Clinical features of tinnitus in patients with cochlear implant


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Abstract

Objective - to investigate the association between patient age, duration and etiology of hearing loss on buzzing and ringing in ears dynamics in patients after cochlear implantation. Actuality. Most of the studies confirm that cochlear implant use results in significant buzzing and ringing in ears decrease. Still there are cases of tinnitus development (up to 3%) or increase (from 1 to 9%) after cochlear implantation. Most of these differences are explained with the complex mechanism of tinnitus development that should be taken into account in cochlear implantation clinical outcome prognosis. The aim of the study is to present the main results of factors influencing the tinnitus severity after cochlear implantation analysis. Materials and methods. From 2013 to 2015 cochlear implantation was performed in 385 patients with stage 4 bilateral sensorineural hearing loss who presented with buzzing and ringing in ears. The severity of hearing loss was evaluated with visual analogue scale questionnaires. Among factors presumed to affect the changes in tinnitus intensity patients’ sex and age, hearing loss (deafness) duration and tinnitus severity and etiology were evaluated. Results. According to the study results, positive prognosis markers of cochlear implantation in patients with tinnitus in severe hearing loss rehabilitation include severe hearing loss (stage 4) and deafness duration of less than 2 years. Conclusion. The study provides evidence of new indication for effective cochlear implantation use in patients with unilateral deafness and severe tinnitus.

About the authors

Yu. K Yanov

Saint Petersburg Research Institute of Ear, Nose, Throat and Speech of the Ministry of Health of the Russian Federation

Email: spbniilor@gmail.com
акад. РАН, д-р мед. наук, проф., дир., засл. врач РФ 190013, Russian Federation, Saint Petersburg, ul. Bronnitskaya, d. 9

A. A Korneenkov

Saint Petersburg Research Institute of Ear, Nose, Throat and Speech of the Ministry of Health of the Russian Federation

Email: korneyenkov@gmail.com
д-р мед. наук, проф., зав. лаб. информатики и статистики 190013, Russian Federation, Saint Petersburg, ul. Bronnitskaya, d. 9

E. A Levina

Saint Petersburg Research Institute of Ear, Nose, Throat and Speech of the Ministry of Health of the Russian Federation

Email: xramoval@gmail.com
канд. мед. наук, науч. сотр. отд. диагностики и реабилитации нарушений слуха 190013, Russian Federation, Saint Petersburg, ul. Bronnitskaya, d. 9

E. E Serova

Saint Petersburg Research Institute of Ear, Nose, Throat and Speech of the Ministry of Health of the Russian Federation

Email: vyazemskaya.elena@gmail.com
инженер лаб. информатики и статистики 190013, Russian Federation, Saint Petersburg, ul. Bronnitskaya, d. 9

S. V Levin

Saint Petersburg Research Institute of Ear, Nose, Throat and Speech of the Ministry of Health of the Russian Federation

Email: megalor@gmail.com
канд. мед. наук, ст. науч. сотр. отд. диагностики и реабилитации нарушений слуха 190013, Russian Federation, Saint Petersburg, ul. Bronnitskaya, d. 9

V. E Kuzovkov

Saint Petersburg Research Institute of Ear, Nose, Throat and Speech of the Ministry of Health of the Russian Federation

д-р мед. наук, зав. отд. диагностики и реабилитации нарушений слуха 190013, Russian Federation, Saint Petersburg, ul. Bronnitskaya, d. 9

S. V Astashchenko

Saint Petersburg Research Institute of Ear, Nose, Throat and Speech of the Ministry of Health of the Russian Federation

Email: docte@yandex.ru
д-р мед. наук, зав. хирургическим отд-нием для взрослых 190013, Russian Federation, Saint Petersburg, ul. Bronnitskaya, d. 9

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