Hazell J W
Royal National Institute for the Deaf, London, England.
J Otolaryngol. 1990 Feb;19(1):11-8.
A weekly tinnitus clinic at University College Hospital, London, has been in existence since 1976. By developing a holistic and multidisciplinary approach to the management of tinnitus, we have been able to help the majority of patients referred with severe and disabling tinnitus. We have developed a protocol for the clinical assessment of tinnitus as a disability, and a strategy of investigation and reassurance based on the patient's understanding of the underlying mechanisms involved in tinnitus generation. Most treatment is aimed at bringing about a process of habituation (which occurs naturally in the majority of people experiencing tinnitus over a period of time). Symptom control is required in about half the patients referred, and various techniques are discussed including prosthetic masking devices, psychological approaches, drug therapy and electrical tinnitus suppression.
伦敦大学学院医院自1976年起开设了每周一次的耳鸣诊所。通过制定针对耳鸣管理的整体多学科方法，我们已能够帮助大多数因严重致残性耳鸣前来就诊的患者。我们制定了一项将耳鸣作为残疾进行临床评估的方案，以及一种基于患者对耳鸣产生潜在机制理解的调查和安抚策略。大多数治疗旨在引发一种习惯化过程（这在大多数经历一段时间耳鸣的人身上会自然发生）。约一半前来就诊的患者需要症状控制，文中讨论了各种技术，包括假体掩蔽装置、心理方法、药物治疗和耳鸣电抑制。
