Improvement of Tinnitus following Tympanoplasty and Tympanomastoidectomy Surgeries in Patients with Chronic Otitis Media

  • Masoumeh Saeedi 1-Department of Otorhinolaryngology-Head and Neck Surgery, Faculty of Medicine, Baqiyatallah University of Medical Sciences, Tehran, Iran.
  • Mohammad Hossein Khosravi 1-International Otorhinolaryngology Research Association (IORA), Universal Scientific and Education Research Network (USERN), Tehran, Iran 2-Students' Research Committee(SRC), Baqiyatallah University of Medical Sciences, Tehran, Iran
Keywords: Tinnitus, Otitis Media, Tympanoplasty, Tympanomastoidectomy


Background: After otorrhea and hearing loss, Tinnitus is the most common symptom in pa­tients with chronic otitis media (COM). The aim of this study was to evaluate the improvement of tinnitus in COM patients after tympanoplasty and tympanomastoidectomy surgeries. Mate­rials and Methods: This cross-sectional study was conducted on COM patients suffering from Tinnitus referred to Baqiyatallah hospital, Tehran, Iran undergoing tympanoplasty or tympano­mastoidectomy surgeries between March 2013 and August 2014. Tinnitus Handicap Inventory (THI) and Visual Analogue Scale (VAS) questionnaires were filled before and two months after surgery by each patient, and considered subjects were compared with each other. Audiometry test was taken from each patient before and two months after surgery. Audiometry results as well as Air-Bone gap were measured and evaluated prior and after surgery. Data were analyzed using SPSS software by ANOVA, sample t-test and Chi-square tests. Results: Eventually, 26 male and 24 female patients with a mean age of 38.62±11.88 years were enrolled. Air conduc­tion at all frequencies was 49.99±17.37 before and 36.98±22.06 after surgery (P<0.001). Sever­ity of tinnitus was 62.92±30.54 before and 30.54±20.08 after surgery based on THI (P<0.001). Also, it was 7.46±1.66 before and 3.5±2.06 after surgery based on VAS evaluations (P<0.001). Tinnitus severity reduction was significantly associated with the improvement of hearing loss and decrement of air-Bone gap (P<0.001). Tinnitus symptoms such as loudness, annoyance, impact on life and perception of Tinnitus significantly reduced after surgery. Moreover, Tym­panomastoidectomy was more effective on the improvement of Tinnitus in comparison with Tympanoplasty (P=0.019).Conclusion: It seems that, both tympanomastoidectomy and tympa­noplasty surgeries are effective on the improvement of tinnitus in patients with COM; however, Tympanomastoidectom surgery was shown to be more effective.[GMJ.2016;5(2):63-69]


Hazell J, Jastreboff P. Tinnitus. I: Auditory mechanisms: a model for tinnitus and hearing impairment. The Journal of otolaryngology. 1990;19(1):1-5.

Shargorodsky J, Curhan GC, Farwell WR. Prevalence and characteristics of tinnitus among US adults. The American journal of medicine. 2010;123(8):711-8.

Melcher J, Sigalovsky I, Guinan J, Levine R. Lateralized tinnitus studied with functional magnetic resonance imaging: abnormal inferior colliculus activation. Journal of neurophysiology. 2000;83(2):1058-72.

Griest SE, Bishop PM. Tinnitus as an early indicator of permanent hearing loss: A 15 year longitudinal study of noise exposed workers. Workplace Health & Safety. 1998;46(7):325.

Nowak K, Banaszewski J, Dabrowski P, Szymiec E, Szyfter W. [Tinnitus in systemic diseases]. Otolaryngologia polska The Polish otolaryngology. 2001;56(2):213-6.

Eggermont JJ, Roberts LE. The neuroscience of tinnitus. Trends in neurosciences. 2004;27(11):676-82.

Sullivan MD, Katon W, Dobie R, Sakai C, Russo J, Harrop-Griffiths J. Disabling tinnitus: association with affective disorder. General hospital psychiatry. 1988;10(4):285-91.

Baldo P, Doree C, Molin P, McFerran D, Cecco S. Antidepressants for patients with tinnitus. The Cochrane Library. 2012.

Langguth B, Hajak G, Kleinjung T, Pridmore S, Sand P, Eichhammer P. Repetitive transcranial magnetic stimulation and chronic tinnitus. Acta Oto-Laryngologica. 2006;126(S556):102-4.

Phillips JS, McFerran D. Tinnitus retraining therapy (TRT) for tinnitus. The Cochrane Library. 2010.

Jastreboff PJ, Hazell JW. A neurophysiological approach to tinnitus: clinical implications. British journal of audiology. 1993;27(1):7-17.

Dobie RA. A review of randomized clinical trials in tinnitus. The Laryngoscope. 1999;109(8):1202-11.

Waldvogel D, Mattle HP, Sturzenegger M, Schroth G. Pulsatile tinnitus—a review of 84 patients. Journal of neurology. 1998;245(3):137-42.

Lima AdS, Sanchez TG, Moraes MFB, Alves SCB, Bento RF. The effect of timpanoplasty on tinnitus in patients with conductive hearing loss: a six month follow-up. Revista Brasileira de Otorrinolaringologia. 2007;73(3):384-9.

Mahmoudian S, Shahmiri E, Rouzbahani M, Jafari Z, Reza Keyhani M, Rahimi F, et al. Persian language version of the" Tinnitus Handicap Inventory": translation, standardization, validity and reliability. International Tinnitus Journal. 2011;16(2):93.

Saito T, Kimura Y, Yamada T, Kono Y, Tanaka N, Shibamori Y, et al. [Efficacy of middle ear surgery for patients with hearing aids and middle ear disease]. Nihon Jibiinkoka Gakkai Kaiho. 1999;102(3):347-53.

Helms J. [Tympanoplasty and Tinnitus (author's transl)]. Laryngologie, Rhinologie, Otologie. 1981;60(3):99-100.

Baba S, Yagi T, Fujikura T. Subjective evaluation and overall satisfaction after tympanoplasty for chronic simple suppurative otitis media. Journal of Nippon Medical School. 2004;71(1):17-24.

Sobrinho PG, Oliveira CA, Venosa AR. Long-term follow-up of tinnitus in patients with otosclerosis after stapes surgery. International Tinnitus Journal. 2004;10(2):197-201.

Kim J-I, Choi J-Y, Lee D-H, Choi T-Y, Lee MS, Ernst E. Acupuncture for the treatment of tinnitus: a systematic review of randomized clinical trials. BMC complementary and alternative medicine. 2012;12(1):97.

Habesoglu M, Habesoglu TE, Karatas C, Tosun A, Gursel AO, Oysu C. Is there any predictor for tinnitus outcome in different types of otologic surgery? European Archives of Oto-Rhino-Laryngology. 2013;270(8):2225-9.

Pichora-Fuller MK, Santaguida P, Hammill A, Oremus M, Westerberg B, Ali U, et al. AHRQ Comparative Effectiveness Reviews. Evaluation and Treatment of Tinnitus: Comparative Effectiveness. Rockville (MD): Agency for Healthcare Research and Quality (US); 2013.

How to Cite
Saeedi, M., & Khosravi, M. H. (2016). Improvement of Tinnitus following Tympanoplasty and Tympanomastoidectomy Surgeries in Patients with Chronic Otitis Media. Galen Medical Journal, 5(2), 63-69.
Original Article