Chapter

Management of tinnitus

Jos J. Eggermont

in The Neuroscience of Tinnitus

Published in print May 2012 | ISBN: 9780199605606
Published online September 2012 | e-ISBN: 9780191741555 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780199605606.003.0012
Management of tinnitus

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It is clear that management of tinnitus requires alterations of neural activity in the CNS. The neural substrates of tinnitus suggest various approaches to modify neural processing and change the properties of tinnitus and so obtain some alleviation of it. The interventions for tinnitus include compensation of missing activity in the output of the cochlea via specially tailored acoustic environments, and via amplification of environmental sounds in the hearing frequency range, i.e., by hearing aids. In deaf persons the missing sounds can be applied by a cochlear implant. A non-invasive method that may be useful to suppress tinnitus is based on trans cranial magnetic stimulation. Tinnitus Retraining Therapy and cognitive behavioral therapy are effective in reducing the annoyance and impact of tinnitus. Pharmacological approaches have so far produced disappointing results in humans and the somewhat more promising findings in animals.

Keywords: sound therapy; hearing aids; cochlear implants; deep brain stimulation; transcranial magnetic stimulation; tinnitus retraining therapy; anticonvulsants; antidepressants

Chapter.  6226 words.  Illustrated.

Subjects: Neuroscience

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