Customized Versus Noncustomized Sound Therapy for Treatment of Tinnitus: A Randomized Crossover Clinical Trial.

Autor:	Mahboubi H; 1 Division of Neurotology and Skull Base Surgery, Department of Otolaryngology - Head and Neck Surgery, University of California, Irvine, CA, USA., Haidar YM; 1 Division of Neurotology and Skull Base Surgery, Department of Otolaryngology - Head and Neck Surgery, University of California, Irvine, CA, USA., Kiumehr S; 1 Division of Neurotology and Skull Base Surgery, Department of Otolaryngology - Head and Neck Surgery, University of California, Irvine, CA, USA., Ziai K; 1 Division of Neurotology and Skull Base Surgery, Department of Otolaryngology - Head and Neck Surgery, University of California, Irvine, CA, USA., Djalilian HR; 1 Division of Neurotology and Skull Base Surgery, Department of Otolaryngology - Head and Neck Surgery, University of California, Irvine, CA, USA.; 2 Department of Biomedical Engineering (HRD), University of California, Irvine, CA, USA.
Jazyk:	angličtina
Zdroj:	The Annals of otology, rhinology, and laryngology [Ann Otol Rhinol Laryngol] 2017 Oct; Vol. 126 (10), pp. 681-687. Date of Electronic Publication: 2017 Aug 23.
DOI:	10.1177/0003489417725093
Abstrakt:	Objectives: To determine the effectiveness of a customized sound therapy and compare its effectiveness to that of masking with broadband noise. Methods: Subjects were randomized to receive either customized sound therapy or broadband noise for 2 hours per day for 3 months and then switched to the other treatment after a washout period. The outcome variables were tinnitus loudness (scored 0-10), Tinnitus Handicap Inventory (THI), Beck Anxiety Inventory (BAI), minimum masking levels (MML), and residual inhibition (RI). Results: Eighteen subjects completed the study. Mean age was 53 ± 11 years, and mean tinnitus duration was 118 ± 99 months. With customized sound therapy, mean loudness decreased from 6.4 ± 2.0 to 4.9 ± 1.9 ( P = .001), mean THI decreased from 42.8 ± 21.6 to 31.5 ± 20.3 ( P < .001), mean BAI decreased from 10.6 ± 10.9 to 8.3 ± 9.9 ( P = .01), and MML decreased from 22.3 ± 11.6 dB SL to 17.2 ± 10.6 dB SL ( P = .005). After 3 months of broadband noise therapy, only BAI and, to a lesser degree, MML decreased ( P = .003 and .04, respectively). Conclusions: Customized sound therapy can decrease the loudness and THI scores of tinnitus patients, and the results may be superior to broadband noise.
Databáze:	MEDLINE
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