Auditory Nerve Section

Discussion in 'Treatments' started by RCP1, Nov 29, 2018.

    1. AUTHOR

      RCP1 Member Benefactor

      Dublin, Ireland
      Tinnitus Since:
      If that worked for me I'd be pretty much cured with 1/10 tinnitus!
      Thanks stubby - worth a look at the neck aspect.
    2. InfiniteLoop

      InfiniteLoop Member Benefactor

      Redwood City, California
      Tinnitus Since:
      Cause of Tinnitus:
      High frequency hearing loss in left ear from head trauma (?)
      The topic about cutting the auditory nerve for unilateral tinnitus appears from time and time, and I have not found threads with background references. I found this paper with a summary of findings (the paper is old), and is not as negative as it could be expected given the main working hypothesis that tinnitus is in the brain.

      1. Ciba Found Symp. 1981;85:204-16.

      Tinnitus: surgical treatment.

      House JW, Brackmann DE.

      Surgical treatment of tinnitus includes destructive procedures, neurectomies,
      stapedectomies and tympanosympathectomies. Translabyrinthine procedures for the
      removal of acoustic neuromas and sectioning of the eighth nerve to eliminate
      vertigo are analogous to cutting the eighth nerve as a surgical intervention for
      tinnitus. After surgical removal of acoustic tumours with excision of the
      auditory nerve in 414 patients, only 40% reported improvement in their tinnitus.
      Of 68 patients undergoing translabyrinthine eighth nerve section, 60 (80%) had
      tinnitus preoperatively. Improvement occurred in 45%, while 55% reported the
      condition to be the same or worse. In patients undergoing middle cranial fossa
      section of the vestibular nerve for vertigo or dizziness, most reported the
      tinnitus to be the same but a significant number felt that it was worse.
      Stapedectomy improves hearing in most patients but improves the symptom of
      tinnitus in only about half of the patients. Cochlear implant patients report an
      improvement in their tinnitus with use of the stimulator and implant. Implant
      procedures might therefore be used in patients who suffer from severe tinnitus.
      Surgical management of tinnitus, although successful in some cases, does not
      provide a valid and reliable mode of treatment for subjective tinnitus.

      PMID: 6915835 [Indexed for MEDLINE]
      • Informative Informative x 1
    3. Contrast
      No Mood

      Contrast Member Benefactor Hall of Fame

      Clown World
      Tinnitus Since:
      late 2017
      Cause of Tinnitus:
      noise injury

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