Piotr H. Skarzynski 1,2,3, A-B,D-E
Joanna Rajchel 2, A-C,E
Beata Dziendziel 2, A-C,E
Danuta Raj-Koziak 2, A-B,D-E
Henryk Skarzynski 2, A-B,D-E
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Heart Failure and Cardiac Rehabilitation Department, Second Faculty of the Medical University of Warsaw, Warsaw, Poland
World Hearing Center, Institute of Physiology and Pathology of Hearing, Warsaw, Poland
Institute of Sensory Organs, Kajetany, Poland
A - Research concept and design; B - Collection and/or assembly of data; C - Data analysis and interpretation; D - Writing the article; E - Critical revision of the article; F - Final approval of article;
Publication date: 2017-09-30
Corresponding author
Piotr H. Skarzynski   

Piotr H. Skarzynski, Institute of Sensory Organs, Mokra 1 Str., 05-830, Kajetany, Poland, e-mail: p.skarzynski@inz.waw.pl
J Hear Sci 2017;7(3):29-36
Cochlear implantation is the most effective method of hearing rehabilitation in a group method in group of patients with severe and profound sensorineural hearing loss. Furthermore, tinnitus is a frequent symptom related to hearing impairment. The aim of this study was to assess severity of tinnitus before and after cochlear implantation.

Material and Methods:
This study included 70 patients (35 women and 35 men), who were implanted. Tinnitus severity was evaluated three times: preoperatively, at activation and one month after implantation. Tinnitus and Hearing Survey (THS), Tinnitus Handicap Inventory (THI) and Tinnitus Functional Index (TFI) were used to assess tinnitus severity. THS and THI adaptation were conducted in the World Hearing Center of the Institute of Physiology and Pathology of Hearing.

The results showed that tinnitus was experienced in 65.7% of patients who were qualified to cochlear implantation. One-sided tinnitus (in the operated ear) was experienced in 54.4% cases and bilateral tinnitus in 45.6%. Hearing impairment was the primary complaint of 93.5% cases. Preoperatively, severity of tinnitus was assessed as moderate (THI M=39.9; SD=23.4; TFI M=38.4; SD=21). Results after one monthly observation suggested mild tinnitus severity (M=25.6; SD=21.9; TFI M=29.2; SD=20.6).

Monthly observation showed that severity of tinnitus after cochlear implantation decreased

Akdogan O, Ozcan I, Ozbek C, Dere H. Tinnitus after cochlear implantation. Auris Nasus Larynx, 2009; 36: 210–12.
Arts RAGJ, George ELJ, Stokroos RJ, Vermeire K. Review: Cochlear implants as a treatment of tinnitus in single-sided deafness. Curr Opin Otolaryngol Head Neck Surg, 2012; 20: 398–403.
van Zon A, Smulders YE, Ramakers GG, Stegeman I, Smit AL, Van Zanten GA et al. Effect of unilateral and simultaneous bilateral cochlear implantation on tinnitus: A prospective study. Laryngoscope, 2016; 126: 956–61.
Greenberg D, Meerton L, Graham J, Vickers D. Developing an assessment approach for perceptual changes to tinnitus sound characteristics for adult cochlear implant recipients. Int J Audiol, 2015; 55: 392–404.
Arts RAGJ, George ELJ, Janssen M, Griessner A, Zierhofer C, Stokroos RJ. Tinnitus suppression by intracochlear electrical stimulation in single sided deafness – a prospective clinical trial: follow-up. PLoS One, 2016; 11: e0153131.
Møller AR. Hearing: Anatomy, physiology, and disorders of the auditory system, Third Edition. Plural Publishing; 2012; 331–32.
Pinchoff RJ, Burkard RF, Salvi RJ, Coad ML, Lockwood AH. Modulation of tinnitus by voluntary jaw movements. Am J Otol, 1998; 19: 785–89.
Lockwood AH, Salvi RJ, Coad ML, Towsley ML, Wack DS, Murphy BW. The functional neuroanatomy of tinnitus: Evidence for limbic system links and neural plasticity. Neurology, 1998; 50: 114–20.
Snow JB. Tinnitus: Theory and management. PMPH-USA; 2004.
Punte AK, Vermeire K, Hofkens A, De Bodt M, De Ridder D, Van de Heyning P. Cochlear implantation as a durable tinnitus treatment in single-sided deafness. Cochlear Implants Int, 2011; 12 (Suppl. 1): S26–29.
Kim DK1, Moon IS, Lim HJ, Yoo SY, Heo KW, Bae SC et al. Prospective, multicenter study on tinnitus changes after cochlear implantation. Audiol Neurotol, 2016; 21: 165–71.
Crummer RW, Hassan GA. Diagnostic approach to tinnitus. Am Fam Physician, 2004; 69: 120–26.
Barnea G, Attias J, Gold S, Shahar A. Tinnitus with normal hearing sensitivity: Extended high-frequency audiometry and auditory-nerve brain-stem-evoked responses. Audiology, 1990; 29: 36–45.
Sanchez TG, Medeiros IRT, Dias Levy CP, Ramalho JROR, Bento RF. Tinnitus in normally hearing patients: clinical aspects and repercussions. Rev Bras Otorrinolaringol, 2005; 71: 427–31.
Skarzynski PH, Kochanek K, Skarzynski H, Senderski A, Wysocki J, Szkielkowska A et al. Hearing screening program in school-age children in western Poland. J Int Adv Otol, 2015; 7(2): 94–200.
Skarzynski P, Pilka A, Ludwikowski M, Skarzyńska MB. Comparison of the frequency of positive hearing screening outcomes in school children from Poland and other countries of Europe, Central Asia, and Africa. J Hear Sci, 2015; 4: 51–58.
Skarzynski PH, Wlodarczyk AW, Kochanek K, Pilka A, Jedrzejczak WW, Olszewski L et al. Central auditory processing disorder (CAPD) tests in a school-age hearing screening programme: analysis of 76,429 children. Ann Agric Environ Med, 2015; 22: 90–95.
Skarzyński PH, Świerniak W, Piłka A, Skarżynska MB, Włodarczyk AW et al. A hearing screening program for children in primary schools in Tajikistan: A telemedicine model. Med Sci Monit, 2016; 22: 2424–30.
Raj-Koziak D. Występowanie szumów usznych u dzieci: przegląd piśmiennictwa. Now Audiofonol, 2016; 5: 9–14.
Parazzini M, Bo LD, Jastreboff M, Tognola G, Ravazzani P. Open ear hearing aids in tinnitus therapy: An efficacy comparison with sound generators. Int J Audiol, 2011; 50: 548–53.
Jastreboff PJ, Brennan JF, Sasaki CT. An animal model for tinnitus. Laryngoscope, 1988; 98: 280–86.
van Schoonhoven J, Sparreboom M, van Zanten BG, Scholten RJ, Mylanus EA, Dreschler WA et al. The effectiveness of bilateral cochlear implants for severe-to-profound deafness in adults: A systematic review. Otol Neurotol, 2013; 34: 190–98.
Chouard CH, MacLeod P. Implantation of multiple intracochlear electrodes for rehabilitation of total deafness: Preliminary report. Laryngoscope, 1976; 86: 1743–51.
House WF, Urban J. Long term results of electrode implantation and electronic stimulation of the cochlea in man. Ann Otol Rhinol Laryngol, 1973; 82: 504–17.
Burian K, Hochmair E, Hochmair-Desoyer I, Lessel MR. Designing of and experience with multichannel cochlear implants. Acta Otolaryngol (Stockh), 1979; 87: 190–95.
Clark GM, Tong YC, Black R, Forster IC, Patrick JF, Dewhurst DJ. A multiple electrode cochlear implant. J Laryngol Otol, 1977; 91: 935–45.
Sampaio AL, Araújo MF, Oliveira CA. New criteria of indication and selection of patients to cochlear implant. Int J Otolaryngol, 2011; 2011: 573968.
Olze H, Szczepek AJ, Haupt H, Förster U, Zirke N, Gräbel S et al. Cochlear implantation has a positive influence on quality of life, tinnitus, and psychological comorbidity. Laryngoscope, 2011; 121: 2220–27.
Plontke SK, Heider C, Koesling S, Hess S, Bieseke L, Goetze G et al. Cochlear implantation in a child with posttraumatic single-sided deafness. Eur Arch Oto-Rhino-Laryngol, 2013; 270: 1757–61.
House JW, Brackmann DE. Tinnitus: surgical treatment. Ciba Found Symp, 1981; 85: 204–16.
Baguley DM, Atlas MD. Cochlear implants and tinnitus. Prog Brain Res, 2007; 166: 347–55.
Pan T, Tyler RS, Ji H, Coelho C, Gehringer AK, Gogel SA. Changes in the Tinnitus Handicap Questionnaire after cochlear implantation. Am J Audiol, 2009; 18: 144–51.
Quaranta N, Wagstaff S, Baguley DM. Tinnitus and cochlear implantation. Int J Audiol, 2004; 43: 245–51.
Skarzynski PH, Raj-Koziak D, Rajchel JJ, Pilka A, Wlodarczyk AW, Skarzynski H. Adaptation of the Tinnitus Handicap Inventory into Polish and its testing on a clinical population of tinnitus sufferers. Int J Audiol; 2017; 56(10): 711–15.
Henry JA, Griest S, Zaugg TL, Thielman E, Kaelin C, Galvez G et al. Tinnitus and hearing survey: A screening tool to differentiate bothersome tinnitus from hearing difficulties. Am J Audiol, 2015; 24: 66–77.
Newman CW, Jacobson GP, Spitzer JB. Development of the Tinnitus Handicap Inventory. Arch Otolaryngol Head Neck Surg, 1996; 122: 143–48.
McCombe A, Baguley D, Coles R, McKenna L, McKinney C, Windle-Taylor P et al. Guidelines for the grading of tinnitus severity: the results of a working group commissioned by the British Association of Otolaryngologists, Head and Neck Surgeons, 1999. Clin Otolaryngol Allied Sci, 2001; 26: 388–93.
Meikle MB, Henry JA, Griest SE, Stewart BJ, Abrams HB, McArdle R et al. The Tinnitus Functional Index: Development of a new clinical measure for chronic, intrusive tinnitus. Ear Hear, 2012; 33: 153–76.
Carlyon RP, Macherey O, Frijns JH, Axon PR, Kalkman RK, Boyle P et al. Pitch comparisons between electrical stimulation of a cochlear implant and acoustic stimuli presented to a normal-hearing contralateral ear. J Assoc Res Otolaryngol, 2010; 11: 625–40.
Ramos Macías A, Falcón González JC, Manrique M, Morera C, García-Ibáñez L, Cenjor C et al. Cochlear implants as a treatment option for unilateral hearing loss, severe tinnitus and hyperacusis. Audiol Neurootol, 2015; 20(Suppl. 1): 60–66.
Gartrell BC, Jones HG, Kan A, Buhr-Lawler M, Gubbels SP, Litovsky RY. Investigating long-term effects of cochlear implantation in single-sided deafness: A best practice model for longitudinal assessment of spatial hearing abilities and tinnitus handicap. Otol Neurotol, 2014; 35: 1525–32.
Amoodi HA, Mick PT, Shipp DB, Friesen LM, Nedzelski JM, Chen JM et al. The effects of unilateral cochlear implantation on the tinnitus handicap inventory and the influence on quality of life. Laryngoscope, 2011; 121: 1536–40.
Kompis M, Pelizzone M, Dillier N, Allum J, DeMin N, Senn P. Tinnitus before and 6 months after cochlear implantation. Audiol Neurotol, 2012; 17: 161–68.
Mick P, Amoodi H, Arnoldner C, Shipp D, Friesen L, Lin V et al. Cochlear implantation in patients with advanced Ménière’s disease. Otol Neurotol, 2014; 35: 1172–78.
Frodlund J, Harder H, Mäki-Torkko E, Ledin T. Vestibular function after cochlear implantation: a comparison of three types of electrodes. Otol Neurotol, 2016; 37: 1535–40.
Derks LSM, Wegner I, Smit AL, Thomeer HGXM, Topsakal V, Grolman W. Effect of day-case unilateral cochlear implantation in adults on general and disease-specific quality of life, postoperative complications and hearing results, tinnitus, vertigo and cost-effectiveness: Protocol for a randomised controlled trial. BMJ Open, 2016; 6: e012219.
Nordfalk KF, Rasmussen K, Hopp E, Bunne M, Silvola JT, Jablonski GE. Insertion depth in cochlear implantation and outcome in residual hearing and vestibular function. Ear Hear, 2016; 37: e129–37.
Di Nardo W, Cianfrone F, Scorpecci A, Cantore I, Giannantonio S, Paludetti G. Transtympanic electrical stimulation for immediate and long-term tinnitus suppression. Int Tinnitus J, 2009; 15: 100–6.
Bovo R, Ciorba A, Martini A. Tinnitus and cochlear implants. Auris Nasus Larynx, 2011; 38: 14–20.
Kim DK, Bae SC, Park KH, Jun BC, Lee DH, Yeo SW et al. Tinnitus in patients with profound hearing loss and the effect of cochlear implantation. Eur Arch Otorhinolaryngol, 2013; 270: 1803–8.
Fackrell K, Hall DA, Barry JG, Hoare DJ. Psychometric properties of the Tinnitus Functional Index (TFI): Assessment in a UK research volunteer population. Hear Res, 2016; 335: 220–35.
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