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Author: admin | 02.03.2016 | Category: Ear Drops For Tinnitus

The effect of electrical stimulation on tinnitus gained new interest after House [1] reported that cochlear implants not only improve hearing in deaf patients but relieve their tinnitus. A 17-year-old male patient had total deafness after an unknown viral infection that occurred 3 years before consultation. When the external unit is turned off, he has a residual inhibition of tinnitus for 10 minutes.
A 23-year-old male patient, with a history of a head injury occurring 10 months before the AllHear cochlear implant was placed, presented with bilateral deafness and a high-frequency disabling tinnitus in the head. A 64-year-old female patient presented with progressive, bilateral sensorineural hearing loss due to otosclerosis, with a hissing-type bilateral tinnitus of mild intensity. A 41-year-old male patient presented with a progressive sensorineural hearing loss that started 10 years before surgery on the right side and 3 years before it on the left side.
A 52-year-old female patient presented with bilateral, profound hearing loss caused by meningitis that had occurred 18 years ago. Table 1 displays the data for the six cases just presented: five patients with tinnitus before placement of the cochlear implant, showing the action of electrical stimulation on tinnitus, and one patient in whom tinnitus appeared with electrical stimulation after surgery.
The only case in which the electrical stimulation had no effect on tinnitus is that of the patient who had contracted meningitis 38 years before the surgery (patient 4). Ito and Sakakihara [4] have described two cases in which the tinnitus was aggravated postoperatively. The risk of injury to cochlear structures (due to the insertion of an active electrode inside the scala tympani) is reduced using All Hear implants than it is with multichannel cochlear implant electrodes. We describe five cases of deaf patients with tinnitus and show that the implant device had a good effect on tinnitus in four.

In several reports, a partial or complete suppression of tinnitus has been described in patients with cochlear implants.
Of a group of 14 patients, 5 had tinnitus before surgery, and 1 presented with tinnitus after surgery only when the device was turned on. The tinnitus disappeared in the ear in which the device was implanted, and a reduction of tinnitus was evident in the right side, presenting residual inhibition for 10 minutes. The best results obtained in this group are related to the two cases of progressive hearing loss (patients 3 and 5). However, her tinnitus was not intense, and the cochlear device has been useful for her hearing.
In reporting our results, we presented four cases (80%) in which the electrical device relieved or suppressed the tinnitus. This reduction in risk occurs because residual hearing has been shown to be maintained after the implantation. Marked expansion of the ventricles of the brain, reducing the volume of the substance of the brain, hypoplasia of the corpus callosum. Manifest extension of the fourth ventricle, partial aplasia of the cerebellar vermis with the advent of hypertensive hydrocephalus and posterior fossa cyst.
Some of them present a residual inhibition [2,3], and others relate an effect on the contralateral ear [4].
The purpose of this study is to evaluate the action of the All Hear cochlear implant on tinnitus in six patients. With the implanted device, she complained of shock, pain, and tinnitus as soon as the electrical device was turned on.

In patient 2, whose hearing loss was caused by head injury, the result may be considered good, as the tinnitus was as troublesome as the deafness. In addition, owing to a small posterior tympanotomy area, guiding the drill to the scala tympani was difficult, and possibly we drilled the modiolus and exposed the neurons in the spiral ganglion.
There-fore, the All Hear cochlear implant is useful in restoring hearing in deaf patients, and it has shown additional beneficial effects on tinnitus in the majority of them. Tinnitus suppression by electrical stimulation of the cochlear wall and by cochlear implantation. The authors conclude that AllHear cochlear implants have a good effect on tinnitus in the majority of patients.
Its active electrode is inserted only 5 mm through the round window into the scala tympani, therefore reducing the risk of damage to the inner ear structures, as compared with other active electrodes that are inserted approximately 20 mm.
That patient felt relieved because the tinnitus was not as intense as it was before the cochlear implantation.
The unusual fact is that tinnitus appears only with electrical stimulation, associated with a sensation of pain and electrical shock, disappearing 1 minute after the device is turned off.

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