2014 American Tinnitus Association
Transcript of 2014 American Tinnitus Association
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Tinnitus Today, Silence Tomorrow
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Cara James Executive Director American Tinnitus Association
April 16, 2014
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Disclaimer
The American Tinnitus Association (ATA) is not a provider of healthcare services and does not evaluate, diagnose or treat patients. ATA does not endorse specific products for the treatment of tinnitus. Any information disclosed is for general information only and should not take the place of a full medical consultation and evaluation by a trained healthcare professional.
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What is Tinnitus?
Tinnitus (TINN-i-tus)
preferred by clinicians
Tinnitus (ti-NIGHT-us)
preferred by patients
Tinnitus is the perception of sound in the ears or head where
no external source is present
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How Common is Tinnitus?
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Experience Tinnitus Bothersome Tinnitus
Debilitating Tinnitus
50 Million
16-20 Million
2-3 Million
Source: National Health Interview Survey (1999-2004), U.S. Centers for Disease Control
Male > Female Older > Younger Left Ear > Right Ear
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The Cost of Tinnitus
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840,000 VA / DOD Claims #1 Military Service-
Related Injury
$1.28 Billion / Year in Veterans / DOD Care
$26 Billion / Year Total Societal Cost
$30 K / Year Individual Economic Loss
Source: American Tinnitus Association, 2013
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Causes of Tinnitus
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Noise / Concussive Exposure
Head / Neck Injuries
Select Diseases / Disorders
Tumors (rare)
Earwax / Debris on eardrum
Jaw Conditions (TMJ)
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Pathology of Tinnitus
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1. Sound waves enter ear 2. Inner ear and cochlea amplify
and sort frequencies 3. Auditory nerve translates
sound waves into electrical stimuli
4. Auditory cortex recognizes, processes “sound”
5. Limbic system interprets emotional reaction to “sound”
ASYMPTOMATIC HEARING
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Pathology of Tinnitus
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1. Sound waves enter ear 2. Inner ear damage reduces
amplification & frequency recognition
3. Auditory cortex receives less auditory stimuli
4. The brain creates it’s own noise to compensate for loss
5. Limbic system interprets emotional reaction to new tinnitus “sound”
TINNITUS HEARING
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Pathology of Tinnitus
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IN THE EAR
• Damage to hair cells
• Damage to cochlea
• Damage to ear drum
• Obstructions in ear canal IN THE BRAIN
• Lack of “normal” auditory stimulation
• Neural feedback
• Negative emotional reaction to tinnitus sound
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Sound & the Limbic System
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You’re walking down the street and you hear a rattling sound…
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Sound & the Limbic System
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You’re walking down the street and you hear a rattling sound…
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Sound & the Limbic System
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You’re walking down the street and you hear a rattling sound…
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Sound & the Limbic System
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You’re walking down the street and you hear a rattling sound…
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Remedies for Tinnitus
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There is presently no scientifically- validated cure for tinnitus.
There are no products currently on the market that have been consistently proven to fully eliminate the perception of tinnitus.
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Remedies for Tinnitus
On the Horizon…
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Vagus Nerve Stimulation
Transcranial Magnetic Stimulation
(rTMS) Experimental Drugs
Neuromodulation
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Remedies for Tinnitus
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There are several scientifically-validated management techniques for tinnitus.
There are multiple proven treatments that help patients live full, happy lives even with the perception of tinnitus.
Sound Treatments
Behavioral Treatments
General Wellness
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Sound Treatments
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Sound Masking
Cochlear Implants (Deaf Patients Only)
Sound Therapy
Amplification (Hearing Aids)
Work by augmenting outside noise to “cover-up” the perception of tinnitus.
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Behavioral Treatments
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Progressive Tinnitus Management
Tinnitus Retraining Therapy
Cognitive Behavioral Therapy
Mindfulness Therapy
Work by changing the patient’s behavioral and emotional reaction to tinnitus.
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The Limbic System
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Controls:
• Emotion
• Behavior
• Motivation
• Long-term memory
• Olfaction (smell)
Regulates how a patient responds to the perception of tinnitus.
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Sound & the Limbic System
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You’re walking down the street and you hear a rattling sound…
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Sound & the Limbic System
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The goal of behavioral therapies:
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Wellness Approaches
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Healthy Diet
Socializing
Stress Reduction
Exercise
Work by improving patient’s baseline health.
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If you have tinnitus…
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1. Go to your doctor
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If you have tinnitus…
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1. Go to your doctor
2. Find a specialist
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If you have tinnitus…
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1. Go to your doctor
2. Find a specialist
3. Be informed about treatment options
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If you have tinnitus…
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1. Go to your doctor
2. Find a specialist
3. Be informed about treatment options
4. Find the option(s) best suited to you
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If you have tinnitus…
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1. Go to your doctor
2. Find a specialist
3. Be informed about treatment options
4. Find the option(s) best suited to you
5. Take action & stick to it
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If you have tinnitus…
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1. Go to your doctor
2. Find a specialist
3. Be informed about treatment options
4. Find the option(s) best suited to you
5. Take action & stick to it
6. Take care of yourself
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If you have tinnitus…
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1. Go to your doctor
2. Find a specialist
3. Be informed about treatment options
4. Find the option(s) best suited to you
5. Take action & stick to it
6. Take care of yourself
7. Find a support network
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About ATA
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FOR PATIENTS
• Information & education
• Support services
• Research initiatives
• Connect with trained providers
FOR PROVIDERS
• Information & education
• Professional Development
• Outreach
FOR RESEARCHERS
• Pilot Grants
• Professional Development
• Student Outreach
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ATA Funded Research
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30 Years of Research
Nearly $6M Invested
Pilot Grants
Encouraging Future Research
Proven Treatments
“Roadmap to a Cure”
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About ATA
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TINNITUS TODAY
• Official ATA Membership Magazine
• 3 Issues a Year
• Patient Stories
• Latest Research
• Management Strategies
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Thank You!
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American Tinnitus Association 503-248-9985
[email protected] www.ATA.org