Ear-Nose-Throat-Audiology Department, Faculty of Medicine, Mustafa Kemal University, Hatay, Turkey,
Audiology Department, Faculty of Health Science, Hacettepe University, Ankara, Turkey.
ORL J Otorhinolaryngol Relat Spec. 2020;82(4):209-215. doi: 10.1159/000508137. Epub 2020 Jun 26.
Tinnitus is prevalent in 66-88% of cochlear implant users. The reason for this high prevalence is that hearing impairment is the most common cause of tinnitus.
This study aims to determine the effect of cochlear implant and to compare the severity of tinnitus and depression in adult cochlear implant users with tinnitus.
Patients diagnosed with tinnitus filled out the Tinnitus Handicap Inventory and the Beck Depression Inventory during CI candidate evaluation. The audiological follow-up in the present study included only patients suffering from tinnitus before the cochlear implant surgery. This study included only patients who had tinnitus handicap inventory and Beck Depression Inventory clinical records pre- and postoperatively, including 23 adult cochlear implant users (13 males and 10 females) aged 18-76 years.
There was a statistically significant decrease in the severity of tinnitus and depression after cochlear implant. As the participants' tinnitus level and grade decreased, their depression levels also decreased. Depression levels decreased after the use of a cochlear implant compared to before cochlear implantation. Cochlear implantation is currently used only for hearing restoration. However, cochlear implantation may be used in rehabilitation for tinnitus in patients with severe hearing loss and in tinnitus patients. In addition cochlear implantation can be a depression rehabilitation method by reducing tinnitus.
耳鸣在耳蜗植入患者中的发生率为 66%-88%。这种高发生率的原因是听力损伤是耳鸣最常见的原因。
本研究旨在确定耳蜗植入的效果，并比较伴有耳鸣的成年耳蜗植入患者的耳鸣严重程度和抑郁程度。
在耳蜗植入候选评估期间，诊断为耳鸣的患者填写耳鸣残疾量表和贝克抑郁量表。本研究中的听力学随访仅包括在耳蜗植入手术前患有耳鸣的患者。本研究仅包括术前和术后均有耳鸣残疾量表和贝克抑郁量表临床记录的 23 名成年耳蜗植入患者（13 名男性和 10 名女性，年龄 18-76 岁）。
耳蜗植入后，耳鸣和抑郁的严重程度均有统计学显著下降。随着参与者耳鸣程度和等级的降低，他们的抑郁水平也随之降低。与植入耳蜗前相比，植入耳蜗后抑郁水平降低。耳蜗植入目前仅用于听力恢复。然而，对于重度听力损失的耳鸣患者和耳鸣患者，耳蜗植入可用于耳鸣康复。此外，通过降低耳鸣，耳蜗植入可以成为一种抑郁康复方法。
