Noorain Alam Md, Gupta Manish, Munjal Sanjay, Panda Naresh K
ENT Department, PGIMER, Chandigarh, India.
ENT Department, Command Hospital, Udhampur, India.
Indian J Otolaryngol Head Neck Surg. 2017 Sep;69(3):333-337. doi: 10.1007/s12070-017-1141-2. Epub 2017 Apr 26.
The purpose of tinnitus retraining therapy (TRT) is to induce habituation, first of the reaction to the tinnitus signal, and subsequently to habituate the perception of tinnitus itself. Habituation of sound is achieved through sound treatment which involves the use of low-level broadband noise mainly through noise maskers. Noise maskers are costly hence there is a need to find an alternate source of noise like MP3 and mobile phones. The goal of present study was to find out whether persons with tinnitus may be successfully treated with TRT using sound treatment from the noise presented through mobile phones. Total 30 male adult patients with tinnitus were enrolled for TRT. TRT comprised of two activities i.e. directive counseling and sound treatment. The most efficient noise stimulus was tape recorded by presenting the noise in the sound field using speakers and was recorded using a digital tape recorder. The recorded noise was saved to the mobile phone of the person with tinnitus and was asked to play it using hands-free at the level which was just audible for the duration of 3-4 hours per day. The Tinnitus interview forms were used to measure: (1) Percentage awareness of tinnitus, (2) Percentage of the time it caused distress and (3) Number of life factors affected. After 6 months these measurements were repeated and an improvement score of 40% was taken as criteria for the significant success of TRT. Out of 30 patients, 25 could continue coming for follow up sessions. Out of these 25 patients, 17 patients (68%) showed significant improvement. The sound treatment may be provided with the help mobile phones, which is a cheaper substitute for costly noise maskers.
耳鸣再训练疗法(TRT)的目的是诱导习惯化,首先是对耳鸣信号的反应习惯化,随后是使对耳鸣本身的感知习惯化。声音的习惯化是通过声音治疗实现的,声音治疗主要通过噪声掩蔽器使用低水平宽带噪声。噪声掩蔽器成本高昂,因此需要找到像MP3和手机这样的替代噪声源。本研究的目的是弄清楚耳鸣患者使用通过手机呈现的噪声进行声音治疗的TRT是否能成功治疗。总共30名成年男性耳鸣患者参加了TRT。TRT包括两项活动,即指导性咨询和声音治疗。最有效的噪声刺激是通过扬声器在声场中呈现噪声并使用数字磁带录音机录制下来的。录制的噪声被保存到耳鸣患者的手机中,并要求他们使用免提功能播放,音量设置为刚好能听到,每天播放3 - 4小时。耳鸣访谈表格用于测量:(1)耳鸣的知晓百分比,(2)引起困扰的时间百分比,以及(3)受影响的生活因素数量。6个月后重复这些测量,将40%的改善分数作为TRT显著成功的标准。30名患者中,25名能够继续前来参加后续疗程。在这25名患者中,17名患者(68%)显示出显著改善。声音治疗可以借助手机提供,手机是昂贵的噪声掩蔽器的更便宜替代品。