Over the past two decades, many studies have been conducted with the aim of finding a way to moderate chronic tinnitus. In these studies, various methods such as transcranial magnetic stimulation have been used.
An important factor in choosing the right treatment method is that it has longer lasting effects. Among the methods of rTMS,TENS, tDCS and VNS, which one does have more long-term effects?
I think the mechanisms of action of all those methods are still poorly understood. I know the TMS is used with good results but much More research is needed to answer your question. Please note that (as far as I know) no one of these methods are approved by the legal entities to be used as treatment options in that disease...
João Miguel Castelhano
yes, you're right. thanks for answer.
I knew that none of them are approved but I wanted to know which method is effective for a longer period of time. Anyway, thank you very much for sharing your information.
Hi,
Some of these references can be of help to you which are documented:
Zenner HP, Delb W, Kröner-Herwig B, Jäger B, Peroz I, Hesse G, Mazurek B, Goebel G, Gerloff C, Trollmann R, Biesinger E, Seidler H, Langguth B. A multidisciplinary systematic review of the treatment for chronic idiopathic tinnitus. Eur Arch Otorhinolaryngol. 2017 May;274(5):2079-2091. doi: 10.1007/s00405-016-4401-y
Ogawa K, Sato H, Takahashi M, Wada T, Naito Y, Kawase T, Murakami S, Hara A, Kanzaki S. Clinical practice guidelines for diagnosis and treatment of chronic tinnitus in Japan. Auris Nasus Larynx. 2020 Feb;47(1):1-6. doi: 10.1016/j.anl.2019.09.007
McKenna L, Marks EM, Hallsworth CA, Schaette R. Mindfulness-Based Cognitive Therapy as a Treatment for Chronic Tinnitus: A Randomized Controlled Trial. Psychother Psychosom. 2017;86(6):351-361. doi: 10.1159/000478267
Peter N, Kleinjung T. Neuromodulation for tinnitus treatment: an overview of invasive and non-invasive techniques. J Zhejiang Univ Sci B. 2019 Feb.;20(2):116-130. doi: 10.1631/jzus.B1700117. Epub 2018 Mar 12. PMID: 29770647
Kleinjung T, Thüring C, Güntensperger D, Neff P, Meyer M. Neurofeedback in der Behandlung des chronischen Tinnitus : Überblick und Ausblick [Neurofeedback for the treatment of chronic tinnitus : Review and future perspectives]. HNO. 2018 Mar;66(3):198-204. German. doi: 10.1007/s00106-017-0432-y
I believe that the main point is that tinnitus is not a disease. It is a symptom (sometimes a sign) from a pleiade of different diseases. It means that many of our patients improve a lot with TMRMN, when a not physical disease is found.
The focus (and the problem) is the inclusion criteria, not the symptom tinnitus itself.
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