Sankar Sakthimurugan, Sekar Raghul, Anbarasan Subagar, Haritha S
Department of Otorhinolaryngology, Head and Neck Surgery, Saveetha Medical College and Hospital, SIMATS, Thandalam, Chennai, Tamil Nadu India.
Indian J Otolaryngol Head Neck Surg. 2025 Jun;77(6):2277-2282. doi: 10.1007/s12070-025-05478-5. Epub 2025 May 7.
Tinnitus, a subjective perception of sound without external stimuli, affects millions worldwide, impairing daily function and quality of life. The severity of tinnitus is influenced by associated symptoms such as stress, anxiety, depression, and insomnia. The Tinnitus Functional Index (TFI) is a validated tool for assessing tinnitus severity and treatment outcomes. Despite the lack of a definitive cure, multimodal treatments, including pharmacotherapy and Tinnitus Retraining Therapy (TRT), show promise in managing the condition.
This ambispective cohort study aimed to evaluate treatment efficacy in chronic tinnitus patients without hearing loss, using the Tinnitus Functional Index (TFI) as an assessment tool.
Forty patients were divided into two groups: Group A received pharmacological treatment alone, while Group B received both pharmacological treatment and tinnitus retraining therapy (TRT). TFI scores were recorded at baseline, 3, 6, and 12 months.
Statistical analyses revealed significant improvements in TFI scores in both groups over time, with Group B demonstrating greater improvement, indicating the efficacy of TRT.
Our findings underscore the importance of multimodal treatment approaches, particularly TRT, in managing chronic tinnitus without hearing loss. Further research is warranted to refine treatment protocols and enhance patient outcomes.
耳鸣是一种在无外部刺激情况下的主观声音感知,全球数以百万计的人受其影响,损害日常功能和生活质量。耳鸣的严重程度受压力、焦虑、抑郁和失眠等相关症状的影响。耳鸣功能指数(TFI)是评估耳鸣严重程度和治疗效果的有效工具。尽管缺乏确切的治愈方法,但包括药物治疗和耳鸣再训练疗法(TRT)在内的多模式治疗在控制病情方面显示出前景。
这项前瞻性队列研究旨在使用耳鸣功能指数(TFI)作为评估工具,评估无听力损失的慢性耳鸣患者的治疗效果。
40名患者分为两组:A组仅接受药物治疗,而B组接受药物治疗和耳鸣再训练疗法(TRT)。在基线、3个月、6个月和12个月时记录TFI评分。
统计分析显示,两组的TFI评分随时间均有显著改善,B组改善更大,表明TRT的疗效。
我们的研究结果强调了多模式治疗方法,特别是TRT,在管理无听力损失的慢性耳鸣中的重要性。有必要进一步研究以完善治疗方案并改善患者预后。