Year 2020, Volume 4 , Issue 11, Pages 1041 - 1045 2020-11-01

İdiyopatik tinnitus tedavisinde kalorik vestibüler stimülasyonun etkinliği
Efficacy of caloric vestibular stimulation for the treatment of idiopathic tinnitus

Özlem SAATCİ [1] , Nesibe Gül YÜKSEL ASLIER [2] , Özge ARICI DÜZ [3]


Amaç: Kalorik vestibüler stimülasyon (KVS), kortikal yapıların aktivasyonunu indükler ve çeşitli hastalıkların tedavisinde bir nöromodülasyon tekniği olarak kullanılır. Bu çalışma, KVS'nin idiyopatik tinnitus tedavisinde yararlı olup olmayacağını araştırmayı amaçlamıştır. Yöntemler: Tek taraflı idiyopatik tinnitusu olan hastalar çalışmaya alındı. Semptomatik kulağa soğuk su (çalışma grubu) ve vücut ısısında su (kontrol grubu) olmak üzere KVS irrigasyonu uygulandı. Tüm hastalara standart odyometrik muayene yapıldı ve görsel analog skala (GAS), tinnitus engellilik anketi (TEA) ve Beck depresyon anketi (BDA) uygulandı. Bulgular: Tinnitus şiddeti ve rahatsız olma GAS değerleri, ortalama TEA ve BDA skorları kontrol grubunda anlamlı bir değişiklik göstermedi. Çalışma grubunda müdahale sonrası ilk haftada hem tinnitus şiddeti hem de rahatsız olma skorlarında anlamlı iyileşme oldu (P<0,001). Çalışma grubunda KVS sonrası dört hafta içinde medyan TEA ve BDA skorlarında ve tinnitus sesinde anlamlı düşüş gözlendi (sırasıyla P<0,001, P<0,001, P=0,004 ve P=0,001). Sonuç: Soğuk su ile yapılan KVS'nin, tinnitus yoğunluğunda önemli bir düşüşe ve tinnitusun ses şiddetinde azalmaya yol açtığı ve ayrıca TEA ve BDA skorlarını iyileştirdiği sonucuna varabiliriz.
Aim: Caloric vestibular stimulation (CVS) induces the activation of several cortical structures and has been utilized as a neuromodulation technique in the treatment of several disorders. This study purposed to investigate whether CVS would be beneficial in the management of idiopathic tinnitus. Methods: Patients with unilateral idiopathic tinnitus were enrolled in the study. CVS with cold water (study group) and body temperature (control group) irrigation were applied to the symptomatic ear. All patients underwent a standard audiometric examination and visual analogue scale (VAS), the tinnitus handicap inventory (THI) and the Beck depression inventory (BDI) were administered. Results: VAS intensity and disturbance values, mean THI and BDI scores did not show any significant changes in the control group. In the study group, a significant improvement in both the tinnitus intensity and disturbance occurred in the first week post-intervention (P<0.001), and a significant decline was observed in median THI and BDI scores as well as the loudness of the tinnitus in the four weeks post-CVS (P<0.001, P<0.001, P=0.004 and P=0.001) respectively). Conclusion: We can conclude that CVS with cold water leads to a significant decline in the intensity of tinnitus and reduction in the loudness of tinnitus, as well as improving THI and BDI scores.
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Primary Language en
Subjects Otorhinolaryngology
Journal Section Research article
Authors

Orcid: 0000-0002-3372-9514
Author: Özlem SAATCİ (Primary Author)
Institution: SAĞLIK BİLİMLERİ ÜNİVERSİTESİ
Country: Turkey


Orcid: 0000-0003-0392-9280
Author: Nesibe Gül YÜKSEL ASLIER
Institution: BURSA YÜKSEK İHTİSAS SAĞLIK UYGULAMA VE ARAŞTIRMA MERKEZİ
Country: Turkey


Orcid: 0000-0003-0334-811X
Author: Özge ARICI DÜZ
Institution: İSTANBUL MEDİPOL ÜNİVERSİTESİ
Country: Turkey


Dates

Publication Date : November 1, 2020

Bibtex @research article { josam809898, journal = {Journal of Surgery and Medicine}, issn = {}, eissn = {2602-2079}, address = {jsurgmed@gmail.com}, publisher = {Fatih BAŞAK}, year = {2020}, volume = {4}, pages = {1041 - 1045}, doi = {10.28982/josam.809898}, title = {Efficacy of caloric vestibular stimulation for the treatment of idiopathic tinnitus}, key = {cite}, author = {Saatci̇, Özlem and Yüksel Aslıer, Nesibe Gül and Arıcı Düz, Özge} }
APA Saatci̇, Ö , Yüksel Aslıer, N , Arıcı Düz, Ö . (2020). Efficacy of caloric vestibular stimulation for the treatment of idiopathic tinnitus . Journal of Surgery and Medicine , 4 (11) , 1041-1045 . DOI: 10.28982/josam.809898
MLA Saatci̇, Ö , Yüksel Aslıer, N , Arıcı Düz, Ö . "Efficacy of caloric vestibular stimulation for the treatment of idiopathic tinnitus" . Journal of Surgery and Medicine 4 (2020 ): 1041-1045 <http://jsurgmed.com/en/pub/issue/57748/809898>
Chicago Saatci̇, Ö , Yüksel Aslıer, N , Arıcı Düz, Ö . "Efficacy of caloric vestibular stimulation for the treatment of idiopathic tinnitus". Journal of Surgery and Medicine 4 (2020 ): 1041-1045
RIS TY - JOUR T1 - Efficacy of caloric vestibular stimulation for the treatment of idiopathic tinnitus AU - Özlem Saatci̇ , Nesibe Gül Yüksel Aslıer , Özge Arıcı Düz Y1 - 2020 PY - 2020 N1 - doi: 10.28982/josam.809898 DO - 10.28982/josam.809898 T2 - Journal of Surgery and Medicine JF - Journal JO - JOR SP - 1041 EP - 1045 VL - 4 IS - 11 SN - -2602-2079 M3 - doi: 10.28982/josam.809898 UR - https://doi.org/10.28982/josam.809898 Y2 - 2020 ER -
EndNote %0 Journal of Surgery and Medicine Efficacy of caloric vestibular stimulation for the treatment of idiopathic tinnitus %A Özlem Saatci̇ , Nesibe Gül Yüksel Aslıer , Özge Arıcı Düz %T Efficacy of caloric vestibular stimulation for the treatment of idiopathic tinnitus %D 2020 %J Journal of Surgery and Medicine %P -2602-2079 %V 4 %N 11 %R doi: 10.28982/josam.809898 %U 10.28982/josam.809898
ISNAD Saatci̇, Özlem , Yüksel Aslıer, Nesibe Gül , Arıcı Düz, Özge . "Efficacy of caloric vestibular stimulation for the treatment of idiopathic tinnitus". Journal of Surgery and Medicine 4 / 11 (November 2020): 1041-1045 . https://doi.org/10.28982/josam.809898
AMA Saatci̇ Ö , Yüksel Aslıer N , Arıcı Düz Ö . Efficacy of caloric vestibular stimulation for the treatment of idiopathic tinnitus. J Surg Med. 2020; 4(11): 1041-1045.
Vancouver Saatci̇ Ö , Yüksel Aslıer N , Arıcı Düz Ö . Efficacy of caloric vestibular stimulation for the treatment of idiopathic tinnitus. Journal of Surgery and Medicine. 2020; 4(11): 1041-1045.
IEEE Ö. Saatci̇ , N. Yüksel Aslıer and Ö. Arıcı Düz , "Efficacy of caloric vestibular stimulation for the treatment of idiopathic tinnitus", Journal of Surgery and Medicine, vol. 4, no. 11, pp. 1041-1045, Nov. 2020, doi:10.28982/josam.809898