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KMID : 0361020090520080648
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Korean Journal of Otolaryngology - Head and Neck Surgery
2009 Volume.52 No. 8 p.648 ~ p.654
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Treatment Response of Modified Tinnitus Retraining Therapy with Medical Therapy in the Patients with Tinnitus
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Auo Hyeon-Jin
Park Kyoung-Ho
Yeo Sang-Won
Chang Ki-Hong
Choi Hyeog-Gi
Choi Bong-Jin
Han Min-Ah
Park Shi-Nae
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Abstract
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Background and Objectives : According to the neurophysiologic model of tinnitus, emotion and autonomic nervous systems are closely related to generation of tinnitus. We performed this study to evaluate the treatment response of modified tinnitus retraining therapy (TRT) with medication in the patients with sensorineural tinnitus.
Subjects and Method : Forty-three tinnitus patients who were diagnosed as sensorineural tinnitus through audiologic evaluation and have normal hearing in speech frequency were included in this study. Tinnitus and psychological status were measured by tinnitus questionnaire, Korean version of Brief Encounter Psychosocial Instrument (BEPSI) scale, Beck Depression Inventory (BDI), Spielberger State Trait Anxiety Inventory (STAI). Patients treated with anxiolytics and microcirculation enhancer were Group 1 and those treated with modified TRT and medications were Group 2. Short-term therapeutic response was analyzed and compared between two groups.
Results: Loudness, awareness, annoyance and effect on life of tinnitus and tinnitus handicap score were significantly decreased in Group 2. Relief of tinnitus in more than 2 of 4 subjective parameters was achieved in 4 patients (30.7%) in Group 1 and 15 patients (75%) in Group 2. Stress score was also decreased significantly after treatment in Group 2.
Conclusion: Tinnitus patients in Group 2 treated with medication and modified TRT showed the higher compliance and the response rate of treatment than the patients in Group 1 treated with medication alone. Modified TRT, in addition to medical therapy, should be considered to increase the therapeutic response in patients with sensorineural tinnitus.
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KEYWORD
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Tinnitus, Stress, Depression, Anxiety, Tinnitus retraining therapy
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