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- Title
Long-Term Effects of Middle Ear Tendon Resection on Middle Ear Myoclonic Tinnitus, Hearing, and Hyperacusis.
- Authors
Kim, Dong-Kee; Park, Jung Mee ; Han, Jung Ju; Chung, Yun Min; Kim, Jung Min; Park, So Young; Park, Shi Nae; Park, Jung Mee; Han, Jung Ju; Chung, Yun Min; Kim, Jung Min; Park, So Young; Park, Shi Nae
- Abstract
<bold>Objective: </bold>To evaluate the therapeutic effects of middle ear tendon resection (METR) on middle ear myoclonic tinnitus (MEMT) and to investigate its long-term effects on hearing and hyperacusis.<bold>Materials and Methods: </bold>Thirty-seven patients with MEMT with a mean age of 33.2 ± 11.8 years were included in this study. METR was performed on all 37 MEMT patients (41 ears) between November 2004 and August 2016. The mean follow-up period was 16.1 months. We examined changes in tinnitus and accompanying stress and depression in patients after surgery, and examined the hearing changes and the occurrence of complications including hyperacusis.<bold>Results: </bold>After surgery, 34 (91.9%) patients exhibited complete resolution of MEMT during their follow-up period, and 3 patients showed a partial response. The mean Visual Analog Scale (VAS) scores for tinnitus severity, the Tinnitus Handicap Inventory (THI), and stress index decreased significantly after surgery (p < 0.05, paired t test). No patient developed hearing loss or hyperacusis following surgery. Preexisting hyperacusis even improved in most of the patients with intractable MEMT after surgery. Recurrence of the symptom occurred in only 1 patient, who underwent revision surgery with improvement. We observed 1 case of postoperative delayed facial palsy with complete recovery in 2 weeks.<bold>Conclusions: </bold>METR seems to be an effective and safe treatment option for intractable MEMT, considering its high control rate of tinnitus and no long-term harmful effects on hearing and hyperacusis.
- Subjects
MIDDLE ear diseases; TINNITUS; HYPERACUSIS
- Publication
Audiology & Neurotology, 2018, Vol 22, Issue 6, p343
- ISSN
1420-3030
- Publication type
Article
- DOI
10.1159/000487260