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An investigation to the tinnitus and associated factors in cochlear implant activated and non-activated situation / 人工耳蝸開啟與關閉後其耳鳴之變化及相關因子探討

碩士 / 國立臺北護理健康大學 / 聽語障礙科學研究所 / 103 / The purpose of the study is to investigate the tinnitus improvement and its associated factors, such as implant duration and implant age in cochlear implant activated and non-activated situation. We included 26 subjects in their clinic visit day to Taipei branch of Mackay Memorial Hospital; age: 15 to 69 with an average of 37.24±17.49 years old; implanted aged: 3.2 to 68 with an average of 33.34±19.07 years old. The implant duration was 4 months to 16years and 2months with an average of 3.91±4.05 years. The subjects had to complete the Chinese version of tinnitus handicap inventory and Tinnitus Severity Index which cochlear implants (CI) switched on and off mode.
The study result showed significantly improved after the cochlear implant. There were significant differences between on and off mode in TSI and THI score. Spearman rank correlation coefficient showed significant moderate correlation between age and tinnitus volume, and significant negative moderate correlation between the duration of implantation, THI and TSI; TSI and THI decreased as the duration of implantation increased. The age at the time of surgery was significantly moderate correlated with tinnitus volume, TSI and THI. The improvement of tinnitus was also correlated with implant age.
Cochlear implants are not only an important assistive device to those who has severe to profound hearing impairment, but also a way to treatment tinnitus. Although the tinnitus can be regard as one of consideration when choosing the implanting side, the treatment goal is still to improve hearing ability, not to alleviate tinnitus. To those who has worse cochlea condition and in geriatric population, a reasonable expectation about the reduction of tinnitus after implantation should be built and educated because there are still risks and uncertainty in the nature of medication.

Identiferoai:union.ndltd.org:TW/103NTCN0714015
Date January 2015
CreatorsWen-Ting Huang, 黃文亭
ContributorsHung-Ching Lin, 林鴻清
Source SetsNational Digital Library of Theses and Dissertations in Taiwan
Languagezh-TW
Detected LanguageEnglish
Type學位論文 ; thesis
Format50

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