An Investigation of Feasibility and Safety of Bi‐Modal Stimulation for the Treatment of Tinnitus: An Open‐Label Pilot Study

Tinnitus is the perception of sound in the absence of an external auditory stimulus. It is widely believed that tinnitus, in patients with associated hearing loss, is a neurological phenomenon primarily affecting the central auditory structures. However, there is growing evidence for the involvement of the somatosensory system in this form of tinnitus. For this reason it has been suggested that the condition may be amenable to bi‐modal stimulation of the auditory and somatosensory systems. We conducted a pilot study to investigate the feasibility and safety of a device that delivers simultaneous auditory and somatosensory stimulation to treat the symptoms of chronic tinnitus.

[1]  E. Mylanus,et al.  Effect of unilateral and simultaneous bilateral cochlear implantation on tinnitus: A Prospective Study , 2015, The Laryngoscope.

[2]  Min Young Kwak,et al.  Feasibility and Safety of Transcutaneous Vagus Nerve Stimulation Paired with Notched Music Therapy for the Treatment of Chronic Tinnitus , 2015, Journal of audiology & otology.

[3]  D. Ridder,et al.  Tinnitus: perspectives from human neuroimaging , 2015, Nature Reviews Neuroscience.

[4]  J. Kim,et al.  Difference in Tinnitus Treatment Outcome According to the Pulse Number of Repetitive Transcranial Magnetic Stimulation , 2015, Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology.

[5]  S. Shore,et al.  Transcutaneous induction of stimulus-timing-dependent plasticity in dorsal cochlear nucleus , 2015, Front. Syst. Neurosci..

[6]  Sarah M. Theodoroff,et al.  Repetitive Transcranial Magnetic Stimulation Treatment for Chronic Tinnitus: A Randomized Clinical Trial. , 2015, JAMA otolaryngology-- head & neck surgery.

[7]  Craig D. Markovitz,et al.  Pairing broadband noise with cortical stimulation induces extensive suppression of ascending sensory activity , 2015, Journal of neural engineering.

[8]  B. Langguth,et al.  Efficacy of different protocols of transcranial magnetic stimulation for the treatment of tinnitus: Pooled analysis of two randomized controlled studies , 2014, The world journal of biological psychiatry : the official journal of the World Federation of Societies of Biological Psychiatry.

[9]  Sven Vanneste,et al.  Safety and Efficacy of Vagus Nerve Stimulation Paired With Tones for the Treatment of Tinnitus: A Case Series , 2014, Neuromodulation : journal of the International Neuromodulation Society.

[10]  D. Hall,et al.  Amplification with hearing aids for patients with tinnitus and co-existing hearing loss. , 2014, The Cochrane database of systematic reviews.

[11]  K. Kaczmarek,et al.  Non-invasive neuromodulation to improve gait in chronic multiple sclerosis: a randomized double blind controlled pilot trial , 2014, Journal of NeuroEngineering and Rehabilitation.

[12]  S. Shore,et al.  Stimulus Timing-Dependent Plasticity in Dorsal Cochlear Nucleus Is Altered in Tinnitus , 2013, The Journal of Neuroscience.

[13]  Benjamin T. Smith,et al.  A new concept for noninvasive tinnitus treatment utilizing multimodal pathways , 2013, 2013 35th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC).

[14]  D. Ridder,et al.  Frontal Cortex TMS for Tinnitus , 2013, Brain Stimulation.

[15]  J. Mäkelä,et al.  Transcutaneous vagus nerve stimulation in tinnitus: a pilot study , 2013, Acta oto-laryngologica.

[16]  Andrei G. Vlassenko,et al.  Low-frequency repetitive transcranial magnetic stimulation to the temporoparietal junction for tinnitus: four-week stimulation trial. , 2013, JAMA otolaryngology-- head & neck surgery.

[17]  S. Shore,et al.  Stimulus-Timing Dependent Multisensory Plasticity in the Guinea Pig Dorsal Cochlear Nucleus , 2013, PloS one.

[18]  D. Kallogjeri,et al.  Cognitive speed as an objective measure of tinnitus , 2012, The Laryngoscope.

[19]  Michael Koller,et al.  Methodological aspects of clinical trials in tinnitus: a proposal for an international standard. , 2012, Journal of psychosomatic research.

[20]  Berthold Langguth,et al.  Treatment options for subjective tinnitus: Self reports from a sample of general practitioners and ENT physicians within Europe and the USA , 2011, BMC health services research.

[21]  M. Koller,et al.  Tinnitus Handicap Inventory for Evaluating Treatment Effects , 2011, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[22]  G. Andersson,et al.  The effect of waiting: A meta-analysis of wait-list control groups in trials for tinnitus distress. , 2011, Journal of psychosomatic research.

[23]  Navzer D. Engineer,et al.  Reversing pathological neural activity using targeted plasticity , 2011, Nature.

[24]  M. Plazier,et al.  Transcutaneous electrical nerve stimulation (TENS) of upper cervical nerve (C2) for the treatment of somatic tinnitus , 2010, Experimental Brain Research.

[25]  L F Hughes,et al.  Dorsal cochlear nucleus responses to somatosensory stimulation are enhanced after noise‐induced hearing loss , 2007, The European journal of neuroscience.

[26]  Sergei Kochkin,et al.  Tinnitus Treatment and the Effectiveness of Hearing Aids: Hearing Care Professional Perceptions , 2008 .

[27]  E. Spitznagel,et al.  Relief of idiopathic subjective tinnitus: is gabapentin effective? , 2007, Archives of otolaryngology--head & neck surgery.

[28]  Barak A. Pearlmutter,et al.  Illusory percepts from auditory adaptation. , 2007, The Journal of the Acoustical Society of America.

[29]  Jos J Eggermont,et al.  Pathophysiology of tinnitus. , 2007, Progress in brain research.

[30]  Ian C. Bruce,et al.  A Spiking Neuron Model of Cortical Correlates of Sensorineural Hearing Loss: Spontaneous Firing, Synchrony, and Tinnitus , 2006, Neural Computation.

[31]  Jianxun Zhou,et al.  Somatosensory influence on the cochlear nucleus and beyond , 2006, Hearing Research.

[32]  A. Lippman Adherence to medication. , 2005, The New England journal of medicine.

[33]  Thomas Elbert,et al.  Tinnitus Perception and Distress Is Related to Abnormal Spontaneous Brain Activity as Measured by Magnetoencephalography , 2005, PLoS medicine.

[34]  J. Eggermont,et al.  The neuroscience of tinnitus , 2004, Trends in Neurosciences.

[35]  J. J. Eggermont,et al.  Changes in spontaneous neural activity immediately after an acoustic trauma: implications for neural correlates of tinnitus , 2003, Hearing Research.

[36]  Gerhard Andersson,et al.  Tinnitus loudness matchings in relation to annoyance and grading of severity. , 2003, Auris, nasus, larynx.

[37]  Kentaro Ochi,et al.  Hearing Impairment and Tinnitus Pitch in Patients With Unilateral Tinnitus: Comparison of Sudden Hearing Loss and Chronic Tinnitus , 2003, The Laryngoscope.

[38]  Jos J Eggermont,et al.  Central tinnitus. , 2003, Auris, nasus, larynx.

[39]  N Suga,et al.  Experience-dependent plasticity in the auditory cortex and the inferior colliculus of bats: role of the corticofugal system. , 2000, Proceedings of the National Academy of Sciences of the United States of America.

[40]  J. Henry,et al.  Psychoacoustic measures of tinnitus. , 2000, Journal of the American Academy of Audiology.

[41]  M. Kilgard,et al.  Cortical map reorganization enabled by nucleus basalis activity. , 1998, Science.

[42]  J B Spitzer,et al.  Development of the Tinnitus Handicap Inventory. , 1996, Archives of otolaryngology--head & neck surgery.

[43]  P. Jastreboff,et al.  Neurophysiological model of tinnitus: Dependence of the minimal masking level on treatment outcome , 1994, Hearing Research.

[44]  P. Jastreboff Phantom auditory perception (tinnitus): mechanisms of generation and perception , 1990, Neuroscience Research.

[45]  M. Meikle,et al.  Tinnitus masking:unresolved problems. , 2008, Ciba Foundation symposium.