical management of tinnitus yields inconsistent results.
    • Procedures like eighth nerve section and stapedectomy offer limited and variable improvement for tinnitus.
    • While cochlear implants may benefit some severe tinnitus cases, surgery is not a universally valid or reliable treatment for subjective tinnitus.