|Wiesław Konopka, Marzena Mielczarek|
Introduction. About 10-20% of the adult population suffers
from tinnitus, and its frequency among children is probably the
same. Since its etiology is unclear, no satisfactory method for
causal treatment of tinnitus is yet available.
Aim. Evaluate the effectiveness of betahistine in tinnitus
treatment in patients with sensorineural hearing loss, compared
with the treatment of those patients by electrical stimulation of
the hearing organ combined with cervical kinesitherapy.
Material and methods. Group I of 40 patients was treated with
betahistine (2x24 mg) for 120 days, and group II (reference) of
40 patients received electrical stimulation and kinesitherapy.
The latter treatment involved fifteen electrical stimulations
administered 3 or 4 times a week (the whole treatment lasted
approximately 30 days). Results of the treatments were assessed
in both groups for the same periods of time from regression
or changed character of tinnitus and results of a questionnaire
survey compiled from the Tinnitus Handicap Inventory, with the
criterion set at minimum 20% change of the score.
Results. The proportion of ears with permanent tinnitus
decreased significantly in both groups: by 34% in the group
treated with betahistine and by 36% in the group with electrical
stimulations. However, the complete elimination of tinnitus was
significantly more frequent in the betahistine (22%) than in the
reference group (8%). In the questionnaire evaluation of tinnitus
annoyance, the improvement was seen in more than 50% of
ears treated with betahistine, and only in 30% of ears receiving
electrostimulation, immediately after therapy.
Conclusions. Prolonged therapy with betahistine seems to be
an effective method of treatment in some of tinnitus patients.
Effects of betahistine treatment are better than the effects of
electrostimulation combined with cervical kinesitherapy.
keywords: szumy uszne, betahistyna, elektrostymulacja, leczenie, tinnitus, betahistine, electrical stimulation, treatment
pages: from 122 to 128
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