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Original Article

Results of TRT after eighteen months: Our experience

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Pages 217-222 | Received 09 Feb 2006, Published online: 07 Jul 2009
 

Abstract

The aim of this study was to evaluate the efficacy of TRT in patients suffering from tinnitus. The tinnitus disorder affects about 10–15% of the population and, in one person out of a hundred, it is a disabling disorder. TRT treatment is based on Jastreboff's neurophysiological model. TRT consists of two parts: counselling, and sound therapy by means of dedicated hearing aids and sound generators. It proved to be useful to reduce the symptoms related to tinnitus. Jastreboff's structured interviews were proposed to a sample of 51 patients with tinnitus belonging to the I-II-III-IV classes according to Jastreboff. These patients were treated for 18 months. Sixty-eight percent of patients reported a reduction in the symptoms related to tinnitus, such as sleep disturbance, problems in concentration, and inability to relax. A percentage (64.7%) of patients thought that their quality of life was improved. Patients who had suffered from tinnitus for less than one year achieved significantly better results than patients who had suffered for a longer period of time. TRT is an effective tool in the treatment of tinnitus.

Abbreviations
ABR=

Auditory brainstem response

dB=

Decibel

DPOAE=

Distortion products otoacoustic emissions

ENT=

Ear nose and throat

ECoch-G=

Electrocochleography

Hz=

Hertz

MRI=

Magnetic resonance imaging

TRT=

Tinnitus retraining therapy

Abbreviations
ABR=

Auditory brainstem response

dB=

Decibel

DPOAE=

Distortion products otoacoustic emissions

ENT=

Ear nose and throat

ECoch-G=

Electrocochleography

Hz=

Hertz

MRI=

Magnetic resonance imaging

TRT=

Tinnitus retraining therapy

Sumario

El fin de esto estudio es una estimación de la efectividad de la TRT en el patiente que sufre de acúfeno. El trastorno ocasionado por acúfeno afecta aproximadamente al 10%–15% de la población y para una de cada cien personas es un trastorno invalidante. La terapia de reentrenamiento del acúfeno (TRT) se fundamenta en el modelo neurofisiológico de P. J. Jastreboff. A través del counseling facilitado al paciente y de la terapia sonora, con prótesis auditivas dedicadas y generadores de sonido, resultó ser eficaz en la reducción del trastorno relacionado con el acúfeno. Cuestionario de la Jastreboff's fue repartido a una muestra de 51 sujetos con acúfeno, pertenecientes a las categorías I-II-III-IV según la clasificación de Jastreboff, sometidos a tratamiento TRT durante 18 meses. El 68% de los pacientes presentaron una reducción de los problemas relacionados al acúfeno, como disturbios del sueño, problemas de concentración, incapacidad de relajarse. El 64,7% de los pacientes pensó que la calidad de vida había mejorado. Los pacientes afectados de acúfeno desde menos que un año consiguieron resultados considerablemente mejores que los pacientes afectados desde más tiempo. La TRT es un instrumento eficaz para el tratamiento del acúfeno.

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