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Author: admin | 24.11.2013 | Category: Treatment For Ear Ringing

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From 2001 to 2006, we performed a retrospective study of patients suffering from chronic unilateral or bilateral tinnitus that was previously ineffectively treated by oral drugs [betahistine (Betaserc), extract of Ginkgo biloba (EGb 761), tanakan (Tebokan), and cinnarizinedimenhydrinate (Arlevert), singly or in combination]. Tinnitus is the phantom perception of sound in the absence of overt acoustic stimulation [1]. We randomly divided the patients into seven distinct treatment groups and administered treatment as specified.
The pentoxifylline (PTX) group received daily for 10 days an intravenous infusion of 100 mg pentoxifylline and 250 ml physiological saline. In addition, there were groups treated by pentoxifylline plus physiotherapy (PTX-RHB) and pentoxifylline plus physiotherapy and soft laser (PTX-RHB-soft laser), which consisted of a total of 9 persons. The visual analog scale from 0 (no tinnitus) to 10 (unbearable tinnitus) was used for daily evaluation. We used an enhanced method for construction of a binary classification tree-a regression method computed by condition of maximized homogeneity of treatment methods used [by Agapurin (Trental), Cavinton, lidocaine] in terminal leaves. In computing progress, we found that treatment PTX and age metric were ambiguous and so we dropped them, with no effect on our results.
Combination of Cavinton and physiotherapy was the most effective treatment seen in all the groups (see Fig. The groups treated by pentoxifylline plus physiotherapy (PTX-RHB) and pentoxifylline plus physiotherapy and soft laser (PTX-RHB-soft laser) consisted of a total of 9 persons, and the outcomes were considered to be statistically insignificant. Because tinnitus is a subjective symptom, we used the subjective scale-the visual analog scale-as the only parameter. La parentalite, du cote du pere aussi -on ne le dira jamais suffisamment- est un facteur determinant pour l'equilibre de l'enfant. It is well known that chronic tinnitus is difficult to treat, though lots of modalities are used for treatment.
Because the studies available on MEDLINE report different outcomes [8,10-12,14], we tried to evaluate the most widely used therapeutic approaches in our hospital: drop infusion of lidocaine, vinpocetine, or pentoxifylline and combination of these drugs with low-level laser therapy and physiotherapy.
Before and after treatment, each patient underwent basic ear, nose, and throat examination, including otomicroscopy, basic vestibular examination, pure-tone audiometry, and tinnitometry.
Those in the Cavinton group received daily for 10 days an intravenous infusion of 20 mg Cavinton plus 250 ml physiological saline, and oral Cavinton 2 Χ 10 mg (0-2-2).
As the outcomes were considered to be statistically insignificant, the findings from these groups are not evaluated further. Patients' symptoms were evaluated as improved if their tinnitus was perceived to be better by two or more points on this scale.
We had four metrics-age, duration of tinnitus, gender, and audiometry-each of which could be used to divide cases into branches. The boundary in the age metric was found at 62 years; in tinnitus duration, the value was 15 months. Effectiveness of therapy in each of seven treatment groups, determined by using a visual analog scale. Only 1 patient of those 9 experienced a decrease in tinnitus intensity; the rest saw no change.


The most effective treatment according to the age, tinnitus duration, and audiometric findings.
Many patients with positive tinnitus changes (according to the visual analog scale) experienced changes in quality of life, so the quality-of-life questionnaire should be used in further studies. L’historique L’historique du patient est realise sur la base d’un questionnaire qui est rempli lors de la premiere entrevue. Having benefited a bevy of sufferers, Tinnitus retraining therapy is one of the most practiced methods used to bring a significant change to the lives of patients bearing the brunt of tinnitus.
The therapy involves collecting thorough information about the patients, including their living habits and medical history.
The third significant step is to employ Psychological Therapy teaching by which the patient is guided to ignore the annoying tinnitus noise. The time taken for the completion of the therapy would vary widely from patient to patient. This treatment doesn't actually reduce the intensity of tinnitus symptoms or get rid of them. Treatments consisted of application of intravenous pentoxifylline, lidocaine, or vinpocetine (Cavinton) and combination of these agents with physiotherapy and soft laser. Guidelines for inclusion of each patient into an appropriate treatment group are still missing. All patients had previously been treated ineffectively by various oral drugs [betahistine (Betaserc), extract of Ginkgo biloba [EGb-761], tanakan [Tebokan], cinnarizine-dimenhydrinate (Arlevert)], or their combination] for at least 6 months. To those in the lidocaine group, we gave a daily intravenous infusion of 40 mg lidocaine hydrochloride plus 250 ml physiological saline for 10 days. According to audiometry, we had three subgroups: bilateral normal hearing, unilateral normal hearing, and bilateral hearing loss.
The output classification tree divided the patients into groups according to the metrics (Fig.
As we compared the groups of either Cavinton or lidocaine infusion alone with groups who received one of these agents combined with physiotherapy with or without soft laser, the effectiveness of combination therapy was assessed as being better. The combinations of lidocaine with RHB and with RHB plus soft laser were assessed by the classification tree as being effective for patients younger than 62 years who had tinnitus lasting for more than 15 months (Fig.
We hope that our outcomes will be helpful for patients suffering from chronic tinnitus, and we encourage our colleagues to undertake further research. Neuroprotective drug therapy: A medical and pharmacological treatment for tinnitus control. Glutamate antagonists, steroids and antioxidants as therapeutic options for hearing loss and tinnitus and the use of inner ear drug delivery system. Vinpocetine prevents 4-aminopyridine- induced changes in the EEG, the auditory brainstem responses and hearing. The inhibitory effect of intravenous lidocaine infusion on tinnitus after translabyrinthine removal of vestibular schwannoma: A double-blind, placebo-controlled, crossover study. Transmeatal cochlear laser (TCL) treatment of cochlear dysfunction: A feasibility study for chronic tinnitus. But the fact is that tinnitus retraining therapy cost is not that huge and it is within the reach of the middle class society.


Extraneous broadband noises are produced using the device which diverts the patient’s attention from tinnitus. This is an elaborate treatment which consists of stress management and exercises for deep relaxation. Rather the focus is on shifting the attention and making the patient inured to the tinnitus sound and the entire physical situation. But, with perseverance, focus, and cooperation from both the therapist and patient’s side, Tinnitus retraining therapy has been proved to be extremely beneficial, cost-effective, and relief providing. In our study, we evaluated some of the current treatment modalities to define the most effective for a certain group of patients.
The Cavinton-plus-physiotherapy (Cavinton-RHB) group received a daily intravenous infusion of 20 mg Cavinton plus 250 ml physiological saline, and oral Cavinton 2 Χ 10 mg, combined with physiotherapy (soft techniques, including temporomandibular joint massage), the entire procedure lasting 20 minutes once daily for 10 days. We crossed all boundaries that are created as a midpoint between all recorded numerical data on all metrics and sought maximized homogeneity.
1) treated by lidocaine (contains lidocaine infusion, lidocaine-RHB, and lidocaine-RHB-soft laser groups) or by Cavinton (contains Cavinton, Cavinton-RHB, and Cavinton-RHB-soft laser groups). Tinnitus retraining therapy is essentially a habituation therapy which helps tinnitus patients overcome their condition. This, certainly, promises better tinnitus relief as there will not be any side-effects due to drugs and other medications.
For all those who are suffering from tinnitus, this form of treatment is highly recommended. The aim of our study was to compare treatment modalities and define their effectiveness for tinnitus relief. For the Cavinton-RHB-soft laser group, we administered a daily intravenous infusion of 20 mg C Those in the lidocaine-RHB group were given a daily intravenous infusion of 40 mg lidocaine plus 250 ml physiological saline, combined with physiotherapy, for 10 days. When we finished dividing by all metrics (or when it was superfluous to continue with such division), we decided on classification of terminal leaf by the bayesian method.
We did not find any additional effect of soft laser, but we expect that the effect of soft laser on biostimulation cannot be observed during 10 days of therapy. This is called tinnitus retraining therapy, and it is as intensive and extensive as it sounds.
This method, tinnitus retraining therapy (TRT), uses a combination of low level, broad-band noise and counseling to achieve the habituation. To those patients in the lidocaine-RHB-soft laser group, a daily intravenous infusion of 40 mg lidocaine plus 250 ml physiological saline, combined with physiotherapy and soft laser (for softlaser specifications, see earlier in this paragraph), were given for 10 days.
None of the treatment modalities had an objective correlate of improvement, though improvement was reported by a visual analog scale.
Whether it be by the use of antibiotics and maskers to tinnitus retraining therapy to natural products which have caught the medical world off guard due to their success there is a way now to stop the ringing in your ears. Whether it be maskers or tinnitus retraining therapy or one of the holistic approaches that have quickly become the number one treatment choice.



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