CC BY-NC-ND 4.0 · Int Arch Otorhinolaryngol 2021; 25(02): e205-e212
DOI: 10.1055/s-0040-1713377
Original Research

Sound Generator: Analysis of the Effectiveness of Noise in the Habituation of Tinnitus

1   Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, SP, Brazil
,
1   Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, SP, Brazil
,
1   Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, SP, Brazil
,
1   Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, SP, Brazil
,
1   Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, SP, Brazil
› Author Affiliations

Abstract

Introduction Tinnitus is a disorder that affects 10 to 15% of de world's population. Sound therapy performed through hearing aids (HAs) with integrated sound generator (SG) is one of the forms of tinnitus treatment.

Objective To analyze the effectiveness of four masking noises in relieving tinnitus in individuals with mild and moderate bilateral sensorineural hearing loss and their influence in speech perception.

Methods The participants were 35 individuals with tinnitus and mild and moderate bilateral sensorineural hearing loss, divided into four groups. All groups underwent HA and SG adaptation, being regulated in the combined mode (HA and SG). In group 1 (G1), the white noise stimulus was applied, in group 2 (G2), pink noise was applied, in group 3 (G3), speech noise, and in group 4 (G4), the high tone was applied. All patients were subjected to the following procedures: audiological diagnosis, acuphenometry, tinnitus handicap inventory (THI), visual analogue scale (VAS), and hearing in noise test (HINT). The procedures were performed prior to and after hearing intervention, and after 3 months of use of HA and SG.

Results All groups presented a statistically significant difference for the THI, VAS, and HINT pre and postintervention. In the case of the HINT, only pink noise presented a significant difference. However, in the comparation among groups there was no significant difference.

Conclusion The present study made it possible to conclude that the four noises were equally effective in relieving tinnitus, with no statistically significant differences between the analyzed groups.



Publication History

Received: 18 July 2019

Accepted: 05 April 2020

Article published online:
23 June 2020

© 2020. Fundação Otorrinolaringologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 
  • References

  • 1 Savage J, Waddell A. Tinnitus. BMJ Clin Evid 2014; 2014: 11
  • 2 Shargorodsky J, Curhan GC, Farwell WR. Prevalence and characteristics of tinnitus among US adults. Am J Med 2010; 123 (08) 711-718
  • 3 Kochkin S, Tyler RS, Born J. Marke Trak VIII: The prevalence of tinnitus in the United States and the Self-reported efficacy of various treatments. Hear Rev. 2011; 18: 10-27
  • 4 Barros Suzuki FA, Suzuki FA, Yonamine FK, Onishi ET, Penido NO. Effectiveness of sound therapy in patients with tinnitus resistant to previous treatments: importance of adjustments. Rev Bras Otorrinolaringol (Engl Ed) 2016; 82 (03) 297-303
  • 5 Tunkel DE, Bauer CA, Sun GH. et al. Clinical practice guideline: tinnitus. Otolaryngol Head Neck Surg 2014; 151 (02) S1-S40
  • 6 Searchfield GD. Sound therapy options. In: Tyler R. The Consumer Handbook on Tinnitus. Sedona, Ariz: Auricle Ink Publisher; 2008
  • 7 Reavis KM, Rothholtz VS, Tang Q, Carroll JA, Djalilian H, Zeng FG. Temporary suppression of tinnitus by modulated sounds. J Assoc Res Otolaryngol 2012; 13 (04) 561-571
  • 8 Tyler RS, Noble W, Coelho CB, Ji H. Tinnitus retraining therapy: mixing point and total masking are equally effective. Ear Hear 2012; 33 (05) 588-594
  • 9 Powers L, Munhóes SG. Acoustic therapy for the treatment of tinnitus: A primer. Hear Rev 2015; 22 (06) 22
  • 10 Amorim RMC, Almeida Kd. Estudo do benefício e da aclimatização em novos usuários de próteses auditivas. Pro Fono 2007; 19 (01) 39-48
  • 11 Munro KJ, Lutman ME. The effect of speech presentation level on measurement of auditory acclimatization to amplified speech. J Acoust Soc Am 2003; 114 (01) 484-495
  • 12 Urnau D, Silva PAB, Seligman L. Influência do zumbido no índice percentual de reconhecimento de fala em pacientes normo-ouvintes. Int Arch Otorhinolaryngol 2010; 14 (04) 450-455
  • 13 Rocha AV, Mondelli MFCG. Aplicability of the real ear measurement for audiological intervention of tinnitus. Braz J Otothinolaryngol (Engl Ed) 2020; 86 (01) 14-22
  • 14 Tyler RS. Neurophysiological models, psychological models and treatments for tinnitus. In: Tyler RS. Tinnitus treatment: clinical protocols. New York: Thieme; 2006
  • 15 Paula Erika Alves F, Cunha F, Onishi ET, Branco-Barreiro FCA, Ganança FF. Tinnitus handicap inventory: adaptação cultural para o Português Brasileiro. Pro Fono 2005; 17 (03) 303-310
  • 16 Flynn D, van Schaik P, van Wersch A. A comparison of multi-item likert and visual analogue scales for the assessment of transactionally defined coping. Eur J Psychol Assess 2004; 20: 49-58
  • 17 Santos GM. A influência do gerador de som associado à amplificação convencional para o controle do zumbido: ensaio clínico cego randomizado (tese). São Paulo: Faculdade de Medicina; 2012. . Disponível em: http://www.teses.usp.br/teses/disponiveis/5/5143/tde-01112013-141148/pt-br.php
  • 18 Rocha AV, Mondelli MFCG. Sound generator associated with the counseling in the treatment of tinnitus: evaluation of the effectiveness. Rev Bras Otorrinolaringol (Engl Ed) 2017; 83 (03) 249-255
  • 19 Bevilacqua MC, Banhara MR, Da Costa EA, Vignoly AB, Alvarenga KF. The Brazilian Portuguese hearing in noise test. Int J Audiol 2008; 47 (06) 364-365
  • 20 Carrabba L, Coad G, Constantini M. et al. Combination open ear instrument for tinnitus sound treatment. Proceedings of the 3rd. Tinnitus Research Initiative Meeting from Clinical Practice to Basic Neuroscience and Back. Stresa, Italy, 25; 2009
  • 21 Burguetti FAR, Peloggia AG, Carvallo RMM. Limiares de audibilidade em altas frequências em indivíduos com queixa de zumbido. Int Arch Otorhinolaryngol 2004; 8: 4-6
  • 22 Carvallo RMM, Koga M, Ishida I. Limiares de audibilidade para altas frequências em adultos sem queixa auditiva. Acta AWHO. 2002; 21: 2
  • 23 Urnau D, Tochetto TM. Características do zumbido e da hiperacusia em indivíduos normo-ouvintes. Int Arch Otorhinolaryngol 2011; 15: 468-474
  • 24 Menezes P, Santos Filha VAV. Acufenometria: o resgate de um instrumento de avaliação do zumbido e sua correlação com perdas auditivas sensoriais. Rev Fono Br. 2005; 3: 1-4
  • 25 Pinto PCL, Sanchez TG, Tomita S. Avaliação da relação entre severidade do zumbido e perda auditiva, sexo e idade do paciente. Rev Bras Otorrinolaringol (Engl Ed) 2010; 76: 18-24
  • 26 Sweetow RW, Sabes JH. Effects of acoustical stimuli delivered through hearing aids on tinnitus. J Am Acad Audiol 2010; 21 (07) 461-473
  • 27 Parazzini M, Del Bo L, Jastreboff M, Tognola G, Ravazzani P. Open ear hearing aids in tinnitus therapy: An efficacy comparison with sound generators. Int J Audiol 2011; 50 (08) 548-553
  • 28 Oiticica J, Bittar RSM. Prevalência do zumbido na cidade de São Paulo. Rev Bras Otorrinolaringol (Engl Ed) 2015; 81: 167-176
  • 29 Wazen JJ, Daugherty J, Pinsky K. et al. Evaluation of a customized acoustical stimulus system in the treatment of chronic tinnitus. Otol Neurotol 2011; 32 (04) 710-716
  • 30 Mondelli MFCG, Argentim JP, Rocha AV. Correlation between speech perception and tinnitus before and after the use of hearing aids. Audiol Commun Res 2016; 21: e1649
  • 31 Landgrebe M, Azevedo A, Baguley D. et al. Methodological aspects of clinical trials in tinnitus: a proposal for an international standard. J Psychosom Res 2012; 73 (02) 112-121
  • 32 Nascimento IDP. Relação entre o Tinnitus Handicap Invetory, acufenometria e avaliação visual analógica na avaliação do zumbido. Dissertação. Universidade Federal da Paraíba; 2015
  • 33 Figueiredo RR, Azevedo AA, Oliveira PM. Análise da correlação entre a escala visual-análoga e o Tinnitus Handicap Inventory na avaliação de pacientes com zumbido. Rev Bras Otorrinolaringol (Engl Ed) 2009; 75: 76-79
  • 34 Henning TR, Costa MJ, Urnau D, Becker KT, Schuster LC. Reconhecimento de fala de indivíduos normo-ouvintes com zumbido e hiperacusia. Int Arch Otorhinolaryngol 2011; 15: 21-28
  • 35 Moon IJ, Won JH, Kang HW, Kim DH, An YH, Shim HJ. Influence of tinnitus on auditory spectral and temporal resolution and speech perception in tinnitus patients. J Neurosci 2015; 35 (42) 14260-14269
  • 36 Gilles A, Schlee W, Rabau S, Wouters K, Fransen E, Van de Heyning P. Decreased speech-in-noise understanding in young adults with tinnitus. Front Neurosci 2016; 10: 288
  • 37 Zhou J, Liu D, Li X, Ma J, Zhang J, Fang J. Pink noise: effect on complexity synchronization of brain activity and sleep consolidation. J Theor Biol 2012; 306: 68-72
  • 38 Noreña AJ. An integrative model of tinnitus based on a central gain controlling neural sensitivity. Neurosci Biobehav Rev 2011; 35 (05) 1089-1109
  • 39 Filho SN, Dalcastagnê AL. Geração de ruído rosa a partir do ruído branco. Seminário Brasileiro de Engenharia de Audio. UFMG; 2002
  • 40 Chisolm TH, Willott JF, Lister JJ. The aging auditory system: anatomic and physiologic changes and implications for rehabilitation. Int J Audiol 2003; 42 (02) (Suppl. 02) S3-S10
  • 41 Veras RP, Mattos LC. Audiologia do envelhecimento: revisão da literatura e perspectivas atuais. Rev Bras Otorrinolaringol (Engl Ed) 2007; 73: 128-134
  • 42 Edwards B. The distortion of auditory perception by sensioneural hearing impairment. AudiologyOnline. 2003 In: http://www.audiologyonline.com/articles_detail.asp?article_id=412
  • 43 Araújo TdeM, Iório MCM. Effect of sound amplification in speech perception in elderly with and without tinnitus. CoDAS 2015; 27 (04) 319-325
  • 44 Kaya KH, Karaman Koç A, Sayın İ. et al. Etiological classification of presbycusis in Turkish population according to audiogram configuration. Kulak Burun Bogaz Ihtis Derg 2015; 25 (01) 1-8
  • 45 Killion MC. New thinking on hearing in noise: a generalized articulation index. Semin Hear 2002; 23: 57-75
  • 46 Hoare DJ, Adjamian P, Sereda M, Hall DA. Recent technological advances in sound-based approaches to tinnitus treatment: a review of efficacy considered against putative physiological mechanisms. Noise Health 2013; 15 (63) 107-116