Therapy

Programming of the speech-processors in children provided with Cochlear Implant causes sometimes problems, especially in very small children. This becomes important at this time as the implantation-age of the children decreases continuously. With Neural Response Telemetry (NRT) stands for the Nucleus ® 24 Cochlear Implant system a new principle of programming of the speech processor […]

Tinnitus affects nearly 50 million people in the United States, with a minority demonstrating marked functional impairment. Alterations of gamma aminobutyric acid (GABA) neuronal function and benzodiazepine receptor (BZR) function in particular have been implicated in the pathophysiology of severe, chronic tinnitus. The purpose of our study was to evaluate the distribution of BZR in […]

This study was undertaken to determine how many cases of chronic tinnitus in a clinic population resulted from cerumen removal procedures and to summarize cerumen management methodologies and recommendations that will reduce the likelihood of such serious complications. Detailed questionnaires were mailed to 2,400 consecutive patients (1,704 male, 696 female; mean age, 53.3 ± 11.8 […]

Tinnitus frequently accompanies hearing loss in patients with otosclerosis and has been correlated with distinct otosclerotic pathologies. The objective of our study was to evaluate the effect of stapedectomy on tinnitus in patients with otosclerosis. Forty patients were retrospectively interviewed for assessment of preoperative versus postoperative levels of tinnitus distress using the standardized Klockhoff-Lindblom (K/L) […]

Ultra-high-frequency (UHF) external acoustic stimulation with the UltraQuiet device (UQ) has been reported to provide significant relief of severe disabling-type tinnitus. The nuclear medicine imaging technique of positron emission tomography (PET) was selected as a monitoring system to compare objectively metabolic alterations in brain function before and after UHF/UQ and to correlate the PET data […]

Microthrombotic vascular lesions could be the primary or secondary cause but, however, in most of the cases are at the base of the lesions of tinnitus. On those bases we consider that a therapy with enoxaparine has a wide field of action. Two hundred cases of patients, who had suffered from tinnitus for at least […]

The chemical element zinc has been in the last decades strongly studied. It is well known that it is present in some different structures of the Central Nervous System, acting as a co-factor of excitatory glutamatergic synapsis. Its function is not yet fully understood, but it seems to modulate the sensibility of glutamatergic post-sinaptic receptors […]

Some authors have postulate that sistemic zinc can be employed in the threatment of tinnitus, because a sub-clinical hypozincemia is suposed to promote this auditory disturbance. However, in the majority of the cases of tinnitus, this hypozincemia was not confirmed. There is not enough randomized studies that could show the relationship between zinc and tinnitus. […]

It has long been suspected that an important relationship exists between inner and outer hair cells, and that a disturbance of this relationship could lead to the phenomenon of tinnitus. The electromodel of the auditory system describes one mechanism of this inter-hair cell relationship. Following this model a mechanism exists, driven by mechanosensitive outer hair […]

On the ENT Dept at 3rd Medical Faculty of Charles University Prague has been used 15 IEC for the therapy at chronic tinnitus. The succes ratio is evaluated by the mean of visual analogue scala (VAS) and by tinnitometr i.e. by meassurment of intensity (dB) and frequency (Hz) of tinnitus. Duration of tinnitus oscillated between […]