耳鳴的評估與治療

Evaluation and Treatment of Tinnitus

10.6217/SEQ.202012_(157).11-18

陳小娟(Hsiao-Chuan Chen)

耳鳴 ； 評估 ； 管理 ； 治療 ； 指引 ； tinnitus ； evaluation ； management ； treatment ； guidelines

特殊教育季刊

157期（2020 / 12 / 01）

11 - 18

繁體中文

耳鳴患者多數都有聽力損失，而聽力損失者中也有多數人有耳鳴，因耳鳴而困擾的人需要專業人員協助，根據系統性回顧文獻所建立的耳鳴專業指引有其根基，可做為臨床工作者的參考。耳鳴的評估因實施單位的目的而繁簡不同，耳鳴近幾年常被提到的治療方式（包括擴音、耳鳴再訓練治療法、聲音減敏法、聲音治療法、認知行為治療法、心智核心放鬆耳鳴法、諮商、耳鳴頻率凹谷消除治療法、其他方法等），以及這些方法是否有成效，都扼要敘述於文內。

Many tinnitus sufferers have hearing loss and many hearing-loss people have tinnitus. People who are bothered by tinnitus need professional's assistance. Clinical practice guidelines for tinnitus, which are based upon systematic reviews, have a solid foundation and could serve as a guideline for clinical practitioners. How many tests and what tests should be involved in tinnitus evaluation are determined by their administrators according their purposes. In recent years, many different treatments have been applied to tinnitus patients, for example: amplification, Tinnitus Retraining Therapy, neuromonics, sound therapy, cognitive behavior therapy, Mindfulness-based tinnitus relief, counseling, notched noise therapy, and others. These methods and their effectiveness are briefly described in the text.

1. AAA(2000).AAA 2000 Audiologic guideline for the diagnosis and management of tinnitus patients..
2. Aazh, H.,Moore, B. C.(2018).Thoughts about suicide and self-harm in patients with tinnitus and hyperacusis.Journal of the American Academy of Audiology,29(3),255-261.
3. Baigi, A.,Oden, A.,Almlid-Larsen, V.,Barrenäs, M. L.,Holgers, K. M.(2011).Tinnitus in the general population with a focus on noise and stress: A public health study.Ear and Hearing,32(6),787-789.
4. Durai, M.,O’Keeffe, M. G.,Searchfield, G. D.(2017).The personality profile of tinnitus sufferers and a nontinnitus control group.Journal of the American Academy of Audiology,28(4),271-282.
5. Fagelson, M.(2014).Approaches to tinnitus management and treatment.Seminars in Hearing,35(2),92-104.
6. Henry, J. A.(2014).Clinical practice guideline: Tinnitus.Otolaryngology-Head and Neck Surgery,151(2s),S1-S40.
7. KochKin, S.,Tyler, R.,Born, J.(2011).MarkeTrak VIII: The prevalence of tinnitus in the United States and the self-reported efficacy of various treatments.Hearing Review,18(12),10-27.
8. Parazzini, M.,Del Bo, L.,Jastreboff, M.,Tognola, G.,Ravazzani, P.(2011).Openear hearing aids in tinnitus therapy: An efficacy comparison with sound generators.International Journal of Audiology,50(8),548-553.
9. Seimetz, B. M.,Teixeira, A. R.,Rosito, L. P. S.,Flores, L. S.,Pappen, C. H.,Dall'igna, C.(2016).Pitch and loudness tinnitus in individuals with presbycusis.International Archives of Ootorhinolaryngology,20(4),321-326.
10. Shekhawat, G. S.,Searchfield, G. D.,Stinear, C. M.(2013).Role of hearing aids in tinnitus intervention: A scoping review.Journal of the American Academy of Audiology,24(8),747-762.
11. Stecker, N. A. (2016). Efficacy of the individual components of a tinnitus management protocol. Tinnitus and Hyperacusis. Retrieved from https://www.audiologyonline.com/articles/efficacy-individual-components-tinnitus-management-18326
12. Tremblay, K. E.(Ed.),Burkard, R. F.(Ed.)(2012).Translational perspectives in auditory neurosciences.San Diego, CA:Plural.
13. Tunkel, D. E.,Bauer, C. A.,Sun, G. H.,Rosenfeld, R. M.,Chandrasekhar, S. S.,Cunningham, E. R., Jr,Henry, J. A.(2014).Clinical practice guideline: Tinnitus.Otolaryngology-Head and Neck Surgery,151(2s),S1-S40.
14. Tunkel, D. E.,Bauer, C. A.,Sun, G. H.,Rosenfeld, R. M.,Chandrasekhar, S. S.,Cunningham, E. R., Jr,Musiek, F. E.(2015).Auditory training for central auditory processing disorder.Seminars in Hearing,36(4),199-215.