Bauru School of Dentistry, University of São Paulo - USP-Bauru, Bauru, SP, Brazil.
Speech Therapy Service at the Hospital and Emergency Room Mário Pinotti HPSM-MP, Belém, Brazil.
Lasers Med Sci. 2022 Dec;37(9):3485-3494. doi: 10.1007/s10103-022-03614-z. Epub 2022 Aug 10.
To verify the effect of photobiomodulation therapy (PBMT) in individuals with chronic tinnitus without hearing loss, 20 patients who met the inclusion criteria were randomly divided into group 1: active low-level laser (LLL) and group 2: equipment without laser (placebo). Upon anamnesis, data collection, and audiological exams, the Tinnitus Handicap Inventory (THI) and the Visual-Analog Scale (EVA) were applied to measure the level of discomfort with tinnitus and the level of discomfort before and after laser treatment. The protocol used included 12 active LLL sessions for group 1 and not active for group 2, varying red and infrared wavelengths. There was a reduction in the disadvantage of individuals with tinnitus after the intervention and between the initial and final sessions, regardless of the intervention, although group 1 showed a greater reduction than group 2, regardless of point in time of assessment and number of session. There was no statistical difference as to group and point in time for the high-frequency audiometry and acuphenometry outcomes. Individuals with chronic tinnitus reduced the complaint, regardless of point in time and group of intervention; however, the group that received PBMT improved the level of satisfaction, regardless of point in time of assessment and number of session.
为了验证低水平激光疗法(LLLT)对无听力损失的慢性耳鸣患者的疗效,将 20 名符合纳入标准的患者随机分为 1 组(主动 LLL 治疗)和 2 组(无激光设备,即安慰剂)。通过病史、数据收集和听力检查,使用耳鸣残疾量表(THI)和视觉模拟量表(EVA)来评估耳鸣患者的不适程度,以及激光治疗前后的不适程度。方案包括 12 次主动 LLL 治疗(1 组)和不主动治疗(2 组),采用红、红外两种不同波长。无论干预方式如何,在干预后和初始及末次评估时,耳鸣患者的不利状况均有所减少,而 1 组的改善情况明显优于 2 组,无论评估时间点和治疗次数如何。高频测听和音频评估结果在组间和时间点上均无统计学差异。无论时间点和干预组如何,慢性耳鸣患者的抱怨程度都有所减轻;但无论评估时间点和治疗次数如何,接受 PBMT 的患者满意度都有所提高。