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Year : 2013  |  Volume : 15  |  Issue : 63  |  Page : 107--116

Recent technological advances in sound-based approaches to tinnitus treatment: A review of efficacy considered against putative physiological mechanisms


1 NIHR Nottingham Hearing Biomedical Research Unit, Ropewalk House, 113 The Ropewalk, Nottingham, NG1 5DU; School of Clinical Sciences, University of Nottingham, Nottingham, NG7 2RD, United Kingdom
2 MRC Institute of Hearing Research, University Park, Nottingham, NG7 2RD, United Kingdom

Correspondence Address:
Derek J Hoare
NIHR Nottingham Hearing Biomedical Research Unit, Ropewalk House, 113 The Ropewalk, Nottingham, NG1 5DU
United Kingdom
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Source of Support: None, Conflict of Interest: DJH and DAH are principal investigators on the clinical trial of Acoustic CR Neuromodulation referred to in this manuscript


DOI: 10.4103/1463-1741.110292

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The past decade has seen an escalating enthusiasm to comprehend chronic tinnitus from the perspective of both scientific understanding and clinical management. At the same time, there is a significant interest and commercial investment in providing targeted and individualized approaches to care, which incorporate novel sound-based technologies, with standard audiological and psychological strategies. Commercially produced sound-based devices for the tinnitus market include Co-ordinated Reset Neuromodulation ® , Neuromonics © , Serenade ® , and Widex ® Zen. Additionally, experimental interventions such as those based on frequency-discrimination training are of current interest. Many of these interventions overtly claim to target the underlying neurological causes of tinnitus. Here, we briefly summarize current perspectives on the pathophysiology of tinnitus and evaluate claims made by the device supporters from a critical point of view. We provide an opinion on how future research in the field of individualized sound-based interventions might best provide a reliable evidence-base in this growing area of translational medicine.






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