Tinnitus is an auditory disorder difficult to treat due to its heterogeneity. Therefore, there is not a unique treatment being effective for 100% of patients. Nevertheless, practical guideline for tinnitus treatment recommends the combined use of sound therapy and counselling. The tinnitus relief provided for this treatment depends greatly on the specific sound and the time of treatment. The present report describes a case of successful application of sound therapy combined with counselling to a 63-year-old with severe tinnitus primarily resistant to treatment. A sudden increase of his Tinnitus Handicap Inventory after the third month of treatment, due to a traumatizing sound exposure, caused his distress became catastrophic. However, a careful design of a new sound stimulus, combined with subsequent counselling sessions, was crucial to achieve the adherence of the patient to the treatment. After 24 months, his tinnitus handicap became quite light. Therefore, the persistent combination of directive counselling and customized sound therapy provided a very relevant relief to the primarily resistant patient after 24 month of treatment.
https://www.heraldopenaccess.us/openaccess/successful-aplication-of-sou…
FUNDING. This study has received no external funding.
