Francavilla Beatrice, Marzocchella Giulia, Alagna Arianna, Tilotta Stefania, Di Leo Elisa, Omer Goran Latif, Di Girolamo Stefano
Department of Otorhinolaryngology, University of Rome Tor Vergata, 00133 Rome, Italy.
J Pers Med. 2024 Aug 28;14(9):912. doi: 10.3390/jpm14090912.
This study investigates a novel multimodal treatment for chronic tinnitus, a condition that significantly affects quality of life, by combining personalized sound therapy with both low- and high-frequency electromagnetic wave stimulation. Conducted at Tor Vergata University Hospital in Rome, the research involved 55 patients and employed a portable medical device for therapy delivery. Treatment effectiveness was measured through the Tinnitus Functional Index (TFI), Tinnitus Handicap Inventory (THI), Visual Analogue Scale (VAS), Hyperacusis Questionnaire (HQ), and Short Form-36 Health Survey (SF-36), encompassing initial sound therapy and subsequent multimodal treatment phases. Remarkably, 73% of participants experienced notable improvements in TFI scores, with 39% reporting a significant enhancement of 13 points or more. This improvement was mirrored in secondary outcomes like THI, VAS, and HQ scores, along with certain SF-36 domains, indicating enhanced life quality and reduced tinnitus distress. The study underscored high compliance and no adverse effects, suggesting the combined therapy's promising potential in chronic tinnitus management. The findings advocate for further research to discern the distinct contributions of each treatment modality, positing that this innovative approach could ameliorate tinnitus symptoms and improve patient well-being, confirming its safety and efficacy.
本研究通过将个性化声音疗法与低频和高频电磁波刺激相结合,探索一种针对慢性耳鸣的新型多模式治疗方法。慢性耳鸣会显著影响生活质量。该研究在罗马的托尔韦尔加塔大学医院进行,涉及55名患者,并使用了一种便携式医疗设备进行治疗。通过耳鸣功能指数(TFI)、耳鸣障碍量表(THI)、视觉模拟量表(VAS)、听觉过敏问卷(HQ)和简短健康调查问卷(SF-36)来衡量治疗效果,涵盖了初始声音疗法和随后的多模式治疗阶段。值得注意的是,73%的参与者在TFI评分上有显著改善,39%的参与者报告有13分或更高的显著提高。这种改善在THI、VAS和HQ评分以及某些SF-36领域等次要结果中也有所体现,表明生活质量得到提高,耳鸣困扰减轻。该研究强调了高依从性且无不良反应,表明联合疗法在慢性耳鸣管理方面具有广阔的潜力。研究结果主张进一步研究以辨别每种治疗方式的独特贡献,认为这种创新方法可以改善耳鸣症状并提高患者幸福感,证实了其安全性和有效性。