Impact of cochlear implantation on the subjective assessment of tinnitus

Authors

DOI:

https://doi.org/10.34631/sporl.2052

Keywords:

Adults, Cochlear implant, THI, Tinnitus

Abstract

Goals: Tinnitus is a frequent and disabling symptom. It has a prevalence of 85% in patients’ candidates to cochlear implant (CI) placement. In sensorineural hearing loss, the cochlear damage involved may be a triggering factor for its appearance. The main goal of this study was to determine the impact of cochlear implant placement on tinnitus complaints.
Material and Methods: Prospective study that included 35 patients with bilateral severe or profound sensorineural hearing loss with complaints of bilateral tinnitus submitted to unilateral cochlear implant placement between January and September of 2022. All patients answered preoperatively and 3 months after CI placement to the Tinnitus Handicap Inventory. The severity of tinnitus was also defined.
Results: the preoperative total mean THI result was 40.2 ± 32.2 points. 3 months after surgery, there was a decrease in the average of the final result (12.06±23.5) and in all its subcategories. The difference in mean was statistically significant between pre and postoperative periods (p < 0.05); in 16 of the 35 patients there was a complete resolution of the tinnitus and only one had a worsening.
Conclusions: our study showed an improvement in tinnitus in most patients with unilateral CI placement and a resolution in almost half of them.

References

Izuhara K, Wada K, Nakamura K, Tamai Y, Tsuji M, Ito Y. et al. Association between tinnitus and sleep disorders in the general Japanese population. Ann Otol Rhinol Laryngol. 2013 Nov;122(11):701-6. doi: 10.1177/000348941312201107.

Quaranta N, Wagstaff S, Baguley DM. Tinnitus and cochlear implantation. Int J Audiol. 2004 May;43(5):245-51. doi: 10.1080/14992020400050033.

Assouly KKS, van Heteren JAA, Stokroos RJ, Stegeman I, Smit AL. Cochlear implantation for patients with tinnitus – a systematic review. Prog Brain Res. 2021;260:27-50. doi: 10.1016/bs.pbr.2020.06.013.

Assouly KKS, Smit AL, Eikelboom RH, et al. Analysis of a cochlear implant database: changes in tinnitus prevalence and distress after cochlear implantation. Trends Hear. 2022 Jan-Dec;26:23312165221128431. doi: 10.1177/23312165221128431.

Yang J, Song J, Zhao X, Pang C, Cong N, Han Z. Restoration of deafferentation reduces tinnitus, anxiety, and depression: a retrospective study on cochlear implant patients. Neural Plast. 2021 Jun 24;2021:6678863. doi: 10.1155/2021/6678863.

Vallés-Varela H, Royo-López J, Carmen-Sampériz L, Sebastián-Cortés JM, Alfonso-Collado I. El implante coclear como tratamiento del acúfeno. Acta Otorrinolaringol Esp. 2013 Jul-Aug;64(4):253-7. doi: 10.1016/j.otorri.2012.11.008.

Mikkelsen KS, Ovesen T, Swan CZ. Pre-and post-operative dizziness, tinnitus, and taste disturbances among cochlear implant recipients. J Laryngol Otol. 2017 Apr;131(4):309-315. doi: 10.1017/S0022215116010008.

Assouly K, Smit AL, Stegeman I, Rhebergen KS, Van Dijk B, Stokroos R. Cochlear implantation for tinnitus in adults with bilateral hearing loss: protocol of a randomised controlled trial. BMJ Open. 2021 May 18;11(5):e043288. doi: 10.1136/bmjopen-2020-043288.

Hsieh WH, Huang WT, Lin HC. Investigation of the effect of cochlear implantation on tinnitus, and its associated factors. Acta Otolaryngol. 2020 Jun;140(6):497-500. doi: 10.1080/00016489.2020.1736338.

Ahmed MFM, Khater A. Tinnitus suppression after cochlear implantation in patients with single-sided deafness. Egypt J Otolaryngol. 2017;33(1):61-66. doi:10.4103/1012-5574.199404

Perreau A, Tyler R, Mancini PC. Programming a cochlear implant for tinnitus suppression. J Am Acad Audiol. 2020 Apr;31(4):302-308. doi: 10.3766/jaaa.18086.

Oliveira V, Meneses R. Balanço da utilização da versão portuguesa do Tinnitus Handicap Inventory (THI) [Internet]. Disponível em: https://recipp.ipp.pt/bitstream/10400.22/1922/4/PTE_VascoOliveira_2011.pdf

Ferreira PÉA, Cunha F, Onishi ET, Branco-Barreiro FCA, Ganança FF. Tinnitus handicap inventory: adaptação cultural para o Português brasileiro. Pró-Fono R. Atual. Cient. 2005;17(3):303-310. doi:10.1590/s0104-56872005000300004.

McCombe A, Baguley D, Coles R, McKenna L, McKinney C, Windle-Taylor P. Guidelines for the grading of tinnitus severity: the results of a working group commissioned by the British Association of Otolaryngologists, Head and Neck Surgeons, 1999. Clin Otolaryngol Allied Sci. 2001 Oct;26(5):388-93. doi: 10.1046/j.1365-2273.2001.00490.x.

Kloostra FJJ, Verbist J, Hofman R, Free RH, Arnold R, Van Dijk P. A prospective study of the effect of cochlear implantation on tinnitus. Audiol Neurootol. 2018;23(6):356-363. doi: 10.1159/000495132.

Poncet-Wallet C, Mamelle E, Godey B, Truy E, Guevara N, Ardoint M. et al. Prospective multicentric follow-up study of cochlear implantation in adults with single-sided deafness: tinnitus and audiological outcomes. Otol Neurotol. 2020 Apr;41(4):458-466. doi: 10.1097/MAO.0000000000002564.

Kompis M, Pelizzone M, Dillier N, Allum J, Demin N, Senn P. Tinnitus before and 6 months after cochlear implantation. Audiol Neurootol. 2012;17(3):161-8. doi: 10.1159/000335126.

Ramakers GGJ, Van Zon A, Stegeman I, Grolman W. The effect of cochlear implantation on tinnitus in patients with bilateral hearing loss: a systematic review. Laryngoscope. 2015 Nov;125(11):2584-92. doi: 10.1002/lary.25370.

Pan T, Tyler RS, Ji H, Coelho C, Gehringer AK, Gogel SA. Changes in the tinnitus handicap questionnaire after cochlear implantation. Am J Audiol. 2009 Dec;18(2):144-51. doi: 10.1044/1059-0889(2009/07-0042).

Kim DK, Bae SC, Park KH, Jun BC, Lee DH, Yeo SW. et al. Tinnitus in patients with profound hearing loss and the effect of cochlear implantation. Eur Arch Otorhinolaryngol. 2013 May;270(6):1803-8. doi: 10.1007/s00405-012-2193-2.

Olze H, Szczepek AJ, Haupt H, Förster U, Zirke N, Gräbel S. et al. Cochlear implantation has a positive influence on quality of life, tinnitus, and psychological comorbidity. Laryngoscope. 2011 Oct;121(10):2220-7. doi: 10.1002/lary.22145.

Published

2023-11-06

How to Cite

Azevedo, S., Casanova , M. J., Leal, R., Lino, J., Coutinho, M., & Meireles, L. (2023). Impact of cochlear implantation on the subjective assessment of tinnitus. Portuguese Journal of Otorhinolaryngology and Head and Neck Surgery, 61(3), 315–320. https://doi.org/10.34631/sporl.2052