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10.01.2014
A) Tinnitus Treatment: The aim of the inquiry was to find out the patients subjective degree of long-term wellbeing after the treatment of different symptoms with LLLT. B) Tinnitus Treatment: The data was gained by forwarding 780 inquiry forms in October 1999 to the patients of Dr. C) Tinnitus Treatment: 204 (26,2%) filled out inquiry forms were sent back by 123 female and 81 male patients.
Lutz Wilden, specialist in tinnitus treatment, Bad Fussing whose last treatment took place at least 6 months ago or more.
They also confirm the close relation between the therapeutic success and the age of the patients and the duration of the disease. Moreover, no statistically relevant differences between laser and placebo group could be found. Subject of the inquiry were: symptoms and duration of the disease before the treatment with LLLT, age, sexe and the subjective effect of the treatment on a scale of four different degrees (1= no amelioration, 2= temporary amelioration, 3= lasting amelioration and 4 = no more symptoms of disease).
399 (86,9%) of them were inner ear diseases, 60 patients ( 13,1 %) named other diseases, mainly skin, joint and muscle complaints. The improvement of the results by means of a supplementary home laser treatment allows the conclusion that LLLL can lead to further ameliorations if certain (high) doses are continuously being administered over a given period of time. We conclude that medium-level laser therapy cannot be regarded as an effective treatment of chronic tinnitus in our therapy regime considering the limited number of patients included in our study.1.
IntroductionThe treatment of chronic tinnitus often leads to frustration both on the side of the patient and the therapist.
Due to the subjective perception of the patients long-term amelioration or total freedom of complaints could be achieved through LLLT with 53,9% of all symptoms ( with addional home-laser-treatment even with 66,3%).
The lack of an efficient medical or surgical cure has prompted researchers to seek novel treatments though.
This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.AbstractThe purpose of this study was to evaluate the effect of medium-level laser therapy in chronic tinnitus treatment. In recent years health professionals went on to use laser devices with medium power (about 450 mW) and enhanced both time and frequency of laser exposition aiming at depositing a total laser energy of 30 to 80 times compared to the earlier studies.
Parnes, “Current concepts in the clinical management of patients with tinnitus,” European Archives of Oto-Rhino-Laryngology, vol. For those settings there are no research data at all, to the best of our knowledge (as of July 2005). Specifically, cerebral effects of laser irradiation on the cochlea could be quantitatively determined in fMRI [26] and in a recent animal study [27]. The main outcome was measured using the Goebel tinnitus questionnaire, visual analogue scales measuring the perceived loudness of tinnitus, the annoyance associated with tinnitus, and the degree of attention paid to tinnitus as well as psycho-acoustical matches of tinnitus pitch and loudness. It is the aim of this study to evaluate the effect of medium-level laser therapy (MLLT) in chronic tinnitus in a randomized, placebo-controlled double-blind design.


SubjectsForty-eight patients (23 women, 25 men) suffering from chronic tinnitus (history more than 6 months) were recruited consecutively at the Ear, Nose, and Throat Department of the Innsbruck Medical University between June, 2002 and March, 2004 and were randomly assigned to either therapy group A or B. Ernst, “Cochlear-motor, transduction and signal-transfer tinnitus: models for three types of cochlear tinnitus,” European Archives of Oto-Rhino-Laryngology, vol. Pre- and Posttreatment EvaluationsIn this placebo-controlled double-blind setting, 22 subjects were randomly allocated to the active laser treatment (group B) and 25 to a placebo treatment (group A). Before laser therapy the subjects underwent an ENT examination, an audiometric assessment (including pure tone audiometry, stapedial reflexes, middle ear pressure measurement as well as tinnitus pitch and loudness matches), and an assessment of the severity of tinnitus by means of the Goebel tinnitus questionnaire [28] and visual analogue scales (VAS) measuring the perceived loudness of tinnitus, the annoyance associated with tinnitus and the degree of attention paid to tinnitus [25].
Furthermore, blood tests were done (total cholesterol, HDL, LDL and triglycerides) to examine a hypothetic connection between laser treatment and cholesterol levels. Eggermont, “On the pathophysiology of tinnitus; a review and a peripheral model,” Hearing Research, vol. Treatment SettingThe laser treatment consisted of twelve 30-minute sessions over a period of four weeks (three times a week).
They could listen to relaxing background music to mask the beeping noise of the laser device. During laser exposure, the subjects were lying supinely on a couch with a pillow, wearing a pair of laser protective goggles (Figure 1), which were also used by the attending physician.
Tillfors, “Regional cerebral blood flow during tinnitus: a PET case study with lidocaine and auditory stimulation,” Acta Oto-Laryngologica, vol. If patients had bilateral tinnitus, the side with the higher tinnitus loudness match was treated. Without technical means the involved staff could not determine which unit was the placebo one.
We used the transmeatal approach (the beam was aimed at the acoustic meatus towards the tympanic membrane) as in some studies before [18, 20, 22, 25].
Other researchers preferred the transtemporal approach [19, 23], but we found out in an earlier laboratory experiment that the transmeatal approach yields higher light intensities (although within the order of magnitude of nW) medially to the inner ear [29]. The probes were randomly coded (groups A and B) by a technician not involved in the study to ensure the double-blind design. The laser power was measured in regular intervals (biweekly by the technician) to guarantee the constancy of delivered power.
The data analysed were total tinnitus score (Goebel and Hiller [28]) as well as the subdivisions of psychological strain, penetrance of tinnitus, hearing problems, sleeping impairment, and somatic impact.Furthermore, loudness, annoyance, attention, sleeping disorders, and somatic complaints were measured with the visual analogue scale (VAS). Hazell, “A neurophysiological approach to tinnitus: clinical implications,” British Journal of Audiology, vol.
Jastreboff, “Tinnitus retraining therapy (TRT) as a method for treatment of tinnitus and hyperacusis patients,” Journal of the American Academy of Audiology, vol.
Arnold, “Effect of hyperbaric oxygen therapy in comparison to conventional or placebo therapy or no treatment in idiopathic sudden hearing loss, acoustic trauma, noise-induced hearing loss and tinnitus.


Morrison, “Botulinum toxin treatment of essential palatal myoclonus tinnitus,” Journal of Otolaryngology, vol. Goldstein, “GABAA-benzodiazepine-chloride receptor-targeted therapy for tinnitus control: preliminary report,” International Tinnitus Journal, vol. Walker, “Relief from chronic pain by low power laser irradiation,” Neuroscience Letters, vol. Mason, “Successful management of female office workers with repetitive stress injury or carpal tunnel syndrome by application of low level laser,” International Journal of Clinical Pharmacology and Therapeutics, vol.
Dindinger, “Treatment of chronic diseases in the inner ear with low level laser therapy,” Laser Therapy, vol. Olivier, “Results of combined low-power laser therapy and extracts of Ginkgo biloba in cases of sensorineural hearing loss and tinnitus,” Advances in Oto-Rhino-Laryngology, vol. Schorn, “Transmeatal cochlear laser (TCL) treatment of cochlear dysfunction: a feasibility study for chronic tinnitus,” Lasers in Medical Science, vol. Haala et al., “Neural correlates of transmeatal cochlear laser (TCL) stimulation in healthy human subjects,” Neuroscience Letters, vol. Raman, “The effectiveness of transmeatal low-power laser stimulation in treating tinnitus,” European Archives of Oto-Rhino-Laryngology, 2013.
Hiller, “Verhaltensmedizinische Diagnostik bei chronischem Tinnitus mit Hilfe eines Tinnitus-Fragebogens (TF),” Diagnostica, vol. Schindler, Is the Treatment of Tinnitus with Laser Senseful?Annual meeting of the Austrian Society for Medical Physics, 2002. Rees, “Placebo effects in tinnitus management,” Otolaryngology—Head and Neck Surgery, vol. Abtahi, “Low-level laser for treatment of tinnitus: a self-controlled clinical trial,” Journal of Research in Medical Sciences, vol.
Bussi, “Transmeatal low-level laser therapy for chronic tinnitus with cochlear dysfunction,” Audiology and Neurotology, vol.
Poyrazoglu, “Effectiveness of transmeatal low power laser irradiation for chronic tinnitus,” Journal of Laryngology and Otology, vol. Bener, “Low-level laser therapy in patients with complaints of tinnitus: a clinical study,” ISRN Otolaryngology, vol.



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