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Case Studies

Tinnitus Intervention Results

CASE STUDY 1
October 12, 2016
Paul is a 56 year old accountant who was first seen in our tinnitus clinic 3 months ago. He reported that he had a constant buzzing sound in both ears with the left ear being worse. Additionally, he stated that his tinnitus often fluctuated in loudness and tone although there was no particular pattern. The onset of his tinnitus was over 10 years ago but until the last 6 months had not been an issue. He was seen by an ENT and audiologist 4 months prior to visiting our clinic. His ENT examination was unremarkable for ear disease however, he was found to have a slight to moderate high frequency sensory hearing loss in both ears. He was subsequently fitted with bilateral hearing aids with the hope of reducing his tinnitus awareness. Although he did feel it helped some he continued to be bothered by its presence. On his first visit to our clinic, he completed a comprehensive tinnitus case history and Tinnitus Handicap Inventory (THI). His score on the THI revealed a moderate disturbance from his tinnitus. A tinnitus assessment was performed and confirmed a high frequency hearing loss in both ears. His tinnitus was described as more of a high pitched ringing at the time of testing. His tinnitus was matched at 1000Hz at 10db.
 
Paul was placed in our tinnitus stress program which included fitting him with combination hearing aids
and noise generator. Additionally, he was scheduled for periodical counselling to address his reaction and stress caused by his tinnitus. Since beginning our program he has noticed a significant decrease in his disturbance and feels that he has “more control of his tinnitus instead of the other way around”.
CASE STUDY 2
October 12, 2016
Will is a 39 year old health care professional. The onset of his tinnitus was in the spring of 2016 which he attributed to a seasonal allergy. He described the sound of his tinnitus to be between a white noise and squealing which is constant but more pronounced in quiet environments. He had seen several ENT’s and audiologist prior to visiting our clinic. His medical examinations were normal but he was found to have a
high frequency sensory loss in his left ear which he attributes to playing loud music. In his initial interview he was very concerned about his tinnitus getting worse. He stated that “It is depressing and I fear that it is progressive and worry how I will deal with it”. When asked why he thought it would progressively get worse, he responded “because there is no cure and there is nothing the doctors could do”.

Will scored in the moderate range for tinnitus stress. He was counseled regarding strategies that could be used to give him control over his tinnitus including using music therapy. He was also instructed to seek psychological advice if what we had discussed did not help. Since his first visit, he is actually doing much better. He is not as worried about his tinnitus future and found that some of the techniques I had instructed him on were helping. His prognosis for continued improvement is good.

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