Noise Induced Hearing Loss with Tinnitus: Does TRT Help?
Introduction To determine if hearing augmentation and tinnitus retraining therapy (TRT) helps in cases of Tinnitus with Noise induced hearing loss (NIHL) and does degree of hearing loss, severity or duration of tinnitus affect recovery Materials and Methods A prospective study was done on...
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| Format: | Article |
| Language: | English |
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The Association of Otolaryngologists of India, West Bengal
2017-04-01
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| Series: | Bengal Journal of Otolaryngology and Head Neck Surgery |
| Subjects: | |
| Online Access: | https://bjohns.in/journal3/index.php/bjohns/article/view/110 |
| _version_ | 1827334212702699520 |
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| author | Nidhi Vohra Maggon Ashwani Sethi Atul Gupta |
| author_facet | Nidhi Vohra Maggon Ashwani Sethi Atul Gupta |
| author_sort | Nidhi Vohra Maggon |
| collection | DOAJ |
| description | Introduction
To determine if hearing augmentation and tinnitus retraining therapy (TRT) helps in cases of Tinnitus with Noise induced hearing loss (NIHL) and does degree of hearing loss, severity or duration of tinnitus affect recovery
Materials and Methods
A prospective study was done on 100 patients of NIHL with tinnitus from Jan 14-Jul 15. Degree of hearing loss was assessed. Tinnitus severity was scored on Tinnitus handicap inventory (THI) scale as Slight, Mild, Moderate, severe or catastrophic and patients were subjected to TRT. Patients scored after 1 year of TRT. A relation between tinnitus severity, duration and degree of hearing loss on recovery from tinnitus was analysed.
Result
62 of the 100 patients improved following TRT.
Discussion
In 100 patients THI scores improved from a mean of 63.12 (SD-21.12) to 38.16 (SD-18.21). Mean difference between pre and post-intervention THI scores was 24.96 (SD-17.97). Improvement was significant in severe or profound hearing loss (P<.001).
Tinnitus severity was slight, mild, moderate, severe or catastrophic on THI. Following TRT, 82.35% with Catastrophic, 70.96% with severe, 52.63% with moderate, 20% with mild tinnitus improved. 1 patient with slight tinnitus did not improve.
Based on duration of tinnitus three groups made; 0-6 months, 6-12 months and >12 months. All groups showed improvement. Reduction in Post-TRT THI was significant but did not show any difference among groups.
Conclusion
TRT helps in tinnitus with NIHL particularly if hearing loss is severe. Severe or catastrophic tinnitus patients experience greater improvement. Duration of tinnitus has no impact. |
| first_indexed | 2024-03-07T17:50:04Z |
| format | Article |
| id | doaj.art-a2bcc3b3ab724815b5a6af71522bbd23 |
| institution | Directory Open Access Journal |
| issn | 2395-2407 |
| language | English |
| last_indexed | 2024-03-07T17:50:04Z |
| publishDate | 2017-04-01 |
| publisher | The Association of Otolaryngologists of India, West Bengal |
| record_format | Article |
| series | Bengal Journal of Otolaryngology and Head Neck Surgery |
| spelling | doaj.art-a2bcc3b3ab724815b5a6af71522bbd232024-03-02T14:10:58ZengThe Association of Otolaryngologists of India, West BengalBengal Journal of Otolaryngology and Head Neck Surgery2395-24072017-04-0125110.47210/bjohns.2017.v25i1.110Noise Induced Hearing Loss with Tinnitus: Does TRT Help?Nidhi Vohra Maggon0Ashwani Sethi1Atul Gupta2Assistant Professor, Army College of Medical Sciences, Base Hospital, Delhi Cantonment, New Delhi 110010Army College of Medical Sciences, Base Hospital, Delhi Cantonment, New Delhi 110010Senior Resident Army College of Medical Sciences Base Hospital, Delhi Cantt -110010Introduction To determine if hearing augmentation and tinnitus retraining therapy (TRT) helps in cases of Tinnitus with Noise induced hearing loss (NIHL) and does degree of hearing loss, severity or duration of tinnitus affect recovery Materials and Methods A prospective study was done on 100 patients of NIHL with tinnitus from Jan 14-Jul 15. Degree of hearing loss was assessed. Tinnitus severity was scored on Tinnitus handicap inventory (THI) scale as Slight, Mild, Moderate, severe or catastrophic and patients were subjected to TRT. Patients scored after 1 year of TRT. A relation between tinnitus severity, duration and degree of hearing loss on recovery from tinnitus was analysed. Result 62 of the 100 patients improved following TRT. Discussion In 100 patients THI scores improved from a mean of 63.12 (SD-21.12) to 38.16 (SD-18.21). Mean difference between pre and post-intervention THI scores was 24.96 (SD-17.97). Improvement was significant in severe or profound hearing loss (P<.001). Tinnitus severity was slight, mild, moderate, severe or catastrophic on THI. Following TRT, 82.35% with Catastrophic, 70.96% with severe, 52.63% with moderate, 20% with mild tinnitus improved. 1 patient with slight tinnitus did not improve. Based on duration of tinnitus three groups made; 0-6 months, 6-12 months and >12 months. All groups showed improvement. Reduction in Post-TRT THI was significant but did not show any difference among groups. Conclusion TRT helps in tinnitus with NIHL particularly if hearing loss is severe. Severe or catastrophic tinnitus patients experience greater improvement. Duration of tinnitus has no impact.https://bjohns.in/journal3/index.php/bjohns/article/view/110Hearing LossNoise InducedTinnitus |
| spellingShingle | Nidhi Vohra Maggon Ashwani Sethi Atul Gupta Noise Induced Hearing Loss with Tinnitus: Does TRT Help? Bengal Journal of Otolaryngology and Head Neck Surgery Hearing Loss Noise Induced Tinnitus |
| title | Noise Induced Hearing Loss with Tinnitus: Does TRT Help? |
| title_full | Noise Induced Hearing Loss with Tinnitus: Does TRT Help? |
| title_fullStr | Noise Induced Hearing Loss with Tinnitus: Does TRT Help? |
| title_full_unstemmed | Noise Induced Hearing Loss with Tinnitus: Does TRT Help? |
| title_short | Noise Induced Hearing Loss with Tinnitus: Does TRT Help? |
| title_sort | noise induced hearing loss with tinnitus does trt help |
| topic | Hearing Loss Noise Induced Tinnitus |
| url | https://bjohns.in/journal3/index.php/bjohns/article/view/110 |
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