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She showed that the somatosensory neurons interact with the nucleus even more acutely after deafness, likely to compensate for the conventional cochlea input. [ 7 ] [ 8 ] The increase in somatosensory excitations (activity in the fusiform cells) can result in the development of tinnitus , a condition that impacts around 15% of Americans. [ 9 ]
Tinnitus retraining therapy, a treatment originally used to treat tinnitus, uses broadband noise to treat hyperacusis. Pink noise can also be used to treat hyperacusis. By listening to broadband noise at soft levels for a disciplined period of time each day, some patients can rebuild (i.e., re-establish) their tolerances to sound.
Since the inner ear is not directly accessible to instruments, identification is by patient report of the symptoms and audiometric testing. Of those who present to their doctor with sensorineural hearing loss, 90% report having diminished hearing, 57% report having a plugged feeling in ear, and 49% report having ringing in ear ().
The best-supported treatment for tinnitus is cognitive behavioral therapy (CBT). [5] [84] [102] It decreases the stress those with tinnitus feel. [103] This appears to be independent of any effect on depression or anxiety. [102] Acceptance and commitment therapy (ACT) also shows promise in the treatment of tinnitus. [104] Relaxation techniques ...
Tinnitus activities treatment (TAT) is a clinical adaptation of TRT that focuses on four areas: thoughts and emotions, hearing and communication, sleep, and concentration. [13] Progressive tinnitus management (PTM) is a five-step structured clinical protocol for management of tinnitus that may include tinnitus retraining therapy. The five steps ...
Treatment of diplacusis includes a full medical and audiological examination that may explain the nature of the problem. If needed, amplification may relieve the symptoms of diplacusis. Therapy in helping the patient understand the cause of the symptom and tinnitus retraining may provide some relief.
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