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Tinnitus
Published in Stavros Hatzopoulos, Andrea Ciorba, Mark Krumm, Advances in Audiology and Hearing Science, 2020
Where the patients are exposed to an external sound that partially or completely covers the sound of their tinnitus. Tinnitus masking can be done using hearing-aid-like devices that are especially programmed. However, any background, low intensity sound—as long as it is not unpleasant to the patient—may serve as tinnitus masker. The sound of electrical fun, radio, or even low-volume (or far away) vacuum cleaner can mask tinnitus sound. My good friend, Natan Bauman, who has his audiology offices in Connecticut, advices his patients to listen to running water (very effective and inexpensive).
Congenital Middle Ear Abnormalities
Published in John C Watkinson, Raymond W Clarke, Christopher P Aldren, Doris-Eva Bamiou, Raymond W Clarke, Richard M Irving, Haytham Kubba, Shakeel R Saeed, Paediatrics, The Ear, Skull Base, 2018
Unilateral cases are less well defined in terms of best management. In the presence of ipsilateral tinnitus, amplification may act as a tinnitus masker. A hearing aid may improve the patient’s hearing performance in background noise and optimize sound localization. The positive benefits need to be weighed against the potential morbidity of a conventional hearing aid, which includes the occlusion effect, otitis externa and the body image issues involved in wearing hearing aids, particularly among children and adolescents.
Sustained reduction of tinnitus several years after sequential cochlear implantation
Published in International Journal of Audiology, 2022
Arne K. Rødvik, Marte Myhrum, Evelina L. A. Larsson, Eva-Signe Falkenberg, Kari J. Kværner
The tinnitus suppressing effect of CIs has been compared with the functionality of a tinnitus masker, which is provided to individuals with normal hearing or mild to moderate hearing loss to either ‘drown’ the tinnitus with other sounds or facilitate the habituation. Other explanations for the tinnitus-suppressing effect of CI stimulation include the direct electrical stimulation of the cochlear nerve and the reorganisation of the central auditory pathways and associative cerebral areas. It is also possible that the implantation surgery itself has a tinnitus-reducing effect, due to the positive expectations of the patients regarding receiving a CI (Bovo, Ciorba, and Martini 2011). The latter is in line with the neurophysiological explanation of tinnitus, which states that stress and negative events in a person’s life may activate the limbic and autonomic nervous systems and create negative emotions that can trigger the tinnitus annoyance, while positive events may do the opposite.