Systematic Review on Intra- and Extracochlear Electrical Stimulation for Tinnitus.

extracochlear electrical stimulation intracochlear electrical stimulation neuromodulation systematic review tinnitus

Journal

Brain sciences
ISSN: 2076-3425
Titre abrégé: Brain Sci
Pays: Switzerland
ID NLM: 101598646

Informations de publication

Date de publication:
24 Oct 2021
Historique:
received: 14 09 2021
revised: 08 10 2021
accepted: 19 10 2021
entrez: 27 11 2021
pubmed: 28 11 2021
medline: 28 11 2021
Statut: epublish

Résumé

Several electrical stimulation patterns of the auditory nerve have been described for tinnitus relief, but there is no consensus on the most effective stimulation pattern. Therefore, we aim to systematically review the literature on the effect of intra- and extracochlear electrical stimulation patterns as a treatment option for patients with tinnitus. Only studies on intra- and extracochlear electrical stimulation for patients with tinnitus were included if the stimulation used did not concern standardized CI stimulation patterns to primarily rehabilitate hearing loss as intervention. A total of 34 studies met the inclusion criteria, with 10 studies (89 patients) on intracochlear electrical stimulation and 25 studies on extracochlear electrical stimulation (1109 patients). There was a high to medium risk of bias in 22 studies, especially due to lack of a non-exposed group and poor selection of the exposed group. All included studies showed subjective tinnitus improvement during or after electrical stimulation, using different stimulation patterns. Due to methodological limitations and low reporting quality of the included studies, the potential of intra- and extracochlear stimulation has not been fully explored. To draw conclusions on which stimulation patterns should be optimized for tinnitus relief, a deeper understanding of the mechanisms involved in tinnitus suppression is needed.

Identifiants

pubmed: 34827395
pii: brainsci11111394
doi: 10.3390/brainsci11111394
pmc: PMC8615734
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Subventions

Organisme : European Union's Horizon 2020 Research and Innovation Program
ID : 764604

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Auteurs

Kelly K S Assouly (KKS)

Department of Otorhinolaryngology and Head & Neck Surgery, University Medical Center Utrecht, 3584 Utrecht, The Netherlands.
UMC Utrecht Brain Center, University Medical Center Utrecht, 3584 Utrecht, The Netherlands.
Cochlear Technology Center, 2800 Mechelen, Belgium.

Max J Dullaart (MJ)

Department of Otorhinolaryngology and Head & Neck Surgery, University Medical Center Utrecht, 3584 Utrecht, The Netherlands.

Robert J Stokroos (RJ)

Department of Otorhinolaryngology and Head & Neck Surgery, University Medical Center Utrecht, 3584 Utrecht, The Netherlands.
UMC Utrecht Brain Center, University Medical Center Utrecht, 3584 Utrecht, The Netherlands.

Bas van Dijk (B)

Cochlear Technology Center, 2800 Mechelen, Belgium.

Inge Stegeman (I)

Department of Otorhinolaryngology and Head & Neck Surgery, University Medical Center Utrecht, 3584 Utrecht, The Netherlands.
UMC Utrecht Brain Center, University Medical Center Utrecht, 3584 Utrecht, The Netherlands.

Adriana L Smit (AL)

Department of Otorhinolaryngology and Head & Neck Surgery, University Medical Center Utrecht, 3584 Utrecht, The Netherlands.
UMC Utrecht Brain Center, University Medical Center Utrecht, 3584 Utrecht, The Netherlands.

Classifications MeSH