Kim Sang Hoon, Byun Jae Yong, Yeo Seung Geun, Park Moon Suh
Department of Otorhinolaryngology, Kyung Hee University Graduate School, Seoul, Korea.
J Int Adv Otol. 2016 Apr;12(1):72-6. doi: 10.5152/iao.2016.1949.
The purpose of this study was to evaluate the audiologic and clinical characteristics of the tinnitus in single-sided deafness (SSD) patients and to determine whether tinnitus retraining therapy (TRT) is beneficial to those patients who suffer from tinnitus with SSD.
Thirty-six tinnitus patients with unilateral sensorineural profound hearing loss were included in the SSD group, and 46 tinnitus patients with normal hearing were included in the normal hearing group (NH group). Tinnitus evaluation consisted of the Tinnitus Handicap Inventory (THI), and visual analog scales (VAS) were obtained at the initial interview and 6 months after TRT. The therapeutic response was analyzed and compared between the two groups.
The subjective intensity of tinnitus and objective loudness were greater in the SSD group. According to the THI scores prior to TRT, the SSD group showed significantly higher values, except in the emotional subscale. The THI score was significantly improved after TRT in both groups. The total THI score and all the subscale scores were significantly reduced. The VAS average scores were reduced from 6.5 to 5.1 in the SSD group, without statistical significance, whereas in the NH group, the VAS average scores significantly decreased from 5.8 to 4.5 after TRT.
TRT was effective in SSD patients with subjective tinnitus.
本研究旨在评估单侧耳聋(SSD)患者耳鸣的听力学和临床特征,并确定耳鸣再训练疗法(TRT)对患有SSD耳鸣的患者是否有益。
SSD组纳入36例单侧感音神经性重度听力损失的耳鸣患者,正常听力组(NH组)纳入46例听力正常的耳鸣患者。耳鸣评估包括耳鸣障碍量表(THI),在初次访谈时和TRT后6个月获得视觉模拟量表(VAS)。分析并比较两组的治疗反应。
SSD组耳鸣的主观强度和客观响度更大。根据TRT前的THI评分,SSD组除情感子量表外,其他各项评分均显著更高。两组TRT后THI评分均显著改善。THI总分及所有子量表评分均显著降低。SSD组VAS平均评分从6.5降至5.1,无统计学意义,而NH组TRT后VAS平均评分从5.8显著降至4.5。
TRT对患有主观性耳鸣的SSD患者有效。