Overview of tinnitus – including the role of ：耳鸣–包括作用概述.ppt

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Overview of tinnitus – including the role of ：耳鸣–包括作用概述.ppt

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Overview of tinnitus – including the role of ：耳鸣–包括作用概述

Patient and hearing-care professional surveys of the benefits of hearing aids STUDY 1 STUDY 2 STUDY 3 STUDY 4 Binaural hearing aids provided benefit in 66% (47/71) of tinnitus patients 65.5% of patients with frequent tinnitus reported improvements with hearing aids 41.4% reported disappearance of symptoms Fitting a hearing aid was the most frequently reported benefit of visiting a specialised tinnitus clinic Reported by 34.9% of patients Audiologist-reported tinnitus relief after fitting a hearing aid Minor to major relief in 60% of cases Major relief in 22% of cases Scoping review identified 4 survey studies Shekhawat GS, et al. (2013).J Am Acad Audiol. 24:747-762 * Slide * Masking level and tinnitus reduction Retrospective study of 70 patients with tinnitus in Australia Tinnitus severity measured using the tinnitus reaction questionnaire (TRQ) Overall, 51% of patients experienced “clinically significant” change (≥40% change in TRQ score) McNeill C, et al. (2012) Int J Audiol. 51:914-919. * Slide * Psychological and behavioural support INTERVENTION DESCRIPTION Counselling and education Delivered in person, to groups and via the internet Variable results may depend on personal characteristics Cognitive behavioural therapy Designed to modify maladaptive behavioural and emotional responses One-to-one and group settings, delivered by psychologists or psychiatrists, or via internet Statistically significant reductions in severity of tinnitus symptoms (P0.05) Relaxation therapy May help reduce tinnitus symptoms and depressive symptoms Hoare DJ, et al. (2011) Laryngoscope 121:1555-1564; Langguth B, et al. (2013). Lancet Neurol.12:920-930 * Slide * Drug options for tinnitus management No approved drugs (European Medicines Agency [EMA] or US Food and Drug Administration [FDA]) Some psychopharmacological agents may help reduce the severity of psychological issues associated with tinnitus, and some may also lessen tinnitus symptoms DRUG CLASS EXAMPLES OF DRUGS USED IN TI