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Neuromonics is a patented treatment for tinnitus that combines acoustic stimulation with cognitive-behavioural therapy to provide relief for people suffering from tinnitus. The treatment aims to retrain the brain to filter out the sounds of tinnitus, making them less noticeable and bothersome.
TTTS can present as a variety of symptoms, including sensation of fullness in the ear, tinnitus, rhythmic sounds such as clicks and flutter of the tympanic membrane, ear fullness, a frequent "popping" sensation, hyperacusis, and mild vertigo. [3] These symptoms tend to last for a short period of time.
Device failure requiring reimplantation is estimated to occur 2.5–6% of the time. Up to one-third of people experience disequilibrium, vertigo, or vestibular weakness lasting more than one week after the procedure; in people under 70 these symptoms generally resolve over weeks to months, but in people over 70 the problems tend to persist. [24]
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 application of sound therapy by either hearing aids or tinnitus maskers may help the brain ignore the specific tinnitus frequency. Although these methods are poorly supported by evidence, there are no negative effects. [3] [106] [107] There are several approaches for tinnitus sound therapy.
Progressive tinnitus management (PTM) is a five-step structured clinical protocol for management of tinnitus that may include tinnitus retraining therapy. The five steps are: triage – determining appropriate referral, i.e. audiology, ENT, emergency medical intervention, or mental health evaluation;
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