Effect of unilateral and simultaneous bilateral cochlear implantation on tinnitus: A Prospective Study

Alice van Zon; Yvette E. Smulders; Geerte G. J. Ramakers; Inge Stegeman; Adriana L. Smit; Gijsbert A. Van Zanten; Robert J. Stokroos; Nadia Hendrice; Rolien H. Free; Bert Maat; Johan H. M. Frijns; Emmanuel A. M. Mylanus; Wendy J. Huinck; Vedat Topsakal; Rinze A. Tange; Wilko Grolman

doi:10.1002/lary.25493

Effect of unilateral and simultaneous bilateral cochlear implantation on tinnitus: A Prospective Study

Alice van Zon^*, Yvette E. Smulders, Geerte G. J. Ramakers, Inge Stegeman, Adriana L. Smit, Gijsbert A. Van Zanten, Robert J. Stokroos, Nadia Hendrice, Rolien H. Free, Bert Maat, Johan H. M. Frijns, Emmanuel A. M. Mylanus, Wendy J. Huinck, Vedat Topsakal, Rinze A. Tange, Wilko Grolman

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Objectives/HypothesisTo determine the effect of cochlear implantation on tinnitus perception in patients with severe bilateral postlingual sensorineural hearing loss and to demonstrate possible differences between unilateral and bilateral cochlear implantation. Study DesignProspective study. MethodsThirty-eight adult patients were included in this prospective study, as part of a multicenter randomized controlled trial investigating the benefits of bilateral cochlear implantation versus unilateral cochlear implantation. Pre- and postoperative tinnitus perception scores were evaluated, before and 1 year after implantation on three tinnitus questionnaires; the Tinnitus Handicap Inventory (THI), the Tinnitus Questionnaire (TQ), and a visual analogue scale for tinnitus burden. ResultsBefore implantation, the tinnitus prevalence was 42.1% (16 of 38) in the whole study group. One year after implantation, the tinnitus questionnaire scores had decreased in 71.4% according to the TQ and 80.0% according to the THI. Tinnitus was induced after cochlear implantation in six patients, five in the bilateral and one in the unilateral group. ConclusionsOur study shows that cochlear implantation is effective in the reduction of tinnitus in patients with bilateral sensorineural hearing loss who suffered from preoperative tinnitus. Conversely, tinnitus may also increase or even be induced by the cochlear implantation itself. Cochlear implant candidates should be well informed about these possible consequences before undergoing surgery. Level of Evidence2b Laryngoscope, 126:956-961, 2016

Original language	English
Pages (from-to)	956-961
Journal	Laryngoscope
Volume	126
Issue number	4
DOIs	https://doi.org/10.1002/lary.25493
Publication status	Published - Apr 2016

Keywords

Tinnitus
cochlear implantation
bilateral cochlear implantation
Tinnitus Handicap Inventory
Tinnitus Questionnaire

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10.1002/lary.25493

Cite this

van Zon, A., Smulders, Y. E., Ramakers, G. G. J., Stegeman, I., Smit, A. L., Van Zanten, G. A., Stokroos, R. J., Hendrice, N., Free, R. H., Maat, B., Frijns, J. H. M., Mylanus, E. A. M., Huinck, W. J., Topsakal, V., Tange, R. A., & Grolman, W. (2016). Effect of unilateral and simultaneous bilateral cochlear implantation on tinnitus: A Prospective Study. Laryngoscope, 126(4), 956-961. https://doi.org/10.1002/lary.25493

@article{1d88052a3cd84099bec20b491dfda6eb,

title = "Effect of unilateral and simultaneous bilateral cochlear implantation on tinnitus: A Prospective Study",

abstract = "Objectives/HypothesisTo determine the effect of cochlear implantation on tinnitus perception in patients with severe bilateral postlingual sensorineural hearing loss and to demonstrate possible differences between unilateral and bilateral cochlear implantation. Study DesignProspective study. MethodsThirty-eight adult patients were included in this prospective study, as part of a multicenter randomized controlled trial investigating the benefits of bilateral cochlear implantation versus unilateral cochlear implantation. Pre- and postoperative tinnitus perception scores were evaluated, before and 1 year after implantation on three tinnitus questionnaires; the Tinnitus Handicap Inventory (THI), the Tinnitus Questionnaire (TQ), and a visual analogue scale for tinnitus burden. ResultsBefore implantation, the tinnitus prevalence was 42.1% (16 of 38) in the whole study group. One year after implantation, the tinnitus questionnaire scores had decreased in 71.4% according to the TQ and 80.0% according to the THI. Tinnitus was induced after cochlear implantation in six patients, five in the bilateral and one in the unilateral group. ConclusionsOur study shows that cochlear implantation is effective in the reduction of tinnitus in patients with bilateral sensorineural hearing loss who suffered from preoperative tinnitus. Conversely, tinnitus may also increase or even be induced by the cochlear implantation itself. Cochlear implant candidates should be well informed about these possible consequences before undergoing surgery. Level of Evidence2b Laryngoscope, 126:956-961, 2016",

keywords = "Tinnitus, cochlear implantation, bilateral cochlear implantation, Tinnitus Handicap Inventory, Tinnitus Questionnaire",

author = "{van Zon}, Alice and Smulders, {Yvette E.} and Ramakers, {Geerte G. J.} and Inge Stegeman and Smit, {Adriana L.} and {Van Zanten}, {Gijsbert A.} and Stokroos, {Robert J.} and Nadia Hendrice and Free, {Rolien H.} and Bert Maat and Frijns, {Johan H. M.} and Mylanus, {Emmanuel A. M.} and Huinck, {Wendy J.} and Vedat Topsakal and Tange, {Rinze A.} and Wilko Grolman",

year = "2016",

month = apr,

doi = "10.1002/lary.25493",

language = "English",

volume = "126",

pages = "956--961",

journal = "Laryngoscope",

issn = "0023-852X",

publisher = "Wiley",

number = "4",

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van Zon, A, Smulders, YE, Ramakers, GGJ, Stegeman, I, Smit, AL, Van Zanten, GA, Stokroos, RJ, Hendrice, N, Free, RH, Maat, B, Frijns, JHM, Mylanus, EAM, Huinck, WJ, Topsakal, V, Tange, RA & Grolman, W 2016, 'Effect of unilateral and simultaneous bilateral cochlear implantation on tinnitus: A Prospective Study', Laryngoscope, vol. 126, no. 4, pp. 956-961. https://doi.org/10.1002/lary.25493

TY - JOUR

T1 - Effect of unilateral and simultaneous bilateral cochlear implantation on tinnitus: A Prospective Study

AU - van Zon, Alice

AU - Smulders, Yvette E.

AU - Ramakers, Geerte G. J.

AU - Stegeman, Inge

AU - Smit, Adriana L.

AU - Van Zanten, Gijsbert A.

AU - Stokroos, Robert J.

AU - Hendrice, Nadia

AU - Free, Rolien H.

AU - Maat, Bert

AU - Frijns, Johan H. M.

AU - Mylanus, Emmanuel A. M.

AU - Huinck, Wendy J.

AU - Topsakal, Vedat

AU - Tange, Rinze A.

AU - Grolman, Wilko

PY - 2016/4

Y1 - 2016/4

N2 - Objectives/HypothesisTo determine the effect of cochlear implantation on tinnitus perception in patients with severe bilateral postlingual sensorineural hearing loss and to demonstrate possible differences between unilateral and bilateral cochlear implantation. Study DesignProspective study. MethodsThirty-eight adult patients were included in this prospective study, as part of a multicenter randomized controlled trial investigating the benefits of bilateral cochlear implantation versus unilateral cochlear implantation. Pre- and postoperative tinnitus perception scores were evaluated, before and 1 year after implantation on three tinnitus questionnaires; the Tinnitus Handicap Inventory (THI), the Tinnitus Questionnaire (TQ), and a visual analogue scale for tinnitus burden. ResultsBefore implantation, the tinnitus prevalence was 42.1% (16 of 38) in the whole study group. One year after implantation, the tinnitus questionnaire scores had decreased in 71.4% according to the TQ and 80.0% according to the THI. Tinnitus was induced after cochlear implantation in six patients, five in the bilateral and one in the unilateral group. ConclusionsOur study shows that cochlear implantation is effective in the reduction of tinnitus in patients with bilateral sensorineural hearing loss who suffered from preoperative tinnitus. Conversely, tinnitus may also increase or even be induced by the cochlear implantation itself. Cochlear implant candidates should be well informed about these possible consequences before undergoing surgery. Level of Evidence2b Laryngoscope, 126:956-961, 2016

AB - Objectives/HypothesisTo determine the effect of cochlear implantation on tinnitus perception in patients with severe bilateral postlingual sensorineural hearing loss and to demonstrate possible differences between unilateral and bilateral cochlear implantation. Study DesignProspective study. MethodsThirty-eight adult patients were included in this prospective study, as part of a multicenter randomized controlled trial investigating the benefits of bilateral cochlear implantation versus unilateral cochlear implantation. Pre- and postoperative tinnitus perception scores were evaluated, before and 1 year after implantation on three tinnitus questionnaires; the Tinnitus Handicap Inventory (THI), the Tinnitus Questionnaire (TQ), and a visual analogue scale for tinnitus burden. ResultsBefore implantation, the tinnitus prevalence was 42.1% (16 of 38) in the whole study group. One year after implantation, the tinnitus questionnaire scores had decreased in 71.4% according to the TQ and 80.0% according to the THI. Tinnitus was induced after cochlear implantation in six patients, five in the bilateral and one in the unilateral group. ConclusionsOur study shows that cochlear implantation is effective in the reduction of tinnitus in patients with bilateral sensorineural hearing loss who suffered from preoperative tinnitus. Conversely, tinnitus may also increase or even be induced by the cochlear implantation itself. Cochlear implant candidates should be well informed about these possible consequences before undergoing surgery. Level of Evidence2b Laryngoscope, 126:956-961, 2016

KW - Tinnitus

KW - cochlear implantation

KW - bilateral cochlear implantation

KW - Tinnitus Handicap Inventory

KW - Tinnitus Questionnaire

U2 - 10.1002/lary.25493

DO - 10.1002/lary.25493

M3 - Article

C2 - 26255618

SN - 0023-852X

VL - 126

SP - 956

EP - 961

JO - Laryngoscope

JF - Laryngoscope

IS - 4

ER -