Tinnitus Treatment Blog

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Generally speaking a surgical management of tinnitus has been successful in some cases but it does not provide a valid and consistent form of treatment for subjective tinnitus.

Surgical failures can also occur because the tinnitus may set up a secondary central focus inside the brain. In such cases, the alternate source of the tinnitus, which is located deep within the brain, cannot be treated surgically.

A study showed that the surgical removal of acoustic tumors with an excision of the auditory nerve in 414 patients resulted in the improvement in the tinnitus only in 40% patients.

In another study, out of 68 patients undergoing translabyrinthine eighth nerve section, 80% of them had tinnitus preoperatively. There was an improvement only in 45% whereas 55% reported the condition to be the same or worsen.

Stapedectomy is a surgical treatment of tinnitus that can improve the hearing in most of the cases but it can cure only 50% of the symptoms of tinnitus. On the contrary, most of the patients with cochlear implants report an improvement in the tinnitus by the use of implant and stimulator.

The cochlear implants have proven to be more suitable for the patients who suffer from severe tinnitus.

Some patients had undergone middle cranial fossa section of the vestibular nerve for the treatment of vertigo. Most of them reported the tinnitus to be the same as before but a considerable number felt that it had worsened.

Some cases of tinnitus in which the option of a surgery is considered are as follows:

• Tinnitus caused due to a tumor.
• If the diagnosis is otosclerosis or fistula.
• In case of venous tinnitus the options of occlusion of the sigmoid sinus, jugular vein ligation or closure of a dural fistula may be considered.
• In certain cases the patients of Menire’s disease may get some relief in their tinnitus by a transtympanic gentamicin.

8th nerve sections are done to treat tinnitus in the rarest of cases because although they may be successful in about 50% but there is a risk of losing one’s hearing in almost all the cases.

Hence, we find that surgery is considered only in extreme situations where the tinnitus noise is extremely loud and there is a methodology to decide if tinnitus can be improved by surgery.

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