Tinnitus reduction after active bone-conduction implantation in patients with single-sided deafness: a prospective multicenter study.

Publisher: Springer International Country of Publication: Germany NLM ID: 9002937 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1434-4726 (Electronic) Linking ISSN: 09374477 NLM ISO Abbreviation: Eur Arch Otorhinolaryngol Subsets: MEDLINE

Original Publication: Heidelberg : Springer International, c1990-

Tinnitus*/surgery ; Tinnitus*/physiopathology ; Bone Conduction* ; Hearing Loss, Unilateral*/rehabilitation ; Hearing Loss, Unilateral*/surgery ; Hearing Loss, Unilateral*/physiopathology; Humans ; Prospective Studies ; Male ; Female ; Middle Aged ; Adult ; Aged ; Treatment Outcome ; Hearing Aids ; Surveys and Questionnaires

Purpose: Single-sided deafness (SSD) presents significant challenges for patients, including compromised sound localization, reduced speech recognition, and often, tinnitus. These issues are typically addressed using interventions such as cochlear implantation (CI) and bone conduction implant (BCI). However, evidence regarding the efficacy of BCI in reducing tinnitus in SSD patients remains limited. This study explored the ability of a novel active transcutaneous BCI (Bonebridge BCI602) to alleviate tinnitus in SSD patients.
Study Design: Prospective cohort multicenter study.
Setting: Tertiary referral hospitals.
Methods: A prospective multicenter study of 30 SSD patients was conducted. The patients were divided into two groups: those with (n = 19) and without (n = 11) tinnitus. Audiometric assessments, subjective questionnaires including the Abbreviated Profile of Hearing Aid Benefit (APHAB) and the Bern Benefit in Single-Sided Deafness (BBSS), and tinnitus evaluations with the Tinnitus Handicap Inventory (THI) and tinnitogram were conducted before and after BCI surgery.
Results: THI scores after surgery were significantly reduced in SSD patients with tinnitus. Subjective satisfaction improved in both the tinnitus and non-tinnitus groups; however, the former group exhibited a significantly greater improvement in the APHAB questionnaire score. According to tinnitograms, the loudness of tinnitus decreased, particularly in patients with ipsilateral tinnitus. Patients with residual hearing had greater reductions in their THI scores. However, three patients without residual hearing had a relative worsening of tinnitus after surgery.
Conclusion: The Bonebridge BCI602 effectively reduced tinnitus in SSD patients, particularly in those with residual hearing. Subjective satisfaction improved in both the tinnitus and non-tinnitus groups. These findings demonstrate the therapeutic potential of BCI for managing SSD and associated tinnitus.
(© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.)

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Keywords: Active transcutaneous bone conduction implant; Bone conduction implant; Bonebridge; Single-sided deafness; Tinnitus

Date Created: 20240708 Date Completed: 20241027 Latest Revision: 20241030

20241031

10.1007/s00405-024-08780-0

38977483