Evidence for tinnitus treatment using sound therapy via sound generating devices, hearing aids and cochlear implants
Keywords:
tinnitus, sound therapy, sound generating devices, hearing aids, cochlear implantsAbstract
Abstract
Tinnitus is one of the common otologic symptoms and is frequently found in individuals with hearing loss. Although tinnitus is not a life-threatening condition, it affects mental health and quality of life. Besides, there is no treatment that completely resolves this condition. Several studies showed the benefits of using sound therapy via sound generating devices, hearing aids, and cochlear implants for tinnitus treatment. This article aims to explain the pathophysiology of tinnitus and a review of previous studies that use sound therapy as tinnitus treatment strategies, by describing the mechanism of tinnitus. Most of the research assessed the effectiveness of tinnitus treatment by using subjective evaluation, for example, tinnitus questionnaires. Only a few studies objectively assessed functional changes after applied interventions, for example, functional magnetic resonance imaging. Most of the studies also recruited a small sample size and there was no consensus on the technique of sound therapy for standard tinnitus treatment (e.g., characteristics, loudness, or duration of the sound used in sound therapy). Therefore, further studies in these missing gaps of knowledge, including a systematic review, may provide more evidence in order to apply sound therapy in clinical practice for tinnitus treatment.
References
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4. Cooper JC, Jr. Health and nutrition examination survey of 1971-75 - part II tinnitus, subjective hearing loss, and wellbeing. J Am Acad Audiol 1994;5:37-43.
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6. Baran JA. Test battery principles and considerations. In: Musiek FE, Chermak GD, editors. Handbook of central auditory processing disorder. Auditory neurosciece
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7. Runge CL, Friedland DR. Anatomy of the auditory system In: Flint PW, Haughey BH, Lund VJ, Niparko JK, Robbins KT, Thomas JR, et al. editors. Cummings otolaryngology
head and neck surgery. Vol. 2. 6th ed. London: Elsevier Health Sciences; 2014.
p. 1987-93.
8. Harrison RV. Neural Plasticity in Otology. In: Flint PW, Haughey BH, Lund VJ, Niparko JK, Robbins KT, Thomas JR, et al. editors. Cummings otolaryngology head and neck surgery. Vol. 2. 6th ed. London: Elsevier Health Sciences; 2014. p. 2038-50.
9. Liberman MC, Dodds LW. Single-neuron labeling and chronic cochlear pathology. II. Stereocilia damage and alterations of spontaneous discharge rates. Hear Res
1984;16:43-53.
10. Vogler DP, Robertson D, Mulders WH. Hyperactivity in the ventral cochlear nucleus after cochlear trauma. J Neurosci 2011;31:6639-45.
11. Mulders WH, Robertson D. Hyperactivity in the auditory midbrain after acoustic trauma: Dependence on cochlear activity. Neuroscience 2009;164:733-46.
12. Norena AJ, Eggermont JJ. Changes in spontaneous neural activity immediately after an acoustic trauma: Implications for neural correlates of tinnitus. Hear Res
2003;183:137-53.
13. Norena AJ, Farley BJ. Tinnitus-related neural activity: Theories of generation, propagation, and centralization. Hear Res 2013;295:161-71.
14. Henry JA, Roberts LE, Caspary DM, et al. Underlying mechanisms of tinnitus: Review and clinical implications. J Am Acad Audiol 2014;25:5-22; quiz 126.
15. Schaette R, Konig O, Hornig D, et al. Acoustic stimulation treatments against tinnitus could be most effective when tinnitus pitch is within the stimulated frequency range. Hearing Res 2010;269:95-101.
16. Hoare DJ, Searchfield GD, El Refaie A, et al. Sound therapy for tinnitus management: practicable options. J Am Acad Audiol 2014;25:62-75.
17. Vanneste S, Plazier M, van der Loo E, et al. The differences in brain activity between narrow band noise and pure tone tinnitus. PLoS One 2010;5:e13618.
18. De Ridder D, Elgoyhen AB, Romo R, et al. Phantom percepts: Tinnitus and pain as persisting aversive memory networks. Proc Natl Acad Sci U S A. 2011;108:8075-80.
19. Vernon J, Schleuning A. Tinnitus: A new management. Laryngoscope. 1978;88:413-9.
20. Searchfield GD, Durai M, Linford T. A Stateof-the-Art Review: Personalization of Tinnitus Sound Therapy. Front Psychol 2017;8:1599.
21. Hallam R, Rachman S, Hinchcliffe R. Psychological aspects of tinnitus. In: Rachman S, editor. Contributions to medical psychology. New York: Pergamon Press; 1984. p. 31-53.
22. Jastreboff PJ, Hazell JWP. Tinnitus retraining therapy - Implementing the neurophysiological model. Cambridge: Cambridge University Press; 2004.
23. Bartnik G, Fabijanska A, Rogowski M. Effects of tinnitus retraining therapy (TRT) for patients with tinnitus and subjective hearing loss versus tinnitus only. Scand Audiol Suppl 2001:206-8.
24. Berry JA, Gold SL, Frederick EA, et al. Patient-based outcomes in patients with primary tinnitus undergoing tinnitus retraining therapy. Arch Otolaryngol Head Neck Surg 2002;128:1153-7.
25. Tyler RS, Noble W, Coelho CB, et al. Tinnitus retraining therapy: Mixing point and total masking are equally effective. Ear Hearing 2012;33:588-94.
26. Scherer RW, Formby C; Tinnitus Retraining Therapy Trial Research Group. Effect of tinnitus retraining therapy vs standard of care on tinnitus-related quality of life: a randomized clinical trial. JAMA Otolaryngol Head Neck Surg 2019;145:597-608.
27. Mahboubi H, Haidar YM, Kiumehr S, et al. Customized versus noncustomized sound therapy for treatment of tinnitus: A randomized crossover clinical trial. Ann Otol Rhinol Laryngol 2017;126:681-7.
28. Roberts LE, Moffat G, Bosnyak DJ. Residual inhibition functions in relation to tinnitus spectra and auditory threshold shift. Acta Oto-Laryngol 2006;126:27-33.
29. Teismann H, Okamoto H, Pantev C. Short and intense tailor-made notched music training against tinnitus: The tinnitus frequency matters. PLoS One 2011;6:
e24685.
30. Okamoto H, Stracke H, Stoll W, et al. Listening to tailor-made notched music reduces tinnitus loudness and tinnitusrelated auditory cortex activity. Proc Natl Acad Sci U S A. 2010;107:1207-10.
31. Xu P, Lin Q, Li D, et al. New findings in a retrospective study on the efficacy of precision sound therapy of 156 tinnitus: “Drift” of tinnitus sites. Clin Otolaryngol
2021;46:65-71.
32. McNeill C, Tavora-Vieira D, Alnafjan F, et al. Tinnitus pitch, masking, and the effectiveness of hearing aids for tinnitus therapy. Int J Audiol 2012;51:914-9.
33. Surr RK, Montgomery AA, Mueller HG. Effect of amplification on tinnitus among new hearing-aid users. Ear Hearing 1985;6:71-5.
34. Trotter MI, Donaldson I. Hearing aids and tinnitus therapy: A 25-year experience. J Laryngol Otol 2008;122:1052-6.
35. Shinden S, Suzuki N, Oishi N, et al. Effective sound therapy using a hearing aid and educational counseling in patients with chronic tinnitus. Auris Nasus Larynx. [Preprint] 2021. Available from: doi: 10.1016/j.anl.2021.01.001.
36. Searchfield GD, Kaur M, Martin WH. Hearing aids as an adjunct to counseling: Tinnitus patients who choose amplification do better than those that don’t. Int J Audiol
2010;49:574-9.
37. Yakunina N, Lee WH, Ryu YJ, et al. Tinnitus suppression effect of hearing aids in patients with high-frequency hearing loss: a randomized double-blind controlled trial. Otol Neurotol 2019;40:865-71.
38. Sereda M, Davies J, Hall DA. Pre-market version of a commercially available hearing instrument with a tinnitus sound generator: feasibility of evaluation in a clinical trial. Int J Audiol 2017;56:286-94
39. Shekhawat GS, Searchfield GD, Kobayashi K, et al. Prescription of hearing-aid output for tinnitus relief. Int J Audiol 2013;52:617-25.
40. Haab L, Lehser C, Corona-Strauss FI, et al. Implementation and long-term evaluation of a hearing aid supported tinnitus treatment using notched environmental sounds. IEEE J Transl Eng Health Med 2019;7:1600109.
41. Van de Heyning P, Vermeire K, Diebl M, et al. Incapacitating unilateral tinnitus in single-sided deafness treated by cochlear implantation. Ann Otol Rhinol Laryngol
2008;117:645-52.
42. Masgoret Palau E, Meran Gil JL, Moreno Vidal C, et al. Tinnitus and cochlear implantation. Preliminary experience. Acta Otorrinolaringol Esp 2010;61:405-11.
43. Buechner A, Brendel M, Lesinski-Schiedat A, et al. Cochlear implantation in unilateral deaf subjects associated with ipsilateral tinnitus. Otol Neurotol 2010;31:1381-5.
44. Punte AK, Vermeire K, Hofkens A, et al. Cochlear implantation as a durable tinnitus treatment in single-sided deafness. Cochlear Implants Int 2011;12(Suppl 1): S26-9.
45. Mertens G, De Bodt M, Van de Heyning P. Cochlear implantation as a long-term treatment for ipsilateral incapacitating tinnitus in subjects with unilateral hearing loss up to 10 years. Hearing Res 2016;331:1-6.
46. Tyler RS, Keiner AJ, Walker K, et al. A series of case studies of tinnitus suppression with mixed background stimuli in a cochlear implant. Am J Audiol 2015;24: 398-410.
47. Tyler RS, Owen RL, Bridges J, et al. Tinnitus suppression in cochlear implant patients using a sound therapy App. Am J Audiol 2018;27:316-23.
48. Chang JE, Zeng F-G. Tinnitus suppression by electric stimulation of the auditory nerve. Front Syst Neurosci 2012;6:19.
49. Arts RA, George EL, Griessner A, et al. Tinnitus suppression by intracochlear electrical stimulation in single-sided deafness: a prospective clinical trial - part I. Audiol Neurootol 2015;20:294-313.
50. Arts RA, George EL, Janssen M, et al. Tinnitus suppression by intracochlear electrical stimulation in single sided deafness - a prospective clinical trial: follow-up. PLoS One 2016;11:e0153131.
51. National Institute for Health and Care Excellence. Tinnitus assessment and management [Internet]. 2020 [cited 2020 September 30]. Available from: https://
www.nice.org.uk/guidance/ng155/ resources/tinnitus-assessment-andmanagement-pdf-66141841962949.
surgery. Vol. 2. 6th ed. London: Elsevier Health Sciences; 2014. p. 2336-44.
2. Goddard JC, McRackan TR. Tinnitus. In:Chan Y, Goddard JC, editors. KJ Lee’s Essential otolaryngology head & neck surgery. 11th ed. New York: McGraw-Hill; 2016. p. 340-4.
3. Nondahl DM, Cruickshanks KJ, Wiley TL,et al. Prevalence and 5-year incidence of tinnitus among older adults: The epidemiology of hearing loss study. J Am Acad Audiol 2002;13:323-31.
4. Cooper JC, Jr. Health and nutrition examination survey of 1971-75 - part II tinnitus, subjective hearing loss, and wellbeing. J Am Acad Audiol 1994;5:37-43.
5. Tunkel DE, Bauer CA, Sun GH, et al. Clinical practice guideline: tinnitus. Otolaryngol Head Neck Surg 2014;151(2 Suppl):S1-S40.
6. Baran JA. Test battery principles and considerations. In: Musiek FE, Chermak GD, editors. Handbook of central auditory processing disorder. Auditory neurosciece
and diagnosis. Vol. 1. 2nd ed. San Diego: Plural publishing; 2014. p. 291-323.
7. Runge CL, Friedland DR. Anatomy of the auditory system In: Flint PW, Haughey BH, Lund VJ, Niparko JK, Robbins KT, Thomas JR, et al. editors. Cummings otolaryngology
head and neck surgery. Vol. 2. 6th ed. London: Elsevier Health Sciences; 2014.
p. 1987-93.
8. Harrison RV. Neural Plasticity in Otology. In: Flint PW, Haughey BH, Lund VJ, Niparko JK, Robbins KT, Thomas JR, et al. editors. Cummings otolaryngology head and neck surgery. Vol. 2. 6th ed. London: Elsevier Health Sciences; 2014. p. 2038-50.
9. Liberman MC, Dodds LW. Single-neuron labeling and chronic cochlear pathology. II. Stereocilia damage and alterations of spontaneous discharge rates. Hear Res
1984;16:43-53.
10. Vogler DP, Robertson D, Mulders WH. Hyperactivity in the ventral cochlear nucleus after cochlear trauma. J Neurosci 2011;31:6639-45.
11. Mulders WH, Robertson D. Hyperactivity in the auditory midbrain after acoustic trauma: Dependence on cochlear activity. Neuroscience 2009;164:733-46.
12. Norena AJ, Eggermont JJ. Changes in spontaneous neural activity immediately after an acoustic trauma: Implications for neural correlates of tinnitus. Hear Res
2003;183:137-53.
13. Norena AJ, Farley BJ. Tinnitus-related neural activity: Theories of generation, propagation, and centralization. Hear Res 2013;295:161-71.
14. Henry JA, Roberts LE, Caspary DM, et al. Underlying mechanisms of tinnitus: Review and clinical implications. J Am Acad Audiol 2014;25:5-22; quiz 126.
15. Schaette R, Konig O, Hornig D, et al. Acoustic stimulation treatments against tinnitus could be most effective when tinnitus pitch is within the stimulated frequency range. Hearing Res 2010;269:95-101.
16. Hoare DJ, Searchfield GD, El Refaie A, et al. Sound therapy for tinnitus management: practicable options. J Am Acad Audiol 2014;25:62-75.
17. Vanneste S, Plazier M, van der Loo E, et al. The differences in brain activity between narrow band noise and pure tone tinnitus. PLoS One 2010;5:e13618.
18. De Ridder D, Elgoyhen AB, Romo R, et al. Phantom percepts: Tinnitus and pain as persisting aversive memory networks. Proc Natl Acad Sci U S A. 2011;108:8075-80.
19. Vernon J, Schleuning A. Tinnitus: A new management. Laryngoscope. 1978;88:413-9.
20. Searchfield GD, Durai M, Linford T. A Stateof-the-Art Review: Personalization of Tinnitus Sound Therapy. Front Psychol 2017;8:1599.
21. Hallam R, Rachman S, Hinchcliffe R. Psychological aspects of tinnitus. In: Rachman S, editor. Contributions to medical psychology. New York: Pergamon Press; 1984. p. 31-53.
22. Jastreboff PJ, Hazell JWP. Tinnitus retraining therapy - Implementing the neurophysiological model. Cambridge: Cambridge University Press; 2004.
23. Bartnik G, Fabijanska A, Rogowski M. Effects of tinnitus retraining therapy (TRT) for patients with tinnitus and subjective hearing loss versus tinnitus only. Scand Audiol Suppl 2001:206-8.
24. Berry JA, Gold SL, Frederick EA, et al. Patient-based outcomes in patients with primary tinnitus undergoing tinnitus retraining therapy. Arch Otolaryngol Head Neck Surg 2002;128:1153-7.
25. Tyler RS, Noble W, Coelho CB, et al. Tinnitus retraining therapy: Mixing point and total masking are equally effective. Ear Hearing 2012;33:588-94.
26. Scherer RW, Formby C; Tinnitus Retraining Therapy Trial Research Group. Effect of tinnitus retraining therapy vs standard of care on tinnitus-related quality of life: a randomized clinical trial. JAMA Otolaryngol Head Neck Surg 2019;145:597-608.
27. Mahboubi H, Haidar YM, Kiumehr S, et al. Customized versus noncustomized sound therapy for treatment of tinnitus: A randomized crossover clinical trial. Ann Otol Rhinol Laryngol 2017;126:681-7.
28. Roberts LE, Moffat G, Bosnyak DJ. Residual inhibition functions in relation to tinnitus spectra and auditory threshold shift. Acta Oto-Laryngol 2006;126:27-33.
29. Teismann H, Okamoto H, Pantev C. Short and intense tailor-made notched music training against tinnitus: The tinnitus frequency matters. PLoS One 2011;6:
e24685.
30. Okamoto H, Stracke H, Stoll W, et al. Listening to tailor-made notched music reduces tinnitus loudness and tinnitusrelated auditory cortex activity. Proc Natl Acad Sci U S A. 2010;107:1207-10.
31. Xu P, Lin Q, Li D, et al. New findings in a retrospective study on the efficacy of precision sound therapy of 156 tinnitus: “Drift” of tinnitus sites. Clin Otolaryngol
2021;46:65-71.
32. McNeill C, Tavora-Vieira D, Alnafjan F, et al. Tinnitus pitch, masking, and the effectiveness of hearing aids for tinnitus therapy. Int J Audiol 2012;51:914-9.
33. Surr RK, Montgomery AA, Mueller HG. Effect of amplification on tinnitus among new hearing-aid users. Ear Hearing 1985;6:71-5.
34. Trotter MI, Donaldson I. Hearing aids and tinnitus therapy: A 25-year experience. J Laryngol Otol 2008;122:1052-6.
35. Shinden S, Suzuki N, Oishi N, et al. Effective sound therapy using a hearing aid and educational counseling in patients with chronic tinnitus. Auris Nasus Larynx. [Preprint] 2021. Available from: doi: 10.1016/j.anl.2021.01.001.
36. Searchfield GD, Kaur M, Martin WH. Hearing aids as an adjunct to counseling: Tinnitus patients who choose amplification do better than those that don’t. Int J Audiol
2010;49:574-9.
37. Yakunina N, Lee WH, Ryu YJ, et al. Tinnitus suppression effect of hearing aids in patients with high-frequency hearing loss: a randomized double-blind controlled trial. Otol Neurotol 2019;40:865-71.
38. Sereda M, Davies J, Hall DA. Pre-market version of a commercially available hearing instrument with a tinnitus sound generator: feasibility of evaluation in a clinical trial. Int J Audiol 2017;56:286-94
39. Shekhawat GS, Searchfield GD, Kobayashi K, et al. Prescription of hearing-aid output for tinnitus relief. Int J Audiol 2013;52:617-25.
40. Haab L, Lehser C, Corona-Strauss FI, et al. Implementation and long-term evaluation of a hearing aid supported tinnitus treatment using notched environmental sounds. IEEE J Transl Eng Health Med 2019;7:1600109.
41. Van de Heyning P, Vermeire K, Diebl M, et al. Incapacitating unilateral tinnitus in single-sided deafness treated by cochlear implantation. Ann Otol Rhinol Laryngol
2008;117:645-52.
42. Masgoret Palau E, Meran Gil JL, Moreno Vidal C, et al. Tinnitus and cochlear implantation. Preliminary experience. Acta Otorrinolaringol Esp 2010;61:405-11.
43. Buechner A, Brendel M, Lesinski-Schiedat A, et al. Cochlear implantation in unilateral deaf subjects associated with ipsilateral tinnitus. Otol Neurotol 2010;31:1381-5.
44. Punte AK, Vermeire K, Hofkens A, et al. Cochlear implantation as a durable tinnitus treatment in single-sided deafness. Cochlear Implants Int 2011;12(Suppl 1): S26-9.
45. Mertens G, De Bodt M, Van de Heyning P. Cochlear implantation as a long-term treatment for ipsilateral incapacitating tinnitus in subjects with unilateral hearing loss up to 10 years. Hearing Res 2016;331:1-6.
46. Tyler RS, Keiner AJ, Walker K, et al. A series of case studies of tinnitus suppression with mixed background stimuli in a cochlear implant. Am J Audiol 2015;24: 398-410.
47. Tyler RS, Owen RL, Bridges J, et al. Tinnitus suppression in cochlear implant patients using a sound therapy App. Am J Audiol 2018;27:316-23.
48. Chang JE, Zeng F-G. Tinnitus suppression by electric stimulation of the auditory nerve. Front Syst Neurosci 2012;6:19.
49. Arts RA, George EL, Griessner A, et al. Tinnitus suppression by intracochlear electrical stimulation in single-sided deafness: a prospective clinical trial - part I. Audiol Neurootol 2015;20:294-313.
50. Arts RA, George EL, Janssen M, et al. Tinnitus suppression by intracochlear electrical stimulation in single sided deafness - a prospective clinical trial: follow-up. PLoS One 2016;11:e0153131.
51. National Institute for Health and Care Excellence. Tinnitus assessment and management [Internet]. 2020 [cited 2020 September 30]. Available from: https://
www.nice.org.uk/guidance/ng155/ resources/tinnitus-assessment-andmanagement-pdf-66141841962949.
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2021-12-30
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1.
Chowsilpa S. Evidence for tinnitus treatment using sound therapy via sound generating devices, hearing aids and cochlear implants. J Med Health Sci [Internet]. 2021 Dec. 30 [cited 2024 Dec. 19];28(3):160-74. Available from: https://he01.tci-thaijo.org/index.php/jmhs/article/view/254037
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Review article (บทความวิชาการ)
