Reddy K Vasu Kumar, Chaitanya V Krishna, Babu G Ramesh
ENT, Quarters No 97, Narayana Medical College and Hospital, Chinthareddypalem, Nellore, Andhra Pradesh 524003 India.
Indian J Otolaryngol Head Neck Surg. 2019 Mar;71(1):95-98. doi: 10.1007/s12070-018-1392-6. Epub 2018 May 23.
Tinnitus retraining therapy involves masking of tinnitus at sound perception level in combination with structured counselling sessions. To assess efficacy of Tinnitus retraining therapy (TRT) in Patients of Tinnitus with Sensori Neural Hearing loss. Prospective study was carried out on patients who presented with Tinnitus in ENT OPD from December 2015 to December 2016. Severity of tinnitus was documented using Tinnitus handicap inventory scale. Response to tinnitus is evaluated at the end of 3 months. In our study 57 patients in age group 21-78 years were selected and Tinnitus retraining therapy was administered. Most of patients had moderate (75.43%) perception of tinnitus before initiation of therapy. After completion of therapy tinnitus completely disappeared in 34 (59.65%) patients. Improvement in Tinnitus perception was observed in total of 49 (85.96%) patients. There was no improvement in Tinnitus perception in 8 (14.03%) patients. TRT aims in reducing the tinnitus perception by inducing habituation of tinnitus-induced reactions allowing patients to achieve control over their tinnitus, live a normal life, and participate in everyday activities.
耳鸣再训练疗法包括在声音感知水平上对耳鸣进行掩蔽，并结合结构化咨询课程。评估耳鸣再训练疗法（TRT）对感音神经性听力损失耳鸣患者的疗效。对2015年12月至2016年12月在耳鼻喉科门诊出现耳鸣的患者进行了前瞻性研究。使用耳鸣致残量表记录耳鸣的严重程度。在3个月结束时评估对耳鸣的反应。在我们的研究中，选择了57名年龄在21 - 78岁的患者，并给予耳鸣再训练疗法。大多数患者在治疗开始前对耳鸣有中度（75.43%）感知。治疗完成后，34名（59.65%）患者的耳鸣完全消失。总共49名（85.96%）患者的耳鸣感知有改善。8名（14.03%）患者的耳鸣感知没有改善。耳鸣再训练疗法旨在通过诱导对耳鸣诱发反应的习惯化来降低耳鸣感知，使患者能够控制自己的耳鸣，过上正常生活，并参与日常活动。
