Download PDF
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

Maria Fernanda Capoani Garcia Mondelli 
1   Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, SP, Brazil
,
Aline Faure Cabreira 
1   Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, SP, Brazil
,
Izabella Lima de Matos 
1   Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, SP, Brazil
,
Maria Carolina Ferreira 
1   Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, SP, Brazil
,
Andressa Vital Rocha 
1   Faculdade de Odontologia de Bauru, Universidade de São Paulo, Bauru, SP, Brazil
› Author Affiliations
› Further Information
Also available at
   Permissions and Reprints

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.

Keywords

tinnitus - hearing loss - hearing aids


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
    Google Scholar
  • 2 Shargorodsky J, Curhan GC, Farwell WR. Prevalence and characteristics of tinnitus among US adults. Am J Med 2010; 123 (08) 711-718
    CrossrefPubMedGoogle Scholar
  • 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
    Google Scholar
  • 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
    Google Scholar
  • 5 Tunkel DE, Bauer CA, Sun GH. et al. Clinical practice guideline: tinnitus. Otolaryngol Head Neck Surg 2014; 151 (02) S1-S40
    CrossrefPubMedGoogle Scholar
  • 6 Searchfield GD. Sound therapy options. In: Tyler R. The Consumer Handbook on Tinnitus. Sedona, Ariz: Auricle Ink Publisher; 2008
    Google Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 9 Powers L, Munhóes SG. Acoustic therapy for the treatment of tinnitus: A primer. Hear Rev 2015; 22 (06) 22
    Google Scholar
  • 10 Amorim RMC, Almeida Kd. Estudo do benefício e da aclimatização em novos usuários de próteses auditivas. Pro Fono 2007; 19 (01) 39-48
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    Google Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 14 Tyler RS. Neurophysiological models, psychological models and treatments for tinnitus. In: Tyler RS. Tinnitus treatment: clinical protocols. New York: Thieme; 2006
    Google Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefGoogle Scholar
  • 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
    Google Scholar
  • 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
    Google Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    PubMedGoogle Scholar
  • 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
    Google Scholar
  • 22 Carvallo RMM, Koga M, Ishida I. Limiares de audibilidade para altas frequências em adultos sem queixa auditiva. Acta AWHO. 2002; 21: 2
    Google Scholar
  • 23 Urnau D, Tochetto TM. Características do zumbido e da hiperacusia em indivíduos normo-ouvintes. Int Arch Otorhinolaryngol 2011; 15: 468-474
    Google Scholar
  • 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
    Google Scholar
  • 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
    Google Scholar
  • 26 Sweetow RW, Sabes JH. Effects of acoustical stimuli delivered through hearing aids on tinnitus. J Am Acad Audiol 2010; 21 (07) 461-473
    Article in Thieme ConnectPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 28 Oiticica J, Bittar RSM. Prevalência do zumbido na cidade de São Paulo. Rev Bras Otorrinolaringol (Engl Ed) 2015; 81: 167-176
    Google Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    Google Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 32 Nascimento IDP. Relação entre o Tinnitus Handicap Invetory, acufenometria e avaliação visual analógica na avaliação do zumbido. Dissertação. Universidade Federal da Paraíba; 2015
    Google Scholar
  • 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
    CrossrefGoogle Scholar
  • 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
    Google Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 38 Noreña AJ. An integrative model of tinnitus based on a central gain controlling neural sensitivity. Neurosci Biobehav Rev 2011; 35 (05) 1089-1109
    CrossrefPubMedGoogle Scholar
  • 39 Filho SN, Dalcastagnê AL. Geração de ruído rosa a partir do ruído branco. Seminário Brasileiro de Engenharia de Audio. UFMG; 2002
    Google Scholar
  • 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
    CrossrefGoogle Scholar
  • 41 Veras RP, Mattos LC. Audiologia do envelhecimento: revisão da literatura e perspectivas atuais. Rev Bras Otorrinolaringol (Engl Ed) 2007; 73: 128-134
    CrossrefGoogle Scholar
  • 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
    PubMedGoogle Scholar
  • 43 Araújo TdeM, Iório MCM. Effect of sound amplification in speech perception in elderly with and without tinnitus. CoDAS 2015; 27 (04) 319-325
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 45 Killion MC. New thinking on hearing in noise: a generalized articulation index. Semin Hear 2002; 23: 57-75
    Article in Thieme ConnectGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar