Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Clinical Trial
. Jul-Aug 2007;28(4):225-9.
doi: 10.1016/j.amjoto.2006.09.004.

Tinnitus Retraining Therapy: Prognosis Factors

Clinical Trial

Tinnitus Retraining Therapy: Prognosis Factors

Carlos Herraiz et al. Am J Otolaryngol. .


Introduction: Tinnitus retraining therapy (TRT) is, nowadays, one of the most extended treatments for tinnitus control. The goal is the habituation to a nonsignificative signal, that is, tinnitus, first, eliminating its reaction and, second, minimizing its perception.

Purpose: The objective of this study is to identify the factors that could improve or reduce the efficacy of TRT.

Materials and methods: A prospective nonrandomized clinical assay (n = 137) was conducted. Three parameters were considered for tinnitus evaluation at 1-year follow-up: patient self-evaluation, visual analogue scale for intensity, and Tinnitus Handicap Inventory.

Results: Tinnitus retraining therapy group improved at 1-year follow-up, considering the 3 parameters. The most important factor of failure to TRT efficacy has been the refuse to instrumentation when it was required, according to TRT recommendations. Tinnitus Handicap Inventory score in this group did not show any improvement (P = .009). Highest scores of tinnitus intensity (visual analogue scale) and handicap (Tinnitus Handicap Inventory) before treatment as well as the most disabled diagnosis (sudden deafness and Meniere's disease) had better response to TRT. Jastreboff's treatment categories, longer presence of tinnitus, existence of hyperacusis or hearing loss, type of prosthesis used, duration of the treatment, and index of assistance to our follow-up program were not related to the effectiveness of TRT.

Conclusions: Tinnitus retraining therapy has demonstrated to be an effective treatment of tinnitus. More severe tinnitus are susceptible to get better response with this approach. Instrumentation, when recommended, is mandatory to obtain a higher relief of this symptom (EMB rating: B-2).

Similar articles

  • Long-term clinical trial of tinnitus retraining therapy.
    Herraiz C, Hernandez FJ, Plaza G, de los Santos G. Herraiz C, et al. Otolaryngol Head Neck Surg. 2005 Nov;133(5):774-9. doi: 10.1016/j.otohns.2005.07.006. Otolaryngol Head Neck Surg. 2005. PMID: 16274808 Clinical Trial.
  • [TRT: results after one year treatment].
    Madeira G, Montmirail Ch, Decat M, Gersdorff M. Madeira G, et al. Rev Laryngol Otol Rhinol (Bord). 2007;128(3):145-8. Rev Laryngol Otol Rhinol (Bord). 2007. PMID: 18323325 French.
  • Pros and cons of tinnitus retraining therapy.
    Hatanaka A, Ariizumi Y, Kitamura K. Hatanaka A, et al. Acta Otolaryngol. 2008 Apr;128(4):365-8. doi: 10.1080/00016480701730760. Acta Otolaryngol. 2008. PMID: 18368566 Clinical Trial.
  • Tinnitus retraining therapy.
    Jastreboff PJ. Jastreboff PJ. Prog Brain Res. 2007;166:415-23. doi: 10.1016/S0079-6123(07)66040-3. Prog Brain Res. 2007. PMID: 17956806 Review.
  • Tinnitus retraining therapy: a different view on tinnitus.
    Jastreboff PJ, Jastreboff MM. Jastreboff PJ, et al. ORL J Otorhinolaryngol Relat Spec. 2006;68(1):23-9; discussion 29-30. doi: 10.1159/000090487. Epub 2006 Mar 3. ORL J Otorhinolaryngol Relat Spec. 2006. PMID: 16514259 Review.
See all similar articles

Cited by 10 articles

See all "Cited by" articles

Publication types

LinkOut - more resources