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Postoperative cognitive dysfunction (POCD) is a decline in cognitive function (especially in memory and executive functions) that may last from 1–12 months after surgery, or longer. [1] In some cases, this disorder may persist for several years after major surgery. [2] POCD is distinct from emergence delirium. Its causes are under ...
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.
Evaluation of tinnitus can include a hearing test (audiogram), measurement of acoustic parameters of the tinnitus like pitch and loudness, and psychological assessment of comorbid conditions like depression, anxiety, and stress that are associated with severity of the tinnitus.
The annoyance of tinnitus also tends to decline over time. In some people, tinnitus spontaneously disappears. [1] A Cochrane review found only one sufficiently rigorous study of TRT and noted that while the study suggested benefit in the treatment of tinnitus, the study quality was not good enough to draw firm conclusions. [5]
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 ().
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Since 1980, the organization has granted around $6 million in seed funding for tinnitus research. [7] Many of the researchers have utilized their ATA-funded research data to apply for and receive larger, federally-funded grants from the Department of Defense, National Science Foundation, and the National Institute on Deafness and Other Communications Disorders (NIDCD), part of the NIH.
After the decompression is complete, the wound is flushed clean with saline solution. The dura is closed in a watertight fashion. The skull is reconstructed and the overlying tissues are closed in multiple layers. The patient is allowed to wake up and is taken to an intensive care unit or other close observation unit. [7]
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