Development of a tinnitus sound generator that matches the sound of tinnitus patient

Made Lely Rahayu; Gde Ngurah Indraguna Pinatih; Eka Putra Setiawan; I Wayan Lolik Lesmana; Ketut Tadeus Max Nurcahya Pinatih; I Made Nudi Arthana; I Gusti Ayu Putu Wahyu Widiantari

doi:10.15562/bmj.v11i2.3676

Development of a tinnitus sound generator that matches the sound of tinnitus patient

Made Lely Rahayu ,

Gde Ngurah Indraguna Pinatih ,

Eka Putra Setiawan ,

I Wayan Lolik Lesmana ,

Ketut Tadeus Max Nurcahya Pinatih ,

I Made Nudi Arthana ,

I Gusti Ayu Putu Wahyu Widiantari ,

pdf |
DOI: https://doi.org/10.15562/bmj.v11i2.3676 |
Published: 2022-08-30

Abstract

Background: Tinnitus is the perception of sound heard by a person in the absence of an external stimulus. About 10-14.5% of the world's population experience tinnitus, with the most common age group being 40-60 years. As many as 10-12 million people in the United States suffer from severe tinnitus and feel disturbed enough to seek treatment. The management of tinnitus is still a challenge for researchers. Existing therapies include counseling, cognitive therapy, hearing aids, and tinnitus retraining, but until now, there has been no significant therapy. The last therapy that is available is to make artificial sounds that imitate the sound of tinnitus so that it can mask the actual tinnitus sound. In addition, therapy using music is expected to reduce the stress level of tinnitus patients.

Methods: This research is action research, a follow-up study from previous research, with consecutive sampling and in accordance with the inclusion and exclusion criteria. After getting the frequency and amplitude of tinnitus, a sound stimulus is made in the form of combining tone variations and sound generators obtained from audiometric masking. Tone variations are made using a basic tone that matches the patient's tinnitus frequency. After that, the patient will assess the results of the merger.

Results: The results showed the frequency and amplitude of tinnitus, suitability with masking, type of tinnitus, degree of deafness, and all participants were comfortable when listening to sound therapy from a sound generator.

Discussion: The patient will use a tinnitus sound generator for 2 hours for 2 days, so the amplitude is safely limited to less than 91 dB. In this study, we set the tinnitus sound as closely as possible with the frequency, amplitude, tinnitus pulsating or not, appropriate music and paying attention to the hearing threshold.

References

Han BI, Lee HW, Kim TY, Lim JS, Shin KS. Tinnitus: characteristics, causes, mechanisms, and treatments. J Clin Neurol. 2009;5(1):11-19. doi:10.3988/jcn.2009.5.1.11.
dos Santos GM, Bento RF, de Medeiros IR, Oiticcica J, da Silva EC, Penteado S. The influence of sound generator associated with conventional amplification for tinnitus control: randomized blind clinical trial. Trends Hear. 2014. Published 2014 Jul 23. doi:10.1177/2331216514542657.
Wallhäusser-Franke E, Brade J, Balkenhol T, D'Amelio R, Seegmüller A, Delb W. Tinnitus: distinguishing between subjectively perceived loudness and tinnitus-related distress [published correction appears in PLoS One. 2012;7(9). doi: 10.1371/annotation/96f457f9-3f48-4f88-a7f0-1d5e6067e7a5.
Snall, M. The Creation of a Sound Simulation System for People Affected by Tinnitus. Master's Thesis: 2004. p1-44.
Barozzi S, Ambrosetti U, Callaway SL, Behrens T, Passoni S, Bo LD. Effects of Tinnitus Retraining Therapy with Different Colours of Sound. Int Tinnitus J. 2017;21(2):139-143. Published 2017 Dec 1. doi:10.5935/0946-5448.20170026.
Hesse G. Evidence and evidence gaps in tinnitus therapy. GMS Curr Top Otorhinolaryngol Head Neck Surg. 2016;15:Doc04. Published 2016 Dec 15. doi:10.3205/cto000131.
Hesse G. Evidence and Lack of Evidence in the Treatment of Tinnitus. Laryngorhinootologie. 2016;95 Suppl 1:S155-S191. doi:10.1055/s-0041-108946.
Boecking B, Brueggemann P, Mazurek B. Tinnitus: psychosomatic aspects. HNO. 2019;67(2):137-152. doi:10.1007/s00106-019-0609-7.
Hobson J, Chisholm E, El Refaie A. Sound therapy (masking) in the management of tinnitus in adults. Cochrane Database Syst Rev. 2012;11(11):CD006371. Published 2012 Nov 14. doi:10.1002/14651858.CD006371.pub3.
Sereda M, Xia J, El Refaie A, Hall DA, Hoare DJ. Sound therapy (using amplification devices and/or sound generators) for tinnitus. Cochrane Database Syst Rev. 2018;12(12):CD013094. Published 2018 Dec 27. doi:10.1002/14651858.CD013094.pub2.

[1] Han BI, Lee HW, Kim TY, Lim JS, Shin KS. Tinnitus: characteristics, causes, mechanisms, and treatments. J Clin Neurol. 2009;5(1):11-19. doi:10.3988/jcn.2009.5.1.11.

[2] dos Santos GM, Bento RF, de Medeiros IR, Oiticcica J, da Silva EC, Penteado S. The influence of sound generator associated with conventional amplification for tinnitus control: randomized blind clinical trial. Trends Hear. 2014. Published 2014 Jul 23. doi:10.1177/2331216514542657.

[3] Wallhäusser-Franke E, Brade J, Balkenhol T, D'Amelio R, Seegmüller A, Delb W. Tinnitus: distinguishing between subjectively perceived loudness and tinnitus-related distress [published correction appears in PLoS One. 2012;7(9). doi: 10.1371/annotation/96f457f9-3f48-4f88-a7f0-1d5e6067e7a5.

[4] Snall, M. The Creation of a Sound Simulation System for People Affected by Tinnitus. Master's Thesis: 2004. p1-44.

[5] Barozzi S, Ambrosetti U, Callaway SL, Behrens T, Passoni S, Bo LD. Effects of Tinnitus Retraining Therapy with Different Colours of Sound. Int Tinnitus J. 2017;21(2):139-143. Published 2017 Dec 1. doi:10.5935/0946-5448.20170026.

[6] Hesse G. Evidence and evidence gaps in tinnitus therapy. GMS Curr Top Otorhinolaryngol Head Neck Surg. 2016;15:Doc04. Published 2016 Dec 15. doi:10.3205/cto000131.

[7] Hesse G. Evidence and Lack of Evidence in the Treatment of Tinnitus. Laryngorhinootologie. 2016;95 Suppl 1:S155-S191. doi:10.1055/s-0041-108946.

[8] Boecking B, Brueggemann P, Mazurek B. Tinnitus: psychosomatic aspects. HNO. 2019;67(2):137-152. doi:10.1007/s00106-019-0609-7.

[9] Hobson J, Chisholm E, El Refaie A. Sound therapy (masking) in the management of tinnitus in adults. Cochrane Database Syst Rev. 2012;11(11):CD006371. Published 2012 Nov 14. doi:10.1002/14651858.CD006371.pub3.

[10] Sereda M, Xia J, El Refaie A, Hall DA, Hoare DJ. Sound therapy (using amplification devices and/or sound generators) for tinnitus. Cochrane Database Syst Rev. 2018;12(12):CD013094. Published 2018 Dec 27. doi:10.1002/14651858.CD013094.pub2.

Development of a tinnitus sound generator that matches the sound of tinnitus patient

Abstract

References

How to Cite

Search Panel