Munhoes dos Santos Ferrari Gisele, Sanchez Tanit Ganz, Bovino Pedalini Maria Elisabete
University of São Paulo, clinical speech and hearing therapy.
Braz J Otorhinolaryngol. 2007 May-Jun;73(3):370-7. doi: 10.1016/s1808-8694(15)30081-1.
Hearing aids may be a option to improve tinnitus and hearing loss.
to evaluate tinnitus after one month use of BTE hearing aids with open molds and pressure vent molds in patients with symmetric sensorineural hearing loss.
50 patients seen at our Tinnitus Clinic who presented bilateral tinnitus and hearing loss underwent a randomized blind crossover clinical trial: 26 first used BTE hearing aids with open molds, and the remaining 24 first used pressure vent molds. After 30 days using the first mold and a wash-out period, the type of earmold was changed and was applied for another 30-day-period. Tinnitus evaluation was done qualitatively (improved, unchanged and worsened) and quantitatively (variation on a numeric scale from 0 to 10).
82% of the cases reported improvement of tinnitus with at least one type of earmold; there was no significant difference in the reduction of discomfort due to tinnitus in the quantitative and qualitative evaluations. Although similar tinnitus control was obtained with both methods, 66% of the patients preferred the open mold.
In a short-term evaluation improvement of tinnitus by the use of hearing aids does not depend on earmold ventilation.
助听器可能是改善耳鸣和听力损失的一种选择。
评估在患有对称性感音神经性听力损失的患者中,使用开放式耳模和压力通气耳模的耳背式(BTE)助听器一个月后耳鸣的情况。
在我们的耳鸣诊所就诊的50例患有双侧耳鸣和听力损失的患者进行了一项随机双盲交叉临床试验:26例首先使用开放式耳模的耳背式助听器,其余24例首先使用压力通气耳模。在使用第一种耳模30天后及洗脱期后,更换耳模类型并再使用30天。耳鸣评估采用定性(改善、不变和恶化)和定量(0至10数字量表上的变化)方式进行。
82%的病例报告使用至少一种耳模类型后耳鸣有所改善;在定量和定性评估中,耳鸣引起的不适减轻方面无显著差异。虽然两种方法获得的耳鸣控制效果相似,但66%的患者更喜欢开放式耳模。
在短期评估中,使用助听器改善耳鸣并不取决于耳模通气。