Sruthi Narayanam, Venkataramanujam Nirmal Coumare, Karthikeyan Padmanabhan, Kaipuzha Ramiya Ramachandran, Pulimoottil Davis Thomas
Department of ENT, Sai Children's Hospital, Chirala, Andhra Pradesh India.
Department of Otorhinolaryngology and Head and Neck Surgery, Mahatma Gandhi Medical College and Research Institute, Sri Balaji Vidyapeeth University, Pondicherry, India.
Indian J Otolaryngol Head Neck Surg. 2022 Jun;74(2):185-189. doi: 10.1007/s12070-021-02799-z. Epub 2021 Aug 9.
Tinnitus represents one of the most common and distressing otologic problems, and it causes various somatic and psychological disorders that interfere with the quality of life. This study aimed to compare the outcome of music therapy, tinnitus maskers and pharmacotherapy on patients with chronic tinnitus, to observe and analyse the etiological factors of tinnitus and to find out whether music can be used as an active listening mode by which tinnitus perception can be decreased. This was a comparative longitudinal study involving 90 patients with chronic tinnitus who were randomly assigned to 3 groups of 30 each: Group A (Music therapy), Group B (Pharmacotherapy) and Group C (Tinnitus masker). After a detailed clinical history and examination, Tinnitus Handicap Inventory and Visual Analogue Scores were recorded both prior to and following therapy, and patient were followed up monthly up to 2 months. There is a significant difference in the mean THI score (p = 0.002) and mean VAS(p = 0.0006) at 2 months follow up in patients treated with Music therapy and patients had a satisfactory outcome after music therapy and did not require any further treatment. Patients in pharmacotherapy and hearing aid group had a good clinical improvement but mean THI and mean VAS score was not statically significant. It was also noticed that loud noise exposure and hypertension were main etiological factors in 37.77% and 26% of patients respectively. Music therapy appears to be an effective and cost-efficient mode of therapy for chronic tinnitus and could be suitable for widespread implementation for patients with tinnitus of varying severity. Pharmacotherapy and hearing aid application in the treatment of tinnitus has good outcome in our study but requires long term treatment and follow up.
耳鸣是最常见且令人苦恼的耳科问题之一，它会引发各种躯体和心理障碍，进而影响生活质量。本研究旨在比较音乐疗法、耳鸣掩蔽器和药物疗法对慢性耳鸣患者的治疗效果，观察并分析耳鸣的病因，以及探究音乐是否可作为一种能降低耳鸣感知的主动聆听模式。这是一项比较性纵向研究，涉及90例慢性耳鸣患者，他们被随机分为3组，每组30人：A组（音乐疗法）、B组（药物疗法）和C组（耳鸣掩蔽器）。在详细询问临床病史并进行检查后，于治疗前后记录耳鸣 handicap 量表得分和视觉模拟评分，患者每月随访一次，共随访2个月。接受音乐疗法的患者在2个月随访时，平均耳鸣 handicap 量表得分（p = 0.002）和平均视觉模拟评分（p = 0.0006）存在显著差异，且音乐疗法后患者取得了满意的治疗效果，无需进一步治疗。药物疗法组和助听器组患者有良好的临床改善，但平均耳鸣 handicap 量表得分和平均视觉模拟评分无统计学意义。还发现，分别有37.77%和26%的患者中，噪声暴露和高血压是主要病因。音乐疗法似乎是治疗慢性耳鸣的一种有效且经济高效的治疗方式，可能适合广泛应用于不同严重程度的耳鸣患者。在我们的研究中，药物疗法和助听器应用于耳鸣治疗有良好的效果，但需要长期治疗和随访。
