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Hörverbessernde Maßnahmen als integraler Bestandteil einer erfolgreichen Tinnitusbehandlung

Interventions against hearing loss are an integral component of successful tinnitus therapy. German version

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Zusammenfassung

Ein Tinnitus entwickelt sich sehr häufig aus oder im Gefolge einer akuten oder chronischen Hörminderung. Diese wiederum ist fast immer innenohrbedingt. Die Frequenz des Ohrgeräuschs entspricht dabei zumeist dem Frequenzbereich des Hörverlusts und resultiert neben Hinwendungs- und gezielter Aufmerksamkeitsreaktion auf das Störgeräusch aus einer Herunterregulation der Inhibition für diese Frequenzen in der zentralen Hörbahn. Hörverbessernde Maßnahmen wie Mittelohroperationen oder besonders ein apparativer Ausgleich der Schwerhörigkeit durch Hörgeräte oder ein Cochleaimplantat (CI) haben daher auch für die Behandlung von Ohrgeräuschen eine wichtige Bedeutung. In der vorliegenden Übersicht werden die Empfehlungen der aktuellen S3-Leitlinie „Chronischer Tinnitus“ und die entsprechende aktuellere Literatur erörtert.

Abstract

Tinnitus very often develops from acute or chronic hearing loss, mainly inner ear deafness. The frequency of the tinnitus mostly corresponds to the frequency range of the hearing loss and is enhanced by down-regulation of inhibition in the central auditory pathway for these frequencies, in addition to focused attention and enhanced arousal for the disturbing sound. Therefore, interventions to improve hearing such as mid-ear surgery or—more often—electronic devices including hearing aids or cochlear implants (CI) are important for the treatment of tinnitus. In this review, the current German S3 guideline “Chronic tinnitus” and recent literature are discussed.

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Literatur

  1. Assouly KKS, Van Heteren JA, Stokroos RJ et al (2021) Cochlear implantation for patients with tinnitus—A systematic review. Prog Brain Res 260:27–50

    Article  PubMed  Google Scholar 

  2. Atef RZ, Michalowsky B, Raedke A et al (2023) Impact of hearing aids on progression of cognitive decline, depression, and quality of life among people with cognitive impairment and dementia. J Alzheimers Dis 92(2):629–638

    Article  PubMed  Google Scholar 

  3. Attarha M, Bigelow J, Merzenich MM (2018) Unintended consequences of white noise therapy for Tinnitus-otolaryngology’s cobra effect: a review. JAMA Otolaryngol Head Neck Surg 144:938–943

    Article  PubMed  Google Scholar 

  4. Awmf (2021) Leitlinie Tinnitus. Leitlinien der Dt. Ges. f. Hals-Nasen-Ohren-Heilkunde, Kopf- und Halschirurgie Leitlinie 017/064:1–108

  5. Beyrau D, Schaaf H, Hesse G (2018) Neuro-otology counseling for patients with chronic tinnitus. Laryngorhinootologie 92(2):629–638

    Google Scholar 

  6. Borges ALF, Duarte P, Almeida RBS et al (2021) Cochlear implant and tinnitus—a meta-analysis. Braz J Otorhinolaryngol 87:353–365

    Article  PubMed  Google Scholar 

  7. Hesse G (2016) Evidence and lack of evidence in the treatment of Tinnitus. Laryngorhinootologie 95:S155–S191

    Article  PubMed  Google Scholar 

  8. Hesse G (2015) Tinnitus. Thieme, Stuttgart

    Google Scholar 

  9. Hesse G, Schaaf H (2012) Manual der Hörtherapie. Thieme, Stuttgart

    Book  Google Scholar 

  10. Hoare D, Stacey P, Hall D (2010) The efficacy of auditory perceptual training for Tinnitus: a systematic review. Ann Behav Med 40:313–324

    Article  PubMed  Google Scholar 

  11. Hoare DJ, Edmondson-Jones M, Sereda M et al (2014) Amplification with hearing aids for patients with tinnitus and co-existing hearing loss. Cochrane Database Syst Rev. https://doi.org/10.1002/14651858.CD010151.pub2

    Article  PubMed  Google Scholar 

  12. Hoppe U, Hesse G (2017) Hörgeräte: Indikationen, Technologie, Anpassung und Qualitätskontrolle. Laryngorhinootologie 96:S43–S65

    Article  PubMed  Google Scholar 

  13. Joergensen ML, Hyvarinen P, Caporali S et al (2022) Broadband amplification as Tinnitus treatment. Brain Sci 12(6):719

    Article  PubMed  PubMed Central  Google Scholar 

  14. Kikidis D, Vassou E, Markatos N et al (2021) Hearing aid fitting in Tinnitus: a scoping review of methodological aspects and effect on Tinnitus distress and perception. J Clin Med 10(13):2896

    PubMed  PubMed Central  Google Scholar 

  15. Knipper M, Van Dijk P, Schulze H et al (2020) The neural bases of Tinnitus: lessons from deafness and cochlear implants. J Neurosci 40:7190–7202

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  16. Mazurek B, Hesse G, Dobel C et al (2022) Clinical practice guideline: chronic Tinnitus-diagnosis and treatment. Dtsch Ärztebl Int 119(13):219–225

    PubMed  PubMed Central  Google Scholar 

  17. Moffat G, Adjout K, Gallego S et al (2009) Effects of hearing aid fitting on the perceptual characteristics of tinnitus. Hear Res 254:82–91

    Article  CAS  PubMed  Google Scholar 

  18. Pienkowski M (2018) Rationale and efficacy of sound therapies for Tinnitus and hyperacusis. Neuroscience 407:120–134

    Article  PubMed  Google Scholar 

  19. Roberts LE, Salvi R (2019) Overview: hearing loss, Tinnitus, hyperacusis, and the role of central gain. Neuroscience 407:1–7

    Article  CAS  PubMed  Google Scholar 

  20. Searchfield GD, Kaur M, Martin WH (2010) Hearing aids as an adjunct to counseling: tinnitus patients who choose amplification do better than those that don’t. Int J Audiol 49:574–579

    Article  PubMed  Google Scholar 

  21. Sedley W (2019) Tinnitus: does gain explain? Neuroscience 407:213–228

    Article  CAS  PubMed  Google Scholar 

  22. Sereda M, Xia J, El Refaie A et al (2018) Sound therapy (using amplification devices and/or sound generators) for tinnitus. Cochrane Database Syst Rev. https://doi.org/10.1002/14651858.CD013094.pub2

    Article  PubMed  PubMed Central  Google Scholar 

  23. Sheppard A, Liu X, Alkharabsheh A et al (2019) Intermittent low-level noise causes negative neural gain in the inferior colliculus. Neuroscience 407:135–145

    Article  CAS  PubMed  Google Scholar 

  24. Suzuki N, Shinden S, Oishi N et al (2021) Effectiveness of hearing aids in treating patients with chronic tinnitus with average hearing levels of 〈30 dBHL and no inconvenience due to hearing loss. Acta Otolaryngol 141:773–779

    Article  CAS  PubMed  Google Scholar 

  25. Trotter M, Donaldson I (2008) Hearing aids and tinnitus therapy: a 25-year experience. J Laryngol Otol 20:1–5

    Google Scholar 

  26. Ueno M, Shinden S, Oishi N et al (2022) Effects of hearing aids in patients with unilateral tinnitus with acquired ipsilateral sensorineural hearing loss. Ear Nose Throat. J. https://doi.org/10.1177/01455613221112346

    Article  Google Scholar 

  27. Waechter S, Jonsson A (2022) Hearing aids mitigate Tinnitus, but does it matter if the patient receives amplification in accordance with their hearing impairment or not? A meta-analysis. Am J Audiol 31:789–818

    Article  PubMed  Google Scholar 

  28. Yakunina N, Lee WH, Ryu YJ et al (2019) Tinnitus suppression effect of hearing aids in patients with high-frequency hearing loss: a randomized double-blind controlled trial. Otol Neurotol 40:865–871

    Article  PubMed  Google Scholar 

  29. Zarenoe R, Hallgren M, Andersson G et al (2017) Working memory, sleep, and hearing problems in patients with Tinnitus and hearing loss fitted with hearing aids. J Am Acad Audiol 28:141–151

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Ohr- und Hörinstitut und Tinnitus-Klinik, Krankenhaus Bad Arolsen, Große Allee 50, 34454, Bad Arolsen, Deutschland

    Gerhard Hesse & Georg Kastellis

  2. Universität Witten-Herdecke, Witten, Deutschland

    Gerhard Hesse

Authors
  1. Gerhard Hesse
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  2. Georg Kastellis
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Correspondence to Gerhard Hesse.

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Interessenkonflikt

G. Hesse und G. Kastellis geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

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Hesse, G., Kastellis, G. Hörverbessernde Maßnahmen als integraler Bestandteil einer erfolgreichen Tinnitusbehandlung. HNO 71, 656–661 (2023). https://doi.org/10.1007/s00106-023-01333-7

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