Therapy

In this report, we summarize our clinical experience with intratympanic dexamethasone treatment (IDT) for control of tinnitus.

The tinnitus can be functionally measured and localized through sensorymotor and neurosensorial tests. According to our Data Bank, 60% of the patients requiring a consultation show cardiocirculatory background. This figure has moved us to study cerebral vascular processes on those patients consulting only on tinnitus symptom.

During the last half century, medical developments have expedited an increase of expectation of life, all over the world. This extension of life has made that some pathologies that in former years were considered of low prevalence, nowadays they have become top priority for public health.

Our goal was to attempt to establish neuropharmacological tinnitus control (i.e., relief) with medication directed to restoration of a deficiency in the g-aminobutyric acid – benzodiazepine – chloride receptor in tinnitus patients with a diagnosis of a predominantly central type tinnitus.

At the ear, nose, and throat clinic of the Third Medical Faculty at Charles University and at the Psychiatry Department of the Institute for Further Education of Physicians in Prague, we examined 25 patients with tinnitus accompanied by psychiatric disturbances and followed them up for at least 6 months.

We carried out a retrospective survey of 25 years of clinical experience with the use of clonazepam as a vestibular and tinnitus suppressant in the pharmacological treatment of vestibular or cochleovestibular disorders due to different causes.

The Authors present results of tinnitus therapy in 5 ENT clinics and 1 neurological clinic in the Czech republic during last 5 years. Mostly are using these therapeutic methods: vasoactive drugs, Betaserc, nootropics, preparations of Ginkgo Biloba, combine preparation – Arlevert, corticoids, anestesia of ggl. Stellati and rehabilatation methods. The best results were obtained by […]

Different pathology of the hearing has to be rehabilitated by individual and sophisticated hearing systems. A lot of the patients suffering from a mild or middle sensoneural hearing loss have problems with their conventional hearing aids. The medical and audiological problems can often not be solved sufficiently by the technical possibilities. Also the cosmetic solutions […]

Telemedicine is used as a tool for therapeutic performances with the aid of telematic. The term telematic, an abbreviation of the words telecommunication and informatic, means in general electronic transfer of digital data. An application of telemedicine in the field of audiology, the initial fitting set up and fine tuning as well as the after-care […]

The hearing disturbances including tinnitus as a result of exposure to the sounds were well known and decribed in literaute (1,2,3). But on the other side it was repoted that sounds modificate the tinnitus probably through the auditory cortical plasticity (4,5). For the first time we met Johannes Kohler in Prague, in October, 2000, during […]