Abstract
The objective of this study was to investigate the clinical features of tinnitus in patients with chronic otitis media (COM) and to evaluate changes in tinnitus following middle ear surgery in relation to audiologic outcome. Medical records were reviewed for 117 patients with COM who underwent middle ear surgery between March 2009 and March 2010. Of them, 44 patients who pre-operatively reported tinnitus on a tinnitus questionnaire and 28 patients who completed a tinnitus questionnaire 8 weeks after surgery were evaluated to determine the clinical characteristics of tinnitus in patients with COM and any change in tinnitus following middle ear surgery, respectively. New tinnitus symptoms that developed after surgery were also evaluated in previously asymptomatic patients. The pre-operative incidence of tinnitus in patients with COM was 43% (50/117), with 87% of these patients displaying sensorineural tinnitus. After middle ear surgery, tinnitus handicap inventory scores were reduced in 82% of patients (23/28). Mean values of loudness, annoyance, effect on life, and awareness of tinnitus were also significantly reduced. One patient displayed newly developed tinnitus after surgery. Analysis of the relationship between improvement in tinnitus and audiologic outcome demonstrated that the group of patients whose tinnitus handicap inventory was reduced by more than 10 showed significantly greater improvements in mean air-conduction thresholds than did patients in the other group. In conclusion, following middle ear surgery, most patients experienced a reduction in tinnitus and restored hearing, with surgery perceived as an important contributory factor.
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References
Moller AR (2007) The role of neural plasticity in tinnitus. Prog Brain Res 166:37–45
Del Bo L, Ambrosetti U (2007) Hearing aids for the treatment of tinnitus. Prog Brain Res 166:341–345
Norena AJ, Eggermont JJ (2006) Enriched acoustic environment after noise trauma abolishes neural signs of tinnitus. Neuroreport 17:559–563
Newman CW, Jacobson GP, Spitzer JB (1996) Development of the tinnitus handicap inventory. Arch Otolaryngol Head Neck Surg 122:143–148
Newman CW, Sandridge SA, Jacobson GP (1998) Psychometric adequacy of the tinnitus handicap inventory (THI) for evaluating treatment outcome. J Am Acad Audiol 9:153–160
Baba S, Yagi T, Fujikura T (2004) Subjective evaluation and overall satisfaction after tympanoplasty for chronic simple suppurative otitis media. J Nippon Med Sch 71:17–24
Kim HJ, Lee SC, Cho YB, Kim HS, Kim SH (1996) A study of factors affecting the pre- and post-operative tinnitus in patients with chronic otitis media. Korean J Otorhinolaryngol-Head Neck Surg 39:1949–1954
Helms J (1981) Tympanoplasty and tinnitus. Laryngol Rhinol Otol (Stuttg) 60:99–100 (author’s transl)
Lima Ada S, Sanchez TG, Bonadia Moraes MF, Batezati Alves SC, Bento RF (2007) The effect of tympanoplasty on tinnitus in patients with conductive hearing loss: a six month follow-up. Braz J Otorhinolaryngol 73:384–389
Waldvogel D, Mattle HP, Sturzenegger M, Schroth G (1998) Pulsatile tinnitus—a review of 84 patients. J Neurol 245:137–142
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Kim, DK., Park, SN., Kim, M.J. et al. Tinnitus in patients with chronic otitis media before and after middle ear surgery. Eur Arch Otorhinolaryngol 268, 1443–1448 (2011). https://doi.org/10.1007/s00405-011-1519-9
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DOI: https://doi.org/10.1007/s00405-011-1519-9