Abstract：
BACKGROUND: Stimulation of the nonauditory nervous systems via the trigeminal nerve pathways can be a promising intervention for patients with tinnitus refractory to medical, conservative, and other treatment options. Therapy of the mandibular division of the trigeminal nerve through the auriculotemporal nerve has been reported as useful for patients with tinnitus.
OBJECTIVE: The objective of our study was to study the long-term effects of pulsed radiofrequency of the auriculotemporal nerve in a large group of tinnitus sufferers and to find predictors for a prosperous result.
METHODS: A monocenter backward-looking group study.
RESULTS: In a two-year period, 67 tinnitus patients had pulsed radiofrequency of the auriculotemporal nerve. Twentythree (35%) reported reduced tinnitus loudness at the 7-week post-treatment follow-up. These patients valued the improvements as: 61% good, 22% moderate, and 17% slight. In 3% of patients, tinnitus magnified after the treatment. The odds of permanent tinnitus relief after successful pulsed radiofrequency of the auriculotemporal nerve are 68% at 1 year postoperative. In tinnitus patients without cervical pain 62% had an improvement following pulsed radiofrequency of the auriculotemporal nerve compared to 28% in those not fulfilling this criterion (p=0.024).
CONCLUSIONS: Neuromodulation of the auriculotemporal nerve is an uncomplicated remedy for tinnitus. In a select group of tinnitus patients this treatment can a good relief of their tinnitus for a long period. Especially, tinnitus sufferers without cervical pain will benefit of this therapy.
OBJECTIVE: The objective of our study was to study the long-term effects of pulsed radiofrequency of the auriculotemporal nerve in a large group of tinnitus sufferers and to find predictors for a prosperous result.
METHODS: A monocenter backward-looking group study.
RESULTS: In a two-year period, 67 tinnitus patients had pulsed radiofrequency of the auriculotemporal nerve. Twentythree (35%) reported reduced tinnitus loudness at the 7-week post-treatment follow-up. These patients valued the improvements as: 61% good, 22% moderate, and 17% slight. In 3% of patients, tinnitus magnified after the treatment. The odds of permanent tinnitus relief after successful pulsed radiofrequency of the auriculotemporal nerve are 68% at 1 year postoperative. In tinnitus patients without cervical pain 62% had an improvement following pulsed radiofrequency of the auriculotemporal nerve compared to 28% in those not fulfilling this criterion (p=0.024).
CONCLUSIONS: Neuromodulation of the auriculotemporal nerve is an uncomplicated remedy for tinnitus. In a select group of tinnitus patients this treatment can a good relief of their tinnitus for a long period. Especially, tinnitus sufferers without cervical pain will benefit of this therapy.
摘要：
背景：通过三叉神经通路刺激非听觉神经系统可能是一种有希望的干预措施，保守,和其他治疗选择。据报道，通过耳颞部神经治疗三叉神经的下颌分裂对耳鸣患者有用。
目的：我们的研究目的是研究耳颞神经脉冲射频对一大组耳鸣患者的长期影响，并寻找结果的预测因子。
方法：单中心回溯小组研究。
结果：在两年的时间里，67例耳鸣患者有耳颞部神经脉冲射频。23(35%)在治疗后7周随访时报告耳鸣响度降低。这些患者认为改善为：61％好，22%中度,17%轻微。在3%的患者中，治疗后耳鸣放大。术后1年成功脉冲射频后，耳颞部神经永久性耳鸣缓解的几率为68％。在没有颈痛的耳鸣患者中，62％的患者在耳颞神经脉冲射频后有所改善，而不符合该标准的患者为28％（p=0.024）。
结论：耳颞神经的神经调节是治疗耳鸣的简单方法。在一组选定的耳鸣患者中，这种治疗可以长期很好地缓解他们的耳鸣。尤其是,没有颈椎疼痛的耳鸣患者将受益于这种治疗。
目的：我们的研究目的是研究耳颞神经脉冲射频对一大组耳鸣患者的长期影响，并寻找结果的预测因子。
方法：单中心回溯小组研究。
结果：在两年的时间里，67例耳鸣患者有耳颞部神经脉冲射频。23(35%)在治疗后7周随访时报告耳鸣响度降低。这些患者认为改善为：61％好，22%中度,17%轻微。在3%的患者中，治疗后耳鸣放大。术后1年成功脉冲射频后，耳颞部神经永久性耳鸣缓解的几率为68％。在没有颈痛的耳鸣患者中，62％的患者在耳颞神经脉冲射频后有所改善，而不符合该标准的患者为28％（p=0.024）。
结论：耳颞神经的神经调节是治疗耳鸣的简单方法。在一组选定的耳鸣患者中，这种治疗可以长期很好地缓解他们的耳鸣。尤其是,没有颈椎疼痛的耳鸣患者将受益于这种治疗。
