Use of sound therapy in management of tullio phenomenon associated with unilateral endolymphatic hydrops
DOI:
https://doi.org/10.18203/issn.2454-5929.ijohns20204176Keywords:
Tullio phenomenon, Endolymphatic hydrops, Tinnitus maskerAbstract
Background: The tullio phenomenon consists of the production of vestibular signs or symptoms by an acoustic stimulus. TP was found to be present in many inner ear pathologies such as superior semicircular canal dehiscence, perilymphatic fistula and endolymphatic hydrops. No previous study probed the value of tinnitus maskers in the alleviation of Tullio phenomenon associated with endolymphatic hydrops.
Methods: Twenty one patients who had a confirmed unilateral endolymphatic hydrops associated with Tullio phenomenon were selected for the study. Their age ranged from 20 to 52 years old. Tinnitus masker±amplification was used according to the audiological findings of each patient. The device was used in the affected ear for a minimum of 6 months.
Results: Ten patients reported marked improvement on a graded scale with a mean of 8.6±1.2 as regards the occurrence of tullio phenomenon. Six patients achieved an average amelioration (mean 5.9±0.12) while five patients reported failure of the device (mean 3.4±0.6).
Conclusions: Sound therapy using tinnitus masker±amplification is a good tool for alleviation of tullio phenomenon associated with unilateral endolymphatic hydrops.
Metrics
References
Tullio P. Das Ohr und die Entstehung der Sprache und Schrift. Germany: Urban and Schwarzenberg Berlin; 1929.
Dickson EDD, Chadwick DL. Observations on disturbances of equilibrium and other symptoms induced by Jet-engine noise. J Laryngol Otol. 1959; 65:154-65.
Kacker SK, Hinchcliffe R. Unusual Tullio phenomena. The tullio phenomenon in patients with meniere's disease as revealed with posturography. Acta otolaryngol suppl. 1991;481:593-5.
Grieser BJ, Kleiser L, and Obrist D. Identifying mechanisms behind the tullio phenomenon: a computational study based on first principles. J Assoc Res Otolaryngol. 2016;17(2): 103-18.
Vernon JA. Attempts to relieve tinnitus. Journal of the American Audiology Society. 1977; 2:124-31.
Jastreboff PJ, Jastreboff MM. Tinnitus Retraining Therapy (TRT) as a method for treatment of tinnitus and hyperacusis patients. Journal of the American Academy of Audiology. 2000;11(3):162-77.
Gürkov R, Pyykö I, Zou J, Kentala E. What is Menière's disease? A contemporary re-evaluation of endolymphatic hydrops. J Neurol. 2016;263(Suppl 1):S71-81.
Sandlin RE, Olsson R. Evaluation and selection of maskers and other devices used in the treatment of tinnitus and hyperacusis. Trends Amplif. 1999;4(1):6-26.
Shekhawat GS, Searchfield GD, Stinear, CM. Role of hearing aids in tinnitus intervention: a scoping review. J Am Acad Audiol. 2013;24:747-62.
Miguel AL, Rocio LF. Sequential sound therapy in tinnitus. Int Tinnitus J. 2004;10(2):150-5.