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European Archives of Oto-Rhino-Laryngology

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26-04-2023 | Tinnitus | Otology

Tinnitus suppression in a prospective cohort of 45 cochlear implant recipients: occurrence, degree and correlates

Authors: Kasper Dyre Rasmussen, Niels Cramer West, Michael Bille, Per Cayé-Thomasen

Published in: European Archives of Oto-Rhino-Laryngology | Issue 9/2023

Abstract

Objective

To determine tinnitus prevalence and severity in a cohort of unselected first-time cochlear implant (CI) recipients whose primary motive for CI was sensorineural hearing loss (SNHL), and to evaluate the effect of CI on tinnitus after cochlear implantation.

Methods

Prospective longitudinal study of 45 adult CI recipients with moderate to profound SNHL. Patients completed the Danish version of the Tinnitus Handicap Inventory (THI) and a visual analogue scale (VAS) for tinnitus burden before implantation, 4 months after implantation and 14 months after implantation.

Results

The study included 45 patients, of which 29 (64%) had pre-implant tinnitus. Median THI score (IQR) significantly decreased from 20 (34) to 12 (24) at first follow-up (p < 0.05) and to 6 points (17) at second follow-up (p < 0.001). Median VAS (IQR) for tinnitus burden decreased from 33 (62) to 17 (40; p = 0.228) and 12 (27, p < 0.05) at the first and second follow-ups, respectively. Tinnitus was totally suppressed in 19% of patients, improved in 48%, remained unchanged in 19% and worsened in 6%. 2 patients reported new tinnitus. At the second follow-up, 74% of patients had slight or no tinnitus handicap, 16% had mild handicaps, 6% had moderate handicaps, and 3% had severe handicaps. High pre-implant THI and VAS scores correlated with greater decrease in THI scores over time.

Conclusion

64% of the patients with SNHL had pre-implant tinnitus, which was decreased 4 and 14 months after implantation. Overall, 68% of patients with tinnitus improved their tinnitus handicap after CI. Patients with higher THI and VAS scores had a larger decline and the highest benefits in terms of tinnitus handicap improvement. The study findings demonstrate that the majority of patients with moderate to profound SNHL eligible for cochlear implantation benefit from complete or partial tinnitus suppression and improved quality of life after implantation.

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Title: Tinnitus suppression in a prospective cohort of 45 cochlear implant recipients: occurrence, degree and correlates
Authors: Kasper Dyre Rasmussen
Niels Cramer West
Michael Bille
Per Cayé-Thomasen
Publication date: 26-04-2023
Publisher: Springer Berlin Heidelberg
Keywords: Tinnitus
Cochlear Implant
Published in: European Archives of Oto-Rhino-Laryngology / Issue 9/2023
Print ISSN: 0937-4477
Electronic ISSN: 1434-4726
DOI: https://doi.org/10.1007/s00405-023-07921-1

2024 ASCO Annual Meeting

Springer Medicine

Tinnitus suppression in a prospective cohort of 45 cochlear implant recipients: occurrence, degree and correlates

Abstract

Objective

Methods

Results

Conclusion

2024 ASCO Annual Meeting

Springer Medicine

Abstract

Objective

Methods

Results

Conclusion

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