Tinnitus Today March 1996 Vol 21, No 1

Embed Size (px)

Citation preview

  • 7/30/2019 Tinnitus Today March 1996 Vol 21, No 1

    1/29

    Aerlb 544: Zgouac 85/ Kuahcr 5

    Pdkkdtus Pg`eyPBC MGSXKEO GJ PB C EA CXD LEK P DKK DPS\ E\\GL DEPD GK(Pg lerry gk ek` suppgrt rcscerlb ek` c`uletdgkeo eltdvdtdcs rcoetdkf tg tbc trcetackt gj

    tdkkdtus ek` gtbcr `cjclts gr `mscescs gj tbc cer+(

    Dk Pbds Dssuc=Pdkkd tus!Dk tbc Cycs gj tbc OewGtgslocrgsdsXcscerlb Xcpgrt !

    \dklc 5465Xcscerlb!Xcjcrreos!Xcsgurlcs

  • 7/30/2019 Tinnitus Today March 1996 Vol 21, No 1

    2/29

    \guk`s Gj \docklcLgktrgo ygur eu`dhoc eahdcklc wdtb

    sguk`s leusc` hy Pdkkdtus wdtb tbcAersgke Pdkkdrus Aesicr jrga Eahdca\bepcs+ Pbc jrcquckly ek` dktcksdty gj tbcsdauoetc` sguk`s aetlb tbc tgkcs bcer` hyaeky tdkkdtus sujjcrcrs+ Pbcsc aesidkf`cvdlcs erc prgvck cjjcltdvc dk essdstdkfaeky petdckts dk e`eptdkf rg tbcdr tdkkdtus+_Tdc lekkgt prc`dlt wbctbcr gr kgt tbcAersgke ds epprgprdetc jgr ygu/ hut tbcprghehdodty gj sullcssjuo aesi dkf ds wcoowgkb PEI DKF E@ZEKPEFC GJ GSX @ET AGKCT HELI FSEXEKPCC +

    Pbc Aersgke Pdkkdtus Aesicr wcdfbsocss tbek twg pguk`s tg aeic trekspgrtdkfcesy ek` gjjcrs gvcr >> spcldjdl jrcquck

    \dapoc Pg Ssc scerlb tbc jrcquckly rekfc scudkftg `ctcradkc tbc spcldjdl (lcktcrjrcquckly&& gj tdkkdtus sguk`"s$ 5> prgvd`cprcldsc aesidkf+GX@CX PGOO JXCC KGVr= !!! ++++gr lrc`dt ler` bgo`crs pol9tsc leoo tgoo jrcc+ DGr`cr prg`ult ,533> jgr 5bc AersgkeD dkkdas Aesicr+ Gr sck` e lbcli jgr $804+>>D"JXCC sbdppdkf * bek`odkf$+ KL rcsd`ckts e``:# seocs tex+ Gkc "5$ ycer werreay!PbdrtyD $ 9 ~ = & 9 ~ ~ e = = KGV D2>>!00'> scrtdkfse` mustehoc lcktcr jrcquckly/ jrcqucklyrekfc/ ek` vgouac lgktrgo+ ^rdvely bce`pbgkcs lek hc usc` hut erc kgt dklou`c`+Pbc Pdkkdtus tvoesicr bes ek uotre!bdfbjrcquckly spceicr/ OC@ rce`gut jgr cesyocfdhdodty/ e jrcquckly lgaperdsgk lbert/ek` e hudot!dk gptdgkeo sbut!gjj tdacr+Pbc hc`sd`c Pdkkdtus Aesicr lek hcpurlbesc` tbrgufb Eah dckt \bepcs jgrbuk`rc`s ocss tbek purlbesdkf ekg`5cr

  • 7/30/2019 Tinnitus Today March 1996 Vol 21, No 1

    3/29

    Pdkkdtus P g ` ~ yC` dtgrdeo ek` e`vcrtdsdkf gjjdlcs= EacrdlekPdkkdtus Essgldetdgk/ ^+G+ Hgx 3 ^grtoek`/GX 468>6Cxclutdvc @drcltgr * C` dtgr=Fogrde C+ Xcdlb/ ^b+@+Essgldetc C`dtgr= Herhere PbhelbkdliC`dtgrdeo E`vdsgr= &obt`y @rulicr/ ^b+@+E`vcrtdsdkf seocs= EPE!E@/ ^+G+ Hgx 3/^grto?ok`/ GX 468>6 "2>>!:>> ekkueooy+Pbc ^uhodsbcr rcscrvcs tbc rdfbt tg rcmclt grc`dt eky aekuslrdpt rclcdvc` jgr puhodletdgkek` tg rcmclt eky e`vcrtdsdkf `ccac` uksudtehoc jgr Poauttts 6h`ey+ Ellcpteklc gj e`vcrtdsdkf hy Pokkrtu=9 6h`ey `gcs kgt lgkstdtutcck`grscackt gj tbc e`vcrtdscr/ dts prg`ultsgr scrvdlcs/ kgr `gcs Pokkdtus 6h`ey aeiceky loedas gr fuerektccs es tg tbc ellurelygr veod`dty gj tbc e`vcrtdscr&s gjjcr+ Pb c gp dkdgks cxprcssc` hy lgktrdhutgrs tgPh`ey erc kgt kclcsserdoy tbgsc gj tbc^uhodsbcr/ c`dtgrs/ stejj/ gr e`vcrtdscrs+Eacrdlek Pdkkdtus Essgldetdgk ds e kgk!prgjdt buaek bce otb ek` wc ojerc efckly uk`cr8: usl 3>5 "l$"246!:+ Betjdco`Pgky Xek`eooVdoodea \b etkcrOcfeo Lg ukscoBckry L+ Hrcdtbeupt\tgco Xdvcs Hgocy Mgkcs * Frcy/

    Pbc Mgurkeo gj tbc Eacrdlek Pdkkdtus EssgldetdgkZgouac 85 Kuahcr 5/Aerlb 544:Pdkkdtus/ rdkfdkf dk tbc cers gr bce` kgdscs/ ds cxpcrdcklc` hy es aekyes 3> adoodgk Eacrdleks+ Ac`dleo bcop ds gjtck sgufbt hy tbgsc wbgbevc dt dk e scvcrc/ strcssjuo/ gr odjc!`dsruptdkf jgra+

    Lgktckts0 Jrga tbc C`dtgr

    hy Fogrde C+ Xcdlb2 Leock`er Eocrt ! EPE&s 544: Xcfdgkeo Acctdkfshy Lgriy \tcwert2 EPE&s 5443 Bgli&s Acagrdeo Xcscerlb Ewer`4 Pdkkdtus ! Dk tbc Cycs gj tbc Oew

    hy Herhere Pehelbkdli53 Zdcws jrga ek Cxpcrt Vdtkcss

    hy Meacs \eotcr5: EPE&s \uppgrt Kc twgri! Frgwdkf \trgkfcr Tc tD 6 Gtgslocrgsds

    hy Dek \+ \tgrpcr A +@+54 Xcscerlb Xcpgr t ! Ek Dktcrvdcw wdtb ^ewco Mestrchgjj/ ^b+@+

    hy Herhere Pbhelbkdli8> Hggi Xcvdcw

    hy &Dru`y @rulicr ^b+@+8< Ekkguklca ckts80 Pbc Vey gj ^celc

    hy Leooua CoodgtXcfuoer Jceturcs3 Octtcrs tg tbc C`dtgr85 Uucstdgks * Ekswcrs83 &j rdhutcs/ \pgksgrs/ \pcldeo @gkgrs/ ^rgjcssdgk eo Essgldetcs

  • 7/30/2019 Tinnitus Today March 1996 Vol 21, No 1

    4/29

    Jrga tbc C`dtgrhy Fogrde C+ Xcdlb/ ^b+@ /Cxclutdvc @drcltgrD&a pocesc` tg rcpgrt tbet 544:ds sbepdkf up tg hc e fgg` ycer+Aeyhc dt wes tbc ckcrfdzdkfdkjoucklc gj oest suaacr&s JdjtbDktcrketdgkeo Pdkkdtus \cadkerDpcrbeps dt ds tbc rceodzetdgk tbetgur 83 ycers gj cxdstcklc beshcck prg`ultdvc/ gr pgssdhoy dtds must e rcsurfcklc gj dktcrcst gk tbc pert gj sld

    ck tdsts tbet aeics us jcco sg bgpcjuODk Mekuery 5 ettck`c` tbc frek` gpckdkf gjtbc Leodjgrkde Pdkkdtus Esscssackt Lcktcr dk

    \ek @dcfg+ Ehgut 53> pcgpoc leac tg bcer ehgute vcry pcrsgkeodzc` tbcrepcutdl epprgelb tbet@r+ Xghcrt \ek`odk/ @r+ Mgbk Zeufbk/ @chhdcOew!Lrgss ek` tbcdr lgoocefucs erc usdkf jgr tdkkdtus petdckts+ D t ds fretdjydkf tg scc tbet agrcek` agrc bcerdkf prgjcssdgkeos erc rceodzdkf tbchcst sgoutdgks lgac jrga e logsc lgooehgretdgkwdtb tbcdr petdckts+ ^etdckts/ tgg/ erc ocerkdkf tgepprgelb trcetackt wdtb e rceodstdl sct gj cxpcltetdgks+ Pbcsc cxpcltetdgks prgpcroy dklou`cwgridkf wdtb e syapetbctdl ek` ikgwoc`fcehoclodkdldek tg jdk` e wey gj ocssckdkf tbc ekkgyeklc gj tdkkdtus+ Pbcy `g kgt dklou`c cxpcltdkftg hc (lurc`+(

    Pbc lcktcr dk Leodjgrkde ds kgt eogkc dk prgvd`dkf lgaprcbcksdvc trcetackt stretcfdcs jgrtdkkdtus+ Vc&vc rclcktoy bcer` tbet e frgup et tbcSkdvcrsdty gj Hujjeog Bcerdkf XcscerlbOehgretgry ds stertdkf e tdkkdtus lcktcr+ \gacgtbcr tdkkdtus lcktcrs gr lodkdls bevc hcck gjjcrdkf auotdjelctc` trcetackt sdklc tbc 546>s+ Gurrcjcrreo kctwgri gj lodkdldeks trcetdkf tdkkdtuspetdckts bes hcck dk cxdstcklc jgr gvcr 53 ycersek` wbdoc eoo gj tbcsc lodkdldeks gjjcr sgac trcetackts/ tbcy very wd`coy dk tbcdr epprgelbcs+ Gurodst gj keacs ds gjjcrc` tg yg u es e rcsgurlc+ Tguaust ctcradkc jgr ygurscoj wbctbcr e pertdluoerpcrsgk gr frgup ds e fgg` aetlb jgr ygur kcc`s+Gur rcjcrreo odst ds `ykeadl dk tbet dt lbekfcslgkstektoy+ Vc erc eoweys `codfbtc` tg bcer gj

    bcer gj gpckdkfs hcjgrc wc `g+ Es usueo/ wc&rceosg vcry dktcrcstc` dk ygur cxpcrdcklc wdtbprgvd`crs gk gur kctwgri+ Vc veouc ygur dkputwbctbcr pgsdtdvc gr kcfetdvc+

    Pbds ycer aeris ek cjjgrt gk tbc pert gj tbcEPE hger` gj `drcltgrs tg rcesscss gur fgeos ek`poek jgr tbc juturc+ Vc erc eoweys cefcr tg bcerjrga ygu ehgut wbet ygu wekt jrga EPE ek`wbet ygu tbdki gur prdgrdtdcs sbguo` hc+ Dk tbckcxt dssuc gj Pdkkdtus Pg`ey "Mukc 544:$ wc wdoohc puhodsbdkf e qucstdgkkedrc wbdlb wc bgpcygu wdoo ekswcr ek` rcturk tg us+

    EPE stejj wdoo hc teidkf gur tdkkdtus acssefctg ketdgkeo acctdkfs gj bceotb prgvd`crs dk e55hut twg agktbs gj 544:+ Vc tbdki tbds kcwtbrust wdoo bcop stdauoetc prgjcssdgkeo dktcrcstdk tbc prghoca+ Vc&` odic tg leoo gk ygu tg mgdkus dk tbds cjjgrt hy teoidkf ehgut tdkkdtus tg ygurjrdck`s ek` lgoocefucs ek` tg sgldeo scrvdlcfrgups/ slbggos/ gr rctdrcackt lcktcrs dk ygurogleodty+ Vc&oo hc beppy tg prgvd`c sudtehoc aetcrdeos tg ckehoc ygu tg hc ek EPE spgicspcrsgk+Bcrc erc twg weys ygu lek bcop= 5$ ^rcsckt etdkkdtus dkjgraetdgkeo `dspoey et e lgaaukdtybceotb jedr+ Pbds lek hc e vcry rcwer`dkf cxpcrdcklc+ 8$ Pbic e ^uhodl \crvdlc Ekkguklcackttepc tg ygur ogleo PZ stetdgk+ ^\Es `codvcrc`pcrsgkeooy stek` e aulb hcttcr lbeklc gjhcdkfpoeyc` tbek tbgsc wc aedo+ ^ocesc oc t us ikgw djygu wdoo teic ek eltdvc pert dk gur autueo jdfbtefedkst tdkkdtus/ ek` tcoo us wbet ygu&` hc lgajgrtehoc `gdkf+

    Jdkeooy/ tbekis tg eoo wbg sg fckcrgusoy`dppc` dktg tbcdr pglicts et ycer!ck` jgr e``dtdgkeo `gooers tg suppgrt tdkkdtus rcscerlb+ Vcerc prcscktoy cveouetdkf cdfbt prgadsdkf stu`dcs ek` wdoo ekkguklc kcwfrekts must es sggk es tbetprglcss dslgapoctc`+

  • 7/30/2019 Tinnitus Today March 1996 Vol 21, No 1

    5/29

    Octtcrs tg tbc C`dtgrPbc gpdkdgks cxprcssc` erc strdltoy tbgsc gj tbcDcttcr wrdtcrs ek` `g kgt rcjoclt ek gpdkdgk grck`grscackt hy EPE+

    D k ay 0>!ycer preltdlc es ek gptgactrdst/ aypetdckts wbg bevc tdkkdtus bevc eoweys tgo`ac ehgut tbcdr lgk`dtdgk es e aettcr gjlgursc `urdkf tbc teidkf gj e bdstgry+ Pbrgufbtbc ycers D&vc act aeky petdckts wdtb tdkkdtus/ek` cvck wgric` ek` sberc` spelc jgr e kuahcrgj ycers wdtb ek eu`dgogfdst ek` bcerdkf ed``dspckscr+

    Gkc lesc stek`s gut dk ay adk` ek` wesagst ukusueo+ \bc wes dk bcr oetc &s/ ek` lgapoedkc` gj rdkfdkf dk bcr cers/ `dzzdkcss/ ek` jrcquckt bce`elbcs+ E strekfc tbdkf gllurrc``urdkf tbc tcstdkf+ Es D agvc` ay prdsas tg lrcetc lgkvcrfcklc ek` `dvcrfcklc "e tcst gjhdkgl!uoer lggr`dketdgk$ sbc rcpgrtc` ek dklrcesdkflrcslck`g gj tbc rdkfdkf/ ogwcrdkf es D rc`ulc`dt tg zcrg/ ek` dklrcesdkf efedk tbc gtbcr `drcltdgk+ Pbds gllurrc` jer ek` kcer ek` wdtblbekfcs dk ellgaag`etdgk es wcoo+ D teoic` gjrcjcrrdkf bcr tg ek eu`dgogfdst jgr tcstdkf/ hutsbc kcvcr wckt+ Vc `d`/ bgwcvcr/ dkstdtutc escrdcs gj cyc cxcrldscs ikgwk es Zdsdgk Pbcrepytg hudo` up bcr hdkgluoer lggr`dketdgk/ ek` wcellgapodsbc` gur fgeos+ Pbc rcsuots ejtcr 5>tbcrepy scssdgks wcrc= kg agrc bce`elbcs/ kgagrc `dzzdkcss EK@ kg agrc rdkfdkf dk bcrcers% D t wes tbck tbet D wes sgrry sbc wesk&t tcstc` hy ek eu`dgogfdst gr pbysdldek jgr hesdl jdk`dkfs/ ek` e``dtdgkeo tcstdkf et tbc lgklousdgk gjgur tbcrepy+\dklc tbet tdac D bevc locerc` up aekypetdckts wdtb `dzzdkcss ek` bce`elbcs/ hut bevckgt be` tbc lbeklc tg wgri wdtb tdkkdtuspetdckts es D bevck&t scck vcry aeky sdklc+E survcy gj gptgactrdsts tg ocerk gj eky gtbcrG+@+s wdtb sdadoer rcsuots adfbt hc dktcrcstdkf+Hyrgk Kcwaek/ G+@+/ Grekfc/ LE

    D bevc hcck hgtbcrc` hy e bdfb!pdtlbc` bdssdkf kgdsc dk ay rdfbt ce r jgr gvcr e ycerkgw+ Pbds wes pgssdhoy leusc` hy tbc lgklussdvc kgdsc gj e jcklc pgst `rdvcr+ D bevc trdc`

    gk tbc ogu`kcss gj tbc tdkkdtus+ Et jdrst/ tbc `rufae`c ac sgacwbet octberfdl ek` frgffy tbckcxt `ey/ hut ejtcr 6!5> `eys D stgppc` bevdkftbds sd`c cjjclt+ D t eosg bcops ac tg `rdki pocktygj joud`s/ cspcldeooy wetcr+ D kgtdlc tbet gk `eyswbck D `rdki ocss/ tbc tdkkdtus ds agrc hgtbcrsgac+ D bevc kg cxpoeketdgk jgr tbds/ hut wbck Daeic tbc cjjgrt tg `rdki 2!5> foesscs gj wetcr/mudlc/ gr bcrh tce tbc kgdsc dk ay cer ds kgt espcrsdstckt gr ogu`+ D evgd` lejjcdketc` rdkis estbcy `cjdkdtcoy effrevetc tbc lgk`dtdgk+ Cvck`clejjcdketc` lgjjcc aeics tbc tdkkdtus wgrsc+Hgh Oely/ Esboek`/ GX

    D bevc jguk` tbet wbck D ce t jgg`s bdfb dksg`dua/ tbc vgouac gj ay rdkfdkf fgcs up+ Dpess tbds eogkf dk tbc bgpc tbet gtbcrs adfbtcxpcrdackt wdtb tbc jgg` tbcy cet tg scc dj dtaeics e `djjcrcklc+Adlbeco \bccbek/ Skdvcrseo Ldty/ LE

    D &a wrdtdkf tg cxprcss ay fretdtu`c ek`epprcldetdgk jgr tbc ertdloc hy HerherePbhelbkdli tdtoc` (Pbc Adreloc gj Aesidkf(dk tbc @clcahcr 5443 dssuc gj Pdkkdtus Ph`ey+D&vc be` tdkkdtus jgr 85 ycers ek` bevc hcck eacahcr gjEPE sdklc 5462/ ek` dk eoo tbet tdacD lekkgt rcacahcr hut e bek`juo gj ertdlocs tbetD tbgufbt wcrc es bcopjuo ek` veouehoc es tbdsgkc+ As+ Pbhelbkdli puooc` tgfctbcr ek` sgrtc`tbrgufb e frcet `ceo gj uscjuo dkjgraetdgk/ ek`put dt dk e jgra tbet pcgpoc wdtb tdkkdtus lekuk`crstek` ek` usc tg bcop tbca aeic fgg``cldsdgks ek` bevc rceodstdl cxpcltetdgks ehgutaesidkf+ Bcr ertdloc ds e `cjdkdtc (iccpcr+(Hgh Hcrfstrga/ \eoca/ GX+

    D t aey hc gj dktcrcst tg ygu tg ocerk D jocw tg\cettoc gk \cptcahcr 6tb/ ek` et 0>/>>> jcctogst eoo tbc tdkkdtus% Pg `etc/ D bevc be` kgrclurrcklc+ D eosg sbc` tbc bcert peopdtetdgks D&`hcck bevdkf jgr gkc ycer+ Pbc tdkkdtus wes gjjdvc ycers & `uretdgk+ D sujjcrc` jrga `cby`retdgkjgr tbrcc `eys pgst!errdveo/ sg dt tggi ac e wbdoctg rceodzc tbc lgapekdgk dk tbc cers wes fgkc+Fucss wbet ygu wdoo+ Ay lgkvdltdgk ds dt wes tbc

  • 7/30/2019 Tinnitus Today March 1996 Vol 21, No 1

    6/29

    Octtcrs tg tbc C`dtgr "lgktdkuc`$dd @ c!strcssdkf!Tgur Vey/( e lgapck`d

    ua gj d`ces jgr rcoexetdgk puhodsbc`dk ygur @clcahcr 5443 dssuc/ gadttc` e sgurlc gj tdkkdtus ehetcackt ckmgyc` hytbgusek`s gj pcgpoc= lgaputcr lgaaukdletdgks +Kctwgridkf/ prgvd`c` hy vdrtueooy eoo gk!odkc scrvdlcs sulb es tbc Dktcrkct/ FCkdc/ Eacrdle GkOdkc/ ek` ^rg`dfy/ gjjcrs tbrcc jgras gj sgoelc=5$ dktcoocltueo eltdvdty/ wbdlb lbekkcos tbc adk`ewey jrga tdkkdtus/ 8$ ellcss tg tdkkdtus ek `bcerdkf!dapedrackt suppgrt frgups

  • 7/30/2019 Tinnitus Today March 1996 Vol 21, No 1

    7/29

    Octtcrs tg tbc C`dtgr "lgktdkuc`$

    P bc octtcr gk edrhefs dk Pdkkdtus!Jgrualgktedks e vcry pcrsgkeo gpdkdgk ek``cldsdgk+ Bcrc ds adkc+ Ay sgk ek` bdsfdrojrdck`/ wbg be` e bce`!gk lgoodsdgk dkLeodjgrkde/ wguo`k&t bevc survdvc` wdtbgut ekedrhef+ @cspdtc tbc edrhef/ hgtb be` hrgickhgkcs hut kg odjc!tbrcetckdkf dkmurdcs gr dkmurdcsgk tbcdr bce`s ek` kclis+ Vbck ay sgk leacbgac tg Fcraeky/ bds jdrst eltdgk wes tg huy ekcw ler wdtb e `ueo edrhef+ Bc tbdkis tbet `eaefc` bcerdkf ds kgt kdlc hu t hcdkf e lrdppoc gr`ce` dsk&t kdlc cdtbcr+Xu`goj@ccs/ @cutslbc Pdkkdtus!Odfe/Fcracrd+kf/ Fcraeky

    D wgri es e lrekc gpcretgr gk ek gjjsbgrc gdopoetjgra wbcrc D&a cxpgsc` tg e ogt gj kgdsc+D `g usc cer prgtcltdgk/ hu t dk `gdkf sg/ bevce lgaaukdletdgk prghoca+ D jdk` sgac rcodcj ettdacs teidkf 5>> af+ gj Coevdo edoy ! 3> af+ d+ktbc agrkdkf/ 3> af+ et kdfbt+ D eosg teic fdkifghdoghe+ D prey sgactdac dk tbc kcer juturc D wdoogklc efedk ckmgy tbc hceuty gj sdocklc+@evd` c l i c ~ Hdf Hcer Oeics/ LEEjtcr pursudkf cvcry pgtcktdeo sgurlc gjtdkkdtus rcodcj/ D bevc jguk` sgac wdtbtbc `ruf \co`ekc+ D teic :> af+ twdlc e`ey+ D stdoo bcer kgdsc eoo tbc tdac hu t dt ds et eodvehoc ocvco+ Eotbgufb D wes trcetc` jgr e kuahcr gj spcldjdl eoocrfdcs/ ay tdkkdtus `d` kgtehetc+ D t wes gkoy ejtcr scvcreo wccis gk \co`ekctbet D kgtdlc` tbc kgdsc be` cesc`+ D bgpc tbdsdkjgraetdgk ds bcopjuo tg gtbcr sujjcrcrs+

    Acfek Zd`ds/ Lbdlefg/ DOA y cxpcrdcklc wdtb tdkkdtus stertc` wdtbe huzz dk ay ocjt ce r sbgrtoy ejtcr fgdkftbrgufb cxtcksdvc tcsts jgr e sodfbtbcerdkf ogss+ @urdkf tbcsc tcsts/ D wes wrgkfoytgo` o&` be` e hredk tuagr+ "Dt wes e jdoa `cjcltgk tbc jdrst tcst/ kgt e tuagr+$ D t wes `cvestetdkf9D spckt aeky bgurs tbdkidkf ehgut ay twgygukf sgks+Ejtcr rcturkdkf bgac jrga tbc bgspdteo wdtbtbc kcws tbet eo o D sujjcrc` jrga wes e sodfbt

    Ceroy tbds ycer D rce` e hggi hy \be`Bcoastcttcr/ ^b+@+/ Vbet tg \ey Vbck ygu Peoi tgTgurscoj D usc` dt tg (lgktrgo( ay tdkkdtus/ ek`jguk` gut tbet ay tdkkdtus wes psylbgsgaetdl+ Dstdoo bevc ay sodfbt bcerdkf ogss/ hut tbc tdkkdtusds fgkc+ D aey hc dk tbc adkgrdty/ hut D tbdki tbcactbg`s suffcstc` dk tbc hggi lek hc bcopjuo tgpcgpoc wbg sujjcr jrga tdkkdtus+

    ^cffy @+ Xghdlbeu`/ Lektgk/ AD

    D a pocesc` tg prgvd`c tg tbc rce`crs gjPdkkdtus Pg`ey e``dtdgkeo dkjgraetdgk rcfer`dkf gur lodkdleo cxpcrdcklcs wdtb cocltrdleostdauoetdgk "C\$ jgr ettcaptdkf tdkkdtus lgktrgo/pertdluoeroy jgr petdckts wdtb tdkkdtus gj tbcscvcrc/ `dsehodkf typc+Bdstgrdleooy/ C\ jgr tdkkdtus lgktrgo bes hcckrcpgrtc` sdklc 52>5+ Pbc dssuc wc lgksd`cr ds kgtwbctbcr C\ wbck eppodc` tg tbc bce` `gcs gr`gcs kgt bevc ek cjjdlely jgr tdkkdtus lgktrgo/hut retbcr= 5$ wbet ds "erc$ tbc uk`croydkf aclbekdsa"s$ gj tdkkdtus lgktrgo wdtb C\9 8$ wbet`defkgstdl actbg`gogfy lek hc usc` jgr petdcktscocltdgk tg essurc ek dklrcesc` dkld`cklc gj pgsdtdvc rcsuots wdtb C\ jgr tdkkdtus lgktrgo9 ek`

  • 7/30/2019 Tinnitus Today March 1996 Vol 21, No 1

    8/29

    LEOCK@EX EOCXP=EPRs 544: Xcfdgkeo AcctdkfsHy Lgriy \tcwert/ \pcldeo ^rgmclts Lggr`dketgr

    Pg lcochretc EPE&s twckty!jdjtb ycer gj scrvdlc ek` tg jurtbcr tbc c`uletdgkeo pgrtdgk gjgur adssdgk stetcackt/ wc erc slbc`uodkf sgacXcfdgkeo Acctdkfs+ Pbcsc wdoo hc gkc!`ey scssdgks jgr +EPE acahcrs/ tdkkdtus petdckts/ bcerdkf prgjcssdgkeos/ ek` ekygkc cosc wbg wekts tgikgw agrc ehgut tdkkdtus+ Vc&oo teoi ehgut trcetackts/ scoj!bcop/ ek` tbc oetcst rcscerlb+

    Pbc jdrst wdoo hc bco` gk \etur`ey/ Aey 55 ettbc Erodkftgk ^eri Bdotgk/ Erodkftgk Bcdfbts/Doodkgds "kcer Lbdlefg + Pbc kcxt wdoo hc dkHeotdagrc gk \cptcahcr 83/ 8: / gr 86+ @gk&twgrry/ Vcst Lgestcrs/ tbcrc wdoo hc e acctdkf jgrygu tgg+E spcldeo rcfdstretdgk sbcct jgr tbc jdrstacctdkf ds dklou`c` dk tbds puhodletdgk+ ocescusc dt tg rcscrvc ygur spelc+ Xcfdstretdgk ds $3>

    ek` dklou`cs ouklb et tbc bgtco+ Dj ygu kcc` tgstey gvcrkdfbt/ tbc bgtco ds gjjcrdkf vcry spcldeoretcs ! $5>4 wcci`eys/ ek` $64 wccick`s+ Tguwdoo kcc` tg aeic ygur rgga rcscrvetdgks`drcltoy wdtb tbca et "6>2 >>+ Hc surc tgtcoo tbca ygu &rc wdtb EPE+ E `ctedoc` slbc`uocwdoo hc sckt tg celb rcfds trekt dk Eprdo+ @ctedos gjtbc suhscquckt acctdkfs wd55hc dklou`c` dk juturcdssucs gj Pdkkdtus 6h`ey+Kcc`ocss tg sey/ wcwguo` hc agst epprcldetdvc gj uk`crwrdtcrs ek`' grspgksgrs+

    EPE&s 5443 Bglis Acagrdeo Xcscerlb Ewer`Xghcrt C+ Hruaactt/ ^b +@+/ gj

    tbc Grcfgk Bcerdkf XcscerlbLcktcr wes fdvck tbc 5443 BglisAcagrdeo Xcscerlb Ewer`+ Pbdsewer` wes prcscktc` tg @r+Hruaactt gk Jchruery 3/ 544:`urdkf tbc Essgldetdgk jgr Xcscerlbdk Gtgoerykfgogfy acctdkf dk \t+^ctcrshurf Hcelb/ Jogrd`e+

    @r+ Hruaactt/ wbg ds hcs tikgwk jgr bds wgri wdtb gtgtgxdl`rufs/ bes eutbgrc` aeky stu`dcsehgut tbc usc gj `rufs tg rcodcvctdkkdtus+ Agst rclcktoy bc lgeutbgrc` e `guhoc!hodk` lgktrgooc`stu`y gj tbc cjjclts gj Rekex gktdkkdtus+ Xghcrt C+ Hruaactt/ ^b +@+

    @r+ Hruaactt ds e acahcr gj EPE&ssldcktdjdl e`vdsgry lgaadttcc+ Vcbgpc bc wdoo lgktdkuc dk tbet lepeldty ejtcr bds rctdrcackt oetcr tbdsycer+^rcvdgus Xcldpdckts gj tbc BglisAcagrdeo Xcscerlb Ewer`=542: Meli E+ Zcrkgk/ ^b+@+5426 Mgketbek V+^+ Bezcoo/ A+@+5422 Mgbk V+ Bgusc/ A+@+5424 Ehrebea \buoaek/ A+@+5448 Xghcrt A+ Mgbksgk/ ^b+@+544< ^ewco * AerferctMestrchgjj/ ^b+@+5440 Xgss X+E+ Lgocs/ A+@+

  • 7/30/2019 Tinnitus Today March 1996 Vol 21, No 1

    9/29

  • 7/30/2019 Tinnitus Today March 1996 Vol 21, No 1

    10/29

    Pdkkdtus ! Dk tbc Cycs gj tbc Oew "lgk tdkuc`$oest jgr et ocest 58 agktbs+ Pbcsc hckcjdts ercevedoehoc tg `dsehoc` pcgpoc gj eky efc "ek` tgsgac jeadoy acahcrs gj tbc `dsehoc` pcrsgk$hut lgkvcrt tg rctdrcackt hckcjdts wbck tbc `dsehoc` pcrsgk rcelbcs efc :3+Jgr tdkkdtus sujjcrcrs/ e qucstdgk pcrsdsts=Bgw lek tbc tdkkdtus tbet gkoy D bcer hc (ac dleooy `ctcradkc`7( @gltgrs ek` eu`dgogfdstsbevc ekgtbcr qucstdgk= Bgw lek D prc`dlt tbcjuturc lgursc gj e petdckt&s dklepeldty7E `dsehdodty loeda hcfdks wdtb tbc rcvdcw gjtbc loedaekt&s jdoc hy ek cxeadkcr+ "Pbc loedaektds kgt prcsckt+$ Dj ek ukjevgrehoc `cldsdgk dsrcelbc`/ tbc loedaekt lek esi jgr e rclgksd`cretdgk ! e sclgk` rcvdcw hy e `djjcrckt cxeadkcr+Dj tbc `cldsdgk ds efedk ukjevgrehoc/ tbc loedaektlek esi jgr e bcerdkf hcjgrc ek e`adkdstretdvcoew mu`fc+ D t ds tbc jdrst tdac tbc `dsehoc` pcrsgkds eltueooy scck `urdkf tbc loeda prglcss+ Pbcjelc!tg!jelc lgktelt aey ellgukt jgr tbc ehuk`eklc gj `cldsdgk rcvcrseos tbet beppck tbet ettbds stefc+ Dj tbc `cldsdgk rcaedks ukjevgrehoc/ek eppceo lek hc ae`c+ E lesc lguo` e`veklchcygk` eppceo tg tbc Jc`creo @dstrdlt Lgurt+Hcleusc gj tbc aessdvc heliogf/ dt ds suffcstc`tbet pcgpoc eppoy jgr `dsehdodty hckcjdt s es sggkes tbcy lek kg ogkfcr wgri+

    ^dtlb ek Ogu`kcss AetlbdkfJeltgrs agst logscoy cxeadkc` hy tbclgurts erc tbc vcrdjdehdodty gj tdkkdtus & cxdstcklc/ dts dktcksdty/ dts pgtcktdeo jgr rcodcj/ ek`tbc loedaekt& s ehdodty tg lgktdkuc capogy

    ackt dk eky lepeldty+Pg ekswcr tbc jdrst lgklcrk/ tbc PdkkdtusXcodehdodty Pcst wes `cvcogpc` hy Meli Zcrkgk/^b+@+ et tbc GrcfgkBcerdkf Xcscerlb Lcktcr

    dk ek ettcapt tg cstehodsbtbc ogu`kcss gj epetdckt&s tdkkdtus+ Dk tbctcst/ petdckts erc esic` tgd`cktdjy tbc vgouac gj tbcdr

    tdkkdtus jrga e rekfc gj

    Dk rguk` gkc wdtb \gldeo \clurdty dk tbc stetcgj Kcw Tgri/ Hgh Outbaekk hettoc` cxeadkcrswbg rcmcltc` bds tdkkdtus loeda hesc` gk tbcrcsuots gj e rgutdkc bcerdkf tcst ! tbc gkoy tcsttbcy fevc bda+ Bc wrdtcs/ (Vbck pcrsgks wdtbtbc ae``ckdkf aecostrga gj tdkkdtus eppoy jgr\gldeo \clurdty `dsehdodty/ tbcy erc gjtck rcmcltc`gk tbc hesds gj tbds tcst eogkc ! hcleusc tbcdrbcerdkf ds giey+ Dt&s odic dj ygur tgdoct hgwo dsgvcrjogwdkf ek` ek dktcrvckdkf fgvcrkackteoefckly seys ygu `gk&t kcc` e pouahcr hcleuscygur wetcr actcr ds giey%( Outbaekk cvcktueooywgk bds lesc dk eppceo+

    Pbc prghoca ds odicoy odkic` tg tbc Lg`c gjJc`creo Xcfuoetdgks "LJX$/ tbc hggi tbet`cslrdhcs ewer` pgodly jgr \gldeo \clurdty+Ellgr`dkf tg tbc LJX/ tdkkdtus dk ek` gj dtscoj`gcs kgt queodjy es e `dsehodkf/ ek` tbcrcjgrclgapcksehoc/ lgk`dtdgk+ Pbc wgr` tdkkdtus dsacktdgkc` gkoy es e syaptga gj Ackdcrc&s ek`vcstdhuoer `dsgr`crs+ Pbcrc erc prgvdsdgks/ bgwcvcr/ dk tbc LJX tbet lguo` bcop pcgpoc ferkcrlgapcksetdgk jgr tbcdr (kgk!ghscrvehoc dapedrackts+( Jgr cxeapoc/ dj ckgufb cvd`cklc ds suhadttc` sbgwdkf (e bdfb `cfrcc gj prghehdodty(tbet tbc loedaekt ds `dsehoc`/ e loeda lguo` hcocfdtdadzc`+ Pbc LJX eosg rclgfkdzcs tbet e pcrsgk&s ehdodty tg acct tbc `caek`s gj e mgh aey

    bgur/ tbcy erc esic` sdx tg cdfbt tdacs tg rcscoclt ek cxtcrkeo tgkc tbet ds et tbc ogu`kcssocvco gj tbcdr tdkkdtus+ Dk jurtbcr tcstdkf/Zcrkgk jguk` tbet dt wes dapgssdhoc jgr pcgpocwdtbgut tdkkdtus tg rcpcetc`oy aetlb e vgouacwdtbgut tbc stek`er` gj tdkkdtus dk tbcdr bce`s+\eys Zcrkgk gj bds kgk!tdkkdtus tcst suhmclts/(Pbcy must lguo`k&t lgac up wdtb dt+( Bc jccostbet dj petdckts lek rcpcetc`oy lbggsc e vgouac wdtbdk 8`H gj tbcdr cstehodsbc` ogu`kcss/tbck tbc tcst vcrdjdcs tbc tdkkdtus vgouacukcqudvgleooy+

    Pb jdk` tbc pdtlb/ Zcrkgk dktrg`ulcs twgscperetc tgkcs ! jgr cxeapoc/ 5>>> ek`8>>>Bz ! tg tbc kgk! gr ocsscr!tdkkdtus ce r gjtbc tdkkdtus petdckt+ Pbc petdckt ds tbck esic`tg scoclt tbc tgkc tbet ds logscr tg tbc tdkkdtus +

  • 7/30/2019 Tinnitus Today March 1996 Vol 21, No 1

    11/29

  • 7/30/2019 Tinnitus Today March 1996 Vol 21, No 1

    12/29

    Pdkkdtus ! Dk tbc Cycs gj tbc Oew "lgktdkuc`Dk ek cjjgrt tg bcop/ @r+ Zcrkgk&s gjjdlc dk

    Grcfgk pbgkc` Besidk&s eu`dgogfdsts et tbcAdlbdfek Cer Dkstdtutc tg `dsluss tbc PdkkdtusXcodehdodty &ocst prgtglgo+ Besidk wes tbck ehoc tghc tcstc` et ACo/ wbcrc bc prg`ulc` jdvc cxeltaetlbcs+ Hesc` bcevdoy gk tbgsc rcsuots/ bc wesewer`c` \\D+ "Pbcrc ds usueooy e lggr`dketdgk gjhckcjdts eagkf efckldcs tg essurc prgpcr lgapcksetdgk ! ek` evgd` gvcr!peyackt ! tg tbcloedaekt+

    Besidk ae`c ek dkld`ckt rcpgrt daac`detcoy ejtcr tbc cxpogsdgk/ `gluacktc` eoo rcoetc`cvckts tbet jgoogwc`/ ek` icpt e actdluoguspepcr tredo gj ac`dleo ek` ocfeo rclgr`s+ Bchcodcvcs tbet bds lercjuo rclgr`!iccpdkf bcopc`bds lesc+Pbc @cpertackt gjZctcrek&s Ajedrs"ZE$Zctcreks wdtb scrvdlc!rcoetc`/ ac`dleooyprgvehoc `dsehdodtdcs lek rclcdvc lgapcksetdgkjrga tbc ZE+ Pdkkdtus "&&pcrsdstckt/ es e syaptga gj bce` dkmury/ lgklussdgk/ gr elgustdl treuae( wes jdrst elikgwoc`fc` hy tbc ZE es escperetc `dsehdodty dk tbc 546>&s+ Pbc Lg`c gjJc`creo Xcfuoetdgks "LJX$ jgr Zctcrek&s Xcodcjessdfks e 5># retdkf jgr tdkkdtus+ "Lurrcktoy/5># lgapcksetdgk ds $45 pcr agktb+ Eoo pgtcktdeooy scrvdlc!rcoetc` dapedrackts/ dklou`dkfbcerdkf ogss ek` psylbgogfdleo `dstrcsscs/ bevctbcdr gwk e``dtdvc retdkfs+

    Pbc loeda prglcss hcfdks et e stetc gr rcfdgkeo gjjdlc/ gr et e ogleo ZE ac`dleo lcktcr+Grfekdzetdgks odic tbc Zctcreks gj Jgrcdfk Vers/Zdctkea Zctcreks gj Eacrdle/ ek` tbc EacrdlekOcfdgk prgvd`c jrcc loeda!jdodkf essdsteklc+ Vbettg hrdkf wdtb= `dslberfc pepcrs/ suaaerdcs gj eoorcoetc` bgspdteo steys ek` `gltgr vdsdts/ e odst gjtbc ac`dletdgks hcdkf teick/ ek` e stetcacktjrga tbc vctcrek&s `gltgr+

    Pdkkdtus adfbt kgt eppcer jgr ycers ejtcr ebce` dkmury gr kgdsc treuae+ Hut dklousdgk gjtbc elld`ckt rcpgrt dk tbc vctcrek&s adodtery

    rclgr` wdoo bcop cstehodsb tbc lgkkcltdgkgj oetcr!gksct tdkkdtus tg prcvdgus adodtery scrvdlc+ Bervcy Ehreas/ ^b+@+/ek eu`dgogfdst jgr tbc ZE/ strgkfoy

    Pbc eutbgrs gj Zctcreks Hckcjdts ! PbcLgapoctc Fud`c e`adt tbet l5edas ek` eppceoslek teic ycers tg rcsgovc+ Ocstcr Ocaic/ e VVDDvctcrek wbgsc tdkkdtus hcfek es e rcsuot gjelgustdl treuae `urdkf bds adodtery scrvdlc/ wesewer`c` tbc dkdtdeo 5># lgapcksetdgk jgr tdkkdtus+ Hut dt tggi bda 5> agrc ycers tg lgooclt eke``dtdgkeo # jgr bds gtbcr tdkkdtus!rcoetc`syaptgas+ "Zctcreks wbg lgooclt e 3># grfrcetcr `dsehdodty erc cktdtoc` tg juoo ac`dleo lgvcrefc tbrgufb tbc ZE+ Pbds ds hcodcvc` hy aekytg hc tbc rcesgk wby jcw ewer`s rcelb tbetaefdleo kuahcr+ Pbc eutbgrs cklgurefc vctcreks tg epprgelb tbc loeda prglcss wdtb petdcklcek` rceodstdl cxpcltetdgks+E odst gj ettgrkcys wbg rcprcsckt vctcrekshcjgrc tbc S+\+ Lgurt gj Zctcreks Eppceos dsevedoehoc jrga tbc Ketdgkeo Grfekdzetdgk gjZctcreks E`vgletcs/ ^G Hgx 0853+Pbc Eacrdleks wdtb @dsehdodtdcs Elt"E@E$

    Pbc E@E ds `csdfkc` tg cksurc kgk!`dslrdadketgry bdrdkf preltdlcs jgr `dsehoc` pcgpoc/ ek`tg prgtclt ek` prgvd`c jgr tbc kcc`s gj `dsehoc`wgricrs wbdoc tbcy erc gk tbc mgh+ "Pbc dkmurykcc` kgt bevc gllurrc` dk tbc wgripoelc+ Epcrsgk wdtb tdkkdtus lek/ jgr dksteklc/ pctdtdgkbds gr bcr capogycr tg ellgaag`etc e kcc` jgre qudct wgri poelc gr e ocss strcssjuo mgh d j bcprcsckt wgri ckvdrgkackt lgktrdhutcs tg ewgrsckdkf gj tbc `dsehdodty+ Es gj Muoy 5440/capogycrs wdtb 53 gr agrc capogyccs ercrcqudrc` tg aeic (rcesgkehoc ellgaag`etdgks(jgr tbcdr `dsehoc` wgricrs+Pbc wd`tb ek` hrce`tb gj tbds jdvc!ycer!go`oew erc hcdkf tcstc` gk e lesc hy lesc "ek` `dsehdodty hy `dsehdodty hesds+ Ellgr`dkf tg tbcHurceu gj Ketdgkeo Ejjedrs/ kg lesc acktdgkdkftdkkdtus es e prdaery lgapoedkt bes yct fgkc tglgurt uk`cr tbds oew+ Eotbgufb kg lurrckt prclc`ckt uk`cr tbc E@E cxdsts tbet rclgfkdzcs tdkkdtus es e `dsehdodty/ dts gadssdgk suffcsts tbcpgssdhdodty tbet kg gkc bes be` tg pursuc e oewsudt hcleusc gj ek capogycr&s jedourc tg ellgaag`etc jgr dt+

  • 7/30/2019 Tinnitus Today March 1996 Vol 21, No 1

    13/29

    Pdkkdtus Dk tbc Cycs gj tbc Oew "lgktdkuc`$dkvdsdhoc `dsehdodtdcs odic bcerdkf ogss ek` tdkkd! Gtbcrs sberc \pcooaek&s gptdadsa+ Ettgrkcytus+ Pbc tesi jgrlc ds stdoo wcolgadkf dkput + Icvdk Veosb lgklc`cs tbet dt aey kgt hc pgssd!"Vrdtc tg= @dsehdodty Pbsi Jgrlc/ Pbc \pceicr&s hoc tg prgvc ehsgoutcoy tbet tbcrc wes e sdkfocGjjdlc/ Xgga B8353+$ cxeapoc/ aey wgri dk e kgdsy ckvdrgkackt+ Hute logsc/ (agrc prghehoc tbek kgt( lgkkcltdgkFgdkf tg Lgurt hctwcck elld`ckt ek` dkmury lek hc sbgwk ek`Eoek \pcdoaek ds ek ettgrkcy wbg jrcqucktoy sullcssjuooy rcwer`c`+rcprcsckts loedaekts wdtb tdkkdtus es tbc prdae! Dk Ckfoek`/ scvcreo odehdodty lescs tbet wcrcry dkmury+ Bc ettrdhutcs bds sullcss dk tbcsc dklousdvc gj tdkkdtus "hut kgt cxlousdvcoy tdkkdtus$lescs tg hcdkf bgkcst wdtb pgtcktdeo lodckts bevc hcck wgk jgr tbc poedktdjj+ Ettgrkcyehgut wbdlb lescs lek hc wgk+ (Tgu lek&t lgooclt Lbuekf Vcd ^dkf kgtc` tbet tbgsc pgsdtdvc `cld!jgr cvcry tdkkdtus loeda/( seys \pcooaek+ (Hut sdgks wcrc hesc` gk tbc essgldetc` cjjclts gj tdk!tbcrc erc aeky tbet ygu lek+( Lcrtedk typcs gj kdtus/ tbet tbc (sgldeo esscssackt( sccac` agrcdkld`ckts/ odic e hogw tg tbc bce` gr cxpgsurc tg dapgrtekt tbek tbc (ac`dleo esscssackt+( Gkccxlcssdvcoy ogu` kgdsc/ erc ellcpt! mu`fc stetc`/ (Ehgvc eoo D ellcpt tbcc` leuseo efckts gj tdkkdtus+ lgkscquckt tcksdgk ek` drrdtetdgk

    Gtbcr pereactcrs usc` dk ek` tbc rcsuotekt jrcqucktpest sullcssjuo odtdfetdgk= bce`elbcs hy rcesgk gj tbds `d+s!) Dj dt lek hc sbgwk tbet tbc trcssdkf ejjodltdgk+(loedaekt bes e su``ck Bcerdkf bceotb prgjcs!

    gksct gj sck! sdgkeos/ scksdtdvc tg tbcsgrdkcureo bcerdkf ((((&Doo++W dapelt e oewsudt lek bevc gkogss daac`detcoy ejtcr tbc e petdckt&s bceotb/ erc stdoo wdoodkfcvckt/ usueooy tdkkdtus wdoo hc tg bcop+ Lero AlOcagrc/ A+@+ jccos tbeteoogwc` es e lgrrcspgk`dkf syap! hcdkf ek cxpcrt wdtkcss ds ek gtgoeryk!tga+ D t ds d`ceo dj (hcjgrc( ek` ~ ~ < d o d d d o ~ ~ ~ ~ fgogfdst&s ghodfetdgk tg tbc odtdfekt ek`(ejtcr( eu`dgfreas lek hc prg! *= tg tbc puhodl+ @r+ Xgss Lgocs wrdtcs/`ulc` `cagkstretdkf tbds+ (@ceodkf wdtb ocfeo dssucs ds pgtck!

    ) Ogu`kcss ek` pdtlb aetlbdkf tcsts erc pcr! tdeooy pert gj tbc gvcreoo aekefcackt gj ekyjgrac` hy ek eu`dgogfdst vcrsc` dk tbcsc prg! petdckt+( Pbc Eacrdlek Ac`dleo Essgldetdgk&slc`urcs+ Dj tbc tcst prg`ulcs e aetlb/ Fud`cs tg tbc Cveouetdgk gj^craekckt\pcdoaek uscs tbc rcsuots dk lgurt+ Dj dt Dapedrackt/ e ketdgkeooy rclgfkdzc` rcjcrcklc`gcsk&t/ bc e``rcsscs tbc verdehdodty gj tdkkd! jgr lgapcksetdgk/ gadts tdkkdtus es e stek`!tus gpckoy dk tbc lgurtrgga+ "Vbck tdkkdtus eogkc dapedrackt+ Bgwcvcr/ Ehrebea \buoaek/petdckts et tbc Skdvcrsdty gj Dgwe wcrc esic` A+@+ kgtcs tbet jgr kgkacesurehoc cer `dsgr!dj tbcdr tdkkdtus cvcr lbekfc` dk pdtlb/ 82# `crs/ tbc EAE fud`c eoogws tbc pbysdldek tgrcpgrtc` tbet dt kgt gkoy lbekfc`/ hu t dt essdfk tbc `cfrcc gj dapedrackt (hesc` gklbekfc` su``ckoy+$ scvcrdty ek` dapgrteklc+(

    ) Vbck pcradttc`/ \pcdoaek poeys ek eu`dg Vc erc ewerc tbet tbc ocfeo poeydkf jdco` dkrcpodletdgk gj tbc loedaekts& tdkkdtus jgr tbc tbds lguktry ds ukcvck/ tbet tbc wedt tg fc t wbetlgurt+ ds `uc lek `redk rcsgurlcs ek` hrcei spdrdts/ tbetGppgsdkf ettgrkcys eoweys oggi jgr prdgr dfkgreklc ehgut tdkkdtus ehguk`s+ Vc erc eosgcxpgsurc "kgdsc/ `rufs/ ctl+$ es tbc leusc gj tbc gk tbc vcrfc gj e sbdjtdkf ketdgkeo pere`dfa/ gkctdkkdtus+ \pcd oaek&s rcspgksc= Oggi logscoy et tbet ds bce`dkf us tgwer`s e kcw vdcw gk eoolbekfcs dk tbc loedaekt&s odjcstyoc sdklc dts `dsehdodtdcs+ Bgpcjuooy wdtb dt wdoo lgac e trucrgksct+ Pdkkdtus usueooy sck`s e pcrsgk jrga `gl! ek` agrc acekdkfjuo mustdlc jgr eoo wbg bevctgr tg psylbgogfdst tg suppgrt frgup9 jrga sguk` tdkkdtus+

  • 7/30/2019 Tinnitus Today March 1996 Vol 21, No 1

    14/29

    Pdkkdtus ! Dk tbc Cycs gj tbc Oew "lgktdkuc`$XcjcrcklcsExcossgk/ E+ / Bgw scvcrc ds b ds tdkkdtus ek` wbet ds dtsprgfkgsds7/ ^rglcc`dkfs jrga tbc Jdjtb Dktcrketdgkeo Pdkkdtus\cadker/ c` + Xcdlb * Zcrkgk/ 5443+Lg`c gjJc`creo Xcfuoetdgks ! Capogycc&s Hckcjdts "\\E$/ vgo8>/ perts 0>>!044/ 5440+Lg`c gjJc`creo Xcfuoetdgks ! ^cksdgks/ Hgkuscs/ *Zctcrek &s Xcodcj/ vgo+ 2653 865st KV/ ,5\tekwgg`/ VE 42848' :84!02:3M eacs \eotcr55>0> Lrcciacrc @r+@eooes/ PR 63852850':33>0' 00

    Oewycrs wdtb ^est \ullcssjuoPdkkdtus LescsEoe k \pcooaek/ Csq +8>'668!585:>4':2\eacoo Gfus04 \ek`re X`+/ Cest Beaptgk/ KT 5545:583>2'642!203:'

  • 7/30/2019 Tinnitus Today March 1996 Vol 21, No 1

    17/29

    Gtgslocrgsdshy Dek \+ \tgrpcr A+@+

    Dk gr`cr tg bcer/ sguk` prcssurc wevcs dktbc edr erc lgkvcrtc` tg kcrvc dapuoscs gk tbceu`dtgry kcrvc hy tbc cer+ Pbcsc dapuoscs erctbck rcoeyc` tg tbc hredk+ Pbc cer `gcs tbds dkek dkfckdgus wey= jdrst sguk` wevcs errdvc ettbc gutcr cer ek` erc jukkcooc` dktg tbc cerlekeo+ Vbck tbcy rcelb tbc ck` gj tbc lekeotbcy bdt tbc cer`rua ek` sct dt dktg vdhretgryagtdgk+ Pbc cer`rua ds lgkkcltc` tg e scrdcs gjtbrcc tdky hgkcs ! tbc aeoocus/ dklus/ ek`stepcs ! wbdlb erc tbcrcjgrc eosg sc t dktgagtdgk+ Pbc stepcs kgraeooy rcsts gk tbc dkkcrcer/ e joud`!jdooc` lbeahcr cklogsc` dk hgkcDwbdlb bes tbc ehdodty tg lgkvcrt prcssurc wevcswbdlb tbc agvdkf stepcsfckcretcs dktg kcrvcdapuoscs gk tbc eu`dtgrykcrvc/ eoogwdkf us tg bcersguk`+ Pbc erce wbcrc tbcstepcs accts tbc dkkcr ce rds leooc` tbc gveo wdk`gw+Gtgslocrgsds ds e lgk`dtdgk wbcrc kgraeo hgkc gjtbc ce r ds rcpoelc` hyehkgraeo/ spgkfy hgkc+Pbds ehkgraeo hgkc lekfct dk tbc wey gj kgraeooyjukltdgkdkf cer lgapgkckts+ Pbcrc ds kg ikgwkleusc gj tbds lgk`dtdgk/ eo tbgufb e kuahcr gjjeltgrs bevc hcck dapodletc` dk tbc pest+ Dkepprgxdaetcoy 58# gjpetdckts wdtb gtgslocrgsdstbc gveo wdk`gw hclgacs dkvgovc` wdtb ehkgr! &aeo hgkc+ Pbds hgkc dktcrjcrcs wdtb tbc kgraeoagtdgk gj tbc stepcs/ rcsuotdkf dk bcerdkf ogss+Dk tbc vest aemgrdty gj tbcsc petdckts/ tbc prghoca ds trcetehoc+Bdstgrdleo Espclts

    Pbc bdstgry gj gtgslocrgsds `etcs heli tg 56

  • 7/30/2019 Tinnitus Today March 1996 Vol 21, No 1

    18/29

    Gtgslocrgsds "lgktdkuc`$kdtus+ Skstce`dkcss ds prcsckt gkoy dk vcry rercdksteklcs+ Gvcr :># gj tbc tdac/ dt ds jguk` tggllur dk gtbcr jeadoy acahcrs+ Ejtcr aekyycers/ tbc dkkcr cer aey eosg hclgac dkvgovc`wdtb ehkgraeo hgkc+ Dj tbds `gcs gllur/ ukscrvdlcehoc bcerdkf ogss aey `cvcogp+@defkgsds

    Gtgslocrgsds ds usueooy `defkgsc` hy tbcsyaptgas wbdlb e petdckt cxpcrdcklcs+ Ekypetdckt wbg bes e sogwoy!prgfrcssdvc bcerdkfogss dk hgtb cers dk e jeadoy wdtb sdadoer syaptgas ds odicoy tg bevc tbds lgk`dtdgk+ Pbc `defkgsds ds lgkjdrac` hy tbc bcerdkf tcst/ rcsuots gjwbdlb erc bdfboy suffcstdvc gj e prglcss jdxdkftbc hgkcs gj tbc ad``oc cer+ Pbc `defkgsds lekkgt hc lgapoctcoy cstehodsbc` ukocss tbc cer dscxpogrc` ek ` tbc `dscesc prglcss vdsueodzc`+Prcetackt

    Pbcrc erc tbrcc trcetackt gptdgks jgr gtgslocrgsds+ Dj tbc bcerdkf ogss ds ado`/ kg trcetackt aey hc dkdtdeooy kclcssery9 bcerdkf tcstssbguo` hc pcrjgrac` yceroy tg jgoogw tbds lgk`dtdgk/ wdtb jurtbcr trcetackt dapgsc` dj tbc bcerdkf wgrscks +E bcerdkf ed` ds ek ellcptehoc trcetackt jgrtbds `dscesc/ cvck wdtb scvcrc bcerdkf ogss+ Pbce`vektefc gj tbds gptdgk ds tbet dt ds kgksurfdleo+Pbc `dse`vektefcs dklou`c tbc jelts tbet tbc `dscesc prglcss lek lgktdkuc tg frgw tg dkvgovc tbcdkkcr cer ek` tbet tbc bcerdkf ed` aust hc lgktdkueooy wgrk jgr tbc petdckt tg fedk hckcjdt+

    Pbc tbdr` actbg` gj trcetackt ds surfdleo+Pbc stek`er` prglc`urc ds `gkc `drcltoy tbrgufbtbc cer lekeo+ Dk tbds gpcretdgk/ tbc cer`rua dsodjtc` up ek` tbc stepcs ds aekcuvcrc` tg essurctbet dt ds jdxc + Dj dt ds/ dt ds rcagvc` ek ` rcpoelc`wdtb e saeoo prgstbcsds wbdlb lgkkclts tbcdklus tg tbc dkkcr cer/ rclgkkcltdkf tbc lbedk+Gvcreoo/ 45# gj petdckts lek bevc tbcdr bcerdkf daprgvc` tg ek cxlcoockt ocvco hy gpcretdgk+Dj bcerdkf daprgvcackt ds kg t dkBdeooy kgtc`ek` rcvdsdgk surfcry ds pcrjgrac`/ e tgteo gj4:# gj petdckts lek bevc tbcdr bcerdkf rcstgrc`

    lekt/ hu t jcw= 5# gj petdckts `cvcogp ekcer`rua pcrjgretdgk wbdlb aust hc rcpedrc`/5# ogsc tbc bcerdkf dk tbet cer lgapoctcoy/ >++! 4># gj ay gtgslocrgsds petdckts bevc tdkkdtus es ek essgldetc` syaptga+ Vbdoc tbc surfcrylek daprgvc tbc tdkkdtus/ ek` aeky petdckts `grcpgrt tbet tbcdr tdkkdtus hgtbcrs tbca 5csshcleusc tbcdr bcerdkf ds daprgvc`/ agst gj tbctdac tbc tdkkdtus steys tbc seac+ Pbcrc erc kgfuerektccs+Lgklousdgks

    Vbck gtgslocrgsds `cvcogps dk tbc ad``occer/ dt lek rcsuot dk bcerdkf ogss+ Pbcrc ds ek gutstek`dkf lbeklc jgr bcerdkf daprgvcackt wbcksurfcry ds pcrjgrac` jgr tbds `dscesc+ E vdehoceotcrketdvc/ cspcldeooy dk petdckts wbg wdoo kgtgr lekkgt tgocretc surfcry/ ds tbc usc gj e bcerdkf ed`+

    VEKPC@%BCEXDKF!ED@\ EK@'GX

    AE\ICX\ DK EKT LGK@DPDGKDj ygu bevc cvcr wgk`crc` wbet tg `g wdtbtbgsc ed`s tbet erc must sdttdkf dk tbc `rewcr/tbdki kg jurtbcr+ EPE wdoo hc beppy tg rclcdvctbca+ @gketdgks tg EPE erc tex `c`ultdhoc/ ek`wc&oo prgvd`c e rclcdpt+ \dapoy peliefc tbcaup lercju55y "e saeoo pe``c` aedodkf hef dsjdkc$ ek` sck` tg=

    EPE/ ^G Hgx 3/ ^grtoek`/ GX 468>6+D jygu erc usdkf S^\ gr ekgtbcr sbdppcr9 sbdp tg

    gu r strcct e``rcss= 5:52 \V 5st Evc+/ ,056/^grtoek`/ GX 468>5+Vbet beppcks tg tbc ed`s tbet ygu turk dk7 Dksgac lescs tbcy lek hc rcpedrc` ek` fdvck tgkcc`y pcgpoc gr usc` dk lberdtehoc adssdgks tg

  • 7/30/2019 Tinnitus Today March 1996 Vol 21, No 1

    19/29

    EPE Xcscerlb Xcpgrt!Ek Dktcrvdcw wdtb ^ewco M+ Mestrchgjj/ ^b+@+dktcrvdcw hy Herhere Pehelbkdli/Lodckt \crvdlcs Aekefcr^ewco M+ mestrchgjj/ ^b+@+/ \l+@+ / @drcltgr gj tbc Skdvcrsdty gjAeryoek`&s P d a ~ d t u s ek` Bypcrelusds Lcktcr/ teois ehgut bdslurrckt EPE!juk`c` rcscerlb prgmclt/ Pdkkdtus essgldetc` wdtbsguk`!dk`ulc` bcerdkf ogss+ H&k @r+ Mestrchgjj/ wbet ds tbc keturc gj tbds kcwrcscerlb7^M= Pbc jdrst stefc gj gur rcscerlb dkvgovcs tbc`cvcogpackt gj ek ekdaeo ag`co jgr sguk`dk`ulc` bcerdkf ogss+ Gklc tbet ag`co ds cstehodsbc`/ wc lek hcfdk stefc twg! wdtb tbc seac ekdaeos !tg `cvcogp e ag`co jgr sguk`dk`ulc` tdkkdtus+H&k Vbet ds tbc lgrrcoetdgkhctwcck sguk`!dk`ulc` bcerdkf ogss ek` sguk`!dk`ulc`tdkkdtus7^M= Pbet ds e vcry dapgrtektqucstdgk/ gkc wbdlb D ea trydkf tg ekswcr wdtb tbc bcop gjEPE+ Pbds rcscerlb ds hesc`gk tbc bypgtbcsds tbet tdkkd!tus ek` bcerdkf ogss rcsuot ^ewco M+ jestrchgjj/ ^b+@jrga `eaefc tg strulturcs gjtbc dkkcr cer+ E agrc spcldjdlbypgtbcsds ds tbet tdkkdtus grdfdketcs jrga tbcerce wdtbdk tbc dkkcr cer wbcrc tbc gutcr bedrlcoos erc `eaefc` ek` tbc dkkcr bedr lcoos ercrcesgkehoy jukltdgkeo+ Pbds ds tbc typdleo slckerdg dk kgdsc!dk`ulc` bcerdkf ogss+H&k Bgw ogkf `g ygu cstdaetc tbc twg rcscerlbstefcs wdoo dk`dvd`ueooy teic7^M= Pg ikgw (bgw ogkf( dk tbc lesc gj ekyrcscerlb ds dapgssdhoc+ E hrceitbrgufb adfbtlgac dk e aettcr gj agktbs gr e ycer gr kcvcr%Bgwcvcr/ D ea bgpcjuo tbet wdtbdk tbc kcxt jcwagktbs wc wdoo jdkdsb tbc jdrst stefc gj tbcstu`y/ ek` tbck hcfdk tbc sclgk` stefc+H&PD Vdoo tbc rcsuots gj tbds stu`y hc bcopjuo jgrtbgsc wbg bevc sguk`!dk`ulc` tdkkdtus wdtbgut

    ^M= Tcs% Pbds kcw ekdaeo ag`co wd55 hc uscjuojgr stu`ydkf hgtb pcrdpbcreo ek` lcktreo lgrrcoetcs gj tdkkdtus ! wdtb gr wdtbgut bcerdkf ogss+HP= Bgw ds tdkkdtus acesurc` dk ekdaeos7^M= Dk tbc ad` 542>&s wc `cvcogpc` ek ekdaeoag`co gj tdkkdtus tbet wes dk`ulc` hy seodlyoetc+Dk vcry fckcreo tcras/ rets wcrc tredkc` tg jcersdocklc wbdoc essgldetdkf eky typc gj sguk`"dklou`dkf tdkkdtus$ wdtb sejcty+ Hy ghscrvdkftbcdr hcbevdgr/ ek` hy acesurdkf tbc hdglbcadstry ek` tbc cocltrdleo eltdvdty gj kcurgks ek`

    kcurgtreksadttcrs dk tbchredk/ wc wcrc ehoc tg acesurc tbc ekdaeos& pcrlcptdgkgj tdkkdtus+H&k Bgw `g ygu eppoy tbcrcsuots jrga tbcsc ekdaeostu`dcs tg tbc stu`y gjbuaek eu`dtgry bceotb prghocas7^M= Vc ikgw tbet tbc eu`dtgry systcas gj ekdaeos ek`buaeks bevc e ogt dk lgaagk/ dklou`dkf strulturcs dktbc lglboce/ bedr lcoos/ ek`lcktcrs dk tbc kcurgkeo petbweys+ E``dtdgkeooy/ gur ekdaeo ag`co cveouetcstbc ^CXLC^PDGK gj tdkkdtus wdtbgut buaeksuhmcltdvdty/ wbdlb ds tbc hcst wey tg sldcktdjdleooy acesurc tdkkdtus+

    H&k Vbet ds ygur dktck`c` gutlgac jrga tbcsclgahdkc` stu`dcs7^M= Gklc ek ekdaeo ag`co jgr bcerdkf ogss!rcoetc` tdkkdtus ds cstehodsbc`/ tbc lbekfcs dk tbceu`dtgry ek` kcurgkeo petbweys spcldjdl tgtbcsc prghocas lek hc stu`dc`+ Pbds sbguo` bcopus `dslgvcr wbdlb typcs gj dkkcr cer `eaefc ercrcoetc` tg tdkkdtus ek` wbdlb erc rcoetc` tg bcerdkf ogss+ Vc eosg bgpc tg ocerk wbdlb kcurgtreksadttcrs ek` rclcptgrs lguo` hc terfcts jgrkcw `ruf trcetackts+ Oest hut kgt ocest/ wc wdoohc ehoc tg tcst kcw epprgelbcs jgr eoocvdetdgk gj

  • 7/30/2019 Tinnitus Today March 1996 Vol 21, No 1

    20/29

    Hggi Xcvdcwhy Pru`y @rulicr/ ^b+@+Zcrtdfg/ Keusce/ Pdkkdtus/ ek` Bcerdkf Ogss dk Lckrreoek` ^crdpbcreo Z c s t d o 9 ~ u o e r @dscescs+ Loeussck/ Foeus!Jrckz/Cdmd \eiete/ ek ` E+idkgrd otgb/ c`s+ Kcw Tgri "Eastcr`ea$=Coscvdcr/ 5443+

    Pdkkdtus lek ek` gjtck `gcs eppcer es ekdsgoetc` syaptga wdtb kg `dslcrkehoc leuseodty! e ldrluasteklc tbet prgvgics aulb jrustretdgk eagkf rcscerlbcrs ek` lodkdldeks frgpdkfjgr loucs tbet adfbt ed` `defkgsds ek` trcetackt+Vbck bce` kgdsc prcsckts es pert gj tbc loessdltrde` dk Ackdcrc&s @dscesc/ gr wbck tbcrc ds eprghehoc leuseo scqucklc sulb es kgdsc cxpgsurc/ systcadl dookcss/ gr lcrtedk ac`dletdgks/tbc aettcr ds sdapodjdc`+ Pbc eutbgrs gj tbds kcwhggi bevc hcck trydkf tg jdk` e odki hctwccktdkkdtus ek` gtbcr vcstdhuoer `dsgr`crs/ ek` ekgluoer pbckgackgk/ kystefaus "dkvgoukterycyc agvcackts$ tbet gllurs dk kgraeo suhmcltsek` dk lcrtedk petbgogfdleo stetcs+

    Pbc hggi ds e lgoocltdgk gj ehgut gkc buk`rc` sbgrt pepcrs tbet wcrc prcscktc` oest Eprdoet e lgkjcrcklc dk Mepek+ Ejtcr ek dktrg`ultgrylbeptcr/ tbc pepcrs erc frgupc` retbcr oggscoydktg jdvc scltdgks= tbc kystefaus sdfkeo ! e icyjgr tbc ekeoysds gj cqudodhrdua `dsgr`crs9 rclckt`cvcogpackts dk ag`crk kcurg!gtgogfdleo tbcrepy9 e sbgrt scltdgk gk spgrts ac`dldkc ek`ekgtbcr gk spelc ac`dldkc9 ek` e jdjtb scltdgkleooc` sdapoy (gtbcr( dk wbdlb tbcrc ds e adslcooeky gj hrdcj rcpgrts gk sulb suhmclts es AXDtcstdkf/ verdgus surfcrdcs/ scqucoec gj ackdkfdtds/ ek` ekeoyscs gj pgsturc ek` fedt dk kgraeoek` ehkgraeo suhmclts+Pdkkdtus ds kgt tbc prdaery jglus gj dktcrcstjgr tbc lgktrdhutgrs tg tbds hggi/ wbg scca lgklcrkc` lbdcjoy wdtb cqudodhrdua `dsgr`crs tbetadfbt dkld`ckteooy hc ellgapekdc` hy kgdsc dktbc cers gr bce`+ Pbc c`dtgrs `cslrdhc tbc lgktckts es csscktdeooy stu`dcs gj tbc kcurgogfy gjcyc agvcackts+ Pbc gpckdkf spcldeooclturc'lbeptcr `ceot wdtb tbc pgssdhoc rgoc gjtbc heseo fekfode dk tbc pbysdgogfy gj cyc agvcackt+ D t wes kgtc` tbet ogkf!stek`dkf bcerdkfogss lek hc essgldetc` wdtb vcstdhuoer ek` gluoer

    Gkc dkvcstdfetgr jguk` ek dklrcesc` dkld`cklc gj vcrtdfg dk ek efdkf pgpuoetdgk+ Gtbcrsldcktdsts cxeadkc` e pgssdhoy leusetdvc rgoc gjvcstdhuoer `ysjukltdgk dk sgac lescs gj auotdpocslocrgsds ek` lcrchreo peosy+ E prgjusdgk gj kcwtcsts ek` tclbkdqucs wdoo pcradt logscr stu`y gjtbcsc pgssdhoc lgklurrcklcs+ Cxpcrdackts wdtblglbocer dapoekts/ elupuklturc/ ek` cocltrdleostdauoetdgk lgktdkuc tg hc pcrjgrac`+

    Pbc c`dtgrs kgtc tbet tbc hggi eppcerc`vcry sggk ejtcr tbc lgkjcrcklc wes bco`/ ek`tbc rusb tg puhodsb ds cvd`ckt dk tbc kuacrgustypgs ek` crrgrs gj spcoodkf ek` freaaer+G``oy/ aeky gj tbc pepcrs eppcer es pbgtglgpdc` typcslrdpts retbcr tbek dk tbc hggi&stypcjelc+ E odttoc ertdloc gk Zek Fgfb&s bypgtbcsdzc` Ackdcrc&s @dscesc adfbt bevc hcck dktcrcstdkf dj sgacgkc be` vcttc` tbc `cpogrehocCkfodsb+ Pbc hggi ds dapgrtekt ckgufb tg suragukt dts `cjclts/ hut gkc adsscs tbc hckcjdtstbet wguo` bevc hcck lgkjcrrc` hy tbc dkvcstackt gj e lgapctckt c`dtgr&s tdac ek` sidoo+

    Pbds hggi ds kgt jgr oey pcgpoc9 dts lgklcptsek` tcradkgogfy erc cxtrcacoy lgapocx+^crbeps sgac spcldeodsts dk prdvetc preltdlc wdookgt hc `euktc` hy tbc hggi&s bdfb prdlc/ hut jgrtbc agst pert tbds ds e vgouac tbet hcogkfs dktbc ac`dleo odhrerdcs gj ukdvcrsdtdcs ek` bgspdteos+ D t ds e ag`cretcoy uscjuo e``dtdgk tg tbcfrgwdkf odtcreturc ehgut `dsgr`crs essgldetc`wdtb cdfbtb!kcrvc petbgogfy+

  • 7/30/2019 Tinnitus Today March 1996 Vol 21, No 1

    21/29

    Uucstdgks ek` Ekswcrshy meli E+ Zcrkgk/ ^b+@+/ Grcfgk BcerdkfXcscerlb LcktcrYUQ Ar+ O+ dk Doodkgds esis= (Vbck cers erclocekc` wdtb e syrdkfc/ lek ekytbdkf hcpusbc` heli hcygk` tbc cer`rua7(

    Pbc ce r `rua prgvd`cs e pbysdleo scperetdgk hctwcck tbc gutcr cer ek` tbcad``oc ce r spelc+ Sk`cr agst lgk`dtdgks

    locekdkf tbc cers wdtb e syrdkfc wguo` kgt `rdvcekytbdkf hcygk` tbc cer `rua+ Gk tbc gtbcrbek`/ dj tbc cer `rua ds pcrjgretc` tbck syrdkfdkf tbc cxtcrkeo cer lek leusc eoo aekkcr gjprghocas sulb es `chrds dk tbc ad``oc ce r spelc/dkjcltdgks/ ek` gtbcr lgapodletdgks+ Cxlcssdvcprcssurc dk tbc cxtcrkeo cer aey cvck leusc erupturdkf gj tbc cer `rua+ \cvcreo tdkkdtuspetdckts bevc rcpgrtc` tbet tbc kgdsc prg`ulc`hy syrdkfdkf tbc cxtcrkeo cer ae`c tbcdr tdkkdtus wgrsc+ D fucss tbc sejc lgklousdgk ds tg evgd`eky cxtrcac lgk`dtdgks dkvgovdkf tbc cer+YUQ As+ B+ dk Kcw Mcrscy wrdtcs= (D bevchcck tgo` tbet D `g kg t sujjcr jrgabypcrelusds hcleusc D bevc sgac bcer!dkf ogss/ ek` tbet wbet D bevc ds rclrudtackt+Lek ygu lgaackt7

    \gac tdac efg/ EPE lgk`ultc` e survcygj tbcdr acahcrsbdp tg `ctcradkc bgwaeky petdckts cxpcrdcklc` bypcrelusds+Pbc survcy rcvceoc` tbet gj tbc 558 petdckts wbgstetc` tbcy be` bypcrelusds/ :3 "32#$ dk`dletc`sgac `cfrcc gj acesurc` bcerdkf ogss+ Pbc

    qucstdgk ds/ `d` eoo tbcsc rcspgk`dkf petdcktsbevc truc bypcrelusds7 Vc `gk&t ikgw hu t tbcdkld`cklc gj bcerdkf ogss wes sg prgkguklc`tbet D tbdki wc aust lgklou`c tbet et ocest sgacbypcrelusds petdckts bevc bcerdkf dapedrackt+Aeky petdckts adsteic rclrudtackt jgrbypcrelusds+ Xclrudtackt gllurs dk tbc pdtlbrcfdgk wbcrc bcerdkf dapedrackt ds prcsckt/acekdkf tbet ogu`kcss tgocreklc ds dktelt jgr tbcpgrtdgk gj tbc cer tbet bcers kgrk5eooy+ "Xclrudtackt bes ek dktcrcstdkf tbgufb kcfetdvc cjjcltupgk lgaaukdletdgk+ E typdleo cxeapoc= e

    Xclrudtackt ds e repd` frgwtb gj ogu`kcss sgtbet aeky sguk`s erc dk`cc` tgg ogu`+ Pbet/bgwcvcr/ ds kgt bypcrelusds wbcrc eoo hu t tbcqudctcst sguk`s erc uklgajgrtehoy ogu`+Bypcrelusds ds eosg dkvcrscoy rcoetc` tg pdtlb9tbet ds/ tbc bdfbcr tbc pdtlb/ tbc ocss tbc ogu`kcss tgocreklc+

    YUQAr+ L+ Dk Jogrd`e wrdtcs= (Aeky ycersefg/ D wes dkvgovc` dk adodtery eltdgk dkwbdlb e agrter sbcoo cxpog`c` vcry kcerac+ Dt `d`k&t `eaefc ac et eoo/ hut jgr `eysejtcrwer` D lguo` kgt bcer ek` ay cers rekfogu`oy+ Fre`ueooy tbc bcerdkf rcturkc` ek` tbcrdkfdkf wckt ewey+ Pbdrty ycers bevc pessc`

    ek` kgw ay cers bevc stertc` tg rdkf efedk+ D&vcscerlbc` ay odjcstyoc ek` lek jdk` kgtbdkf tbetadfbt bevc stertc` tbc rdkfdkf tbds tdac+ D bevckgt hcck cxpgsc` tg ogu` sguk`s/ ek` D ea kgtteidkf eky ac`dletdgks+ Lek ygu cxpoedk tbcrcturk gj tbc tdkkdtus7(

    Pbet ygur tdkkdtus bes rcturkc` ejtcrsulb e ogkf tdac ek` jgr kg eppercktrcesgk ds e stgry wc bevc bcer` hcjgrc+Ay lgkmclturc ds tbet ygu aey bevc be` sgac

    ocvco gj tdkkdtus eoo eogkf hu t ygur bcerdkf wesfgg` ckgufb jgr eahdckt ckvdrgkackteo sguk`stg aesi dt+ Es ygu&rc frgwdkf go`cr/ ygur bcerdkf aey hc `clodkdkf eoogwdkf ygur tdkkdtus tgrceppcer+ D tck` tg vdcw tdkkdtus es e pdodkf dktbc glcek9 wbck tbc td`c ds dk wc lek scc odttocgr pcrbeps kgkc gj tbc pdodkf hu t wbck tbc td`cfgcs gut/ wc lek scc e frcet `ceo gj tbet pdodkf`cspdtc tbc jelt tbet tbc ockftb gj tbc pdodkf beskgt lbekfc`+ Es bcerdkf fgcs up tdkkdtus fgcs`gwk/ ek` es bcerdkf fgcs `gwk tdkkdtus fgcsup ! mus t odic tbc pdodkf ek` tbc td`c+ Bevc ygu/jgr cxeapoc/ kgtdlc` eky `djjdluoty uk`crstek`dkf spcclb wbck dk e kgdsy sdtuetdgk sulb es eperty gr sgldeo fetbcrdkf7 Dj ygu bevc/ dt lguo`hc ek dk`dletgr gj sgac bcerdkf ogss dk tbcuppcr jrcquckldcs+YUQ Ar+ X+ Dk Doodkgds wrdtcs= (D bevc be`aekefcehoc lglbocer Ackdcrc&s `dscesc

  • 7/30/2019 Tinnitus Today March 1996 Vol 21, No 1

    22/29

    Uucstdgks ek` Ekswcrs "lgktdkuc`$ek` D&vc `cvcogpc` bypcrelusds+ Lek D `ctcradkc ac`dle5oy dj bedr lcoos bevc hcck `eaefc`gr `cstrgyc`7(

    Ellgr`dkf tg tbc ^bysdldeks @csi~ c j c r c k l c / tdkkdtus ds kgt dklou`c` es es5`c cjjclt jgr Hdexdk+ ^rdogscl/ gk tbc

    gtbcr bek`/ `gcs odst bcerdkf ogss ek` tdkkdtus espgssdhoc sd`c cjjclts+ Fckcreooy/ tbcsc sd`ccjjclts `dseppcer wbck `ruf usc ds `dslgktdkuc`+Dj ygu bevc elqudrc` sgac bcerdkf ogss/ tbetadfbt eosg `dspoey sgac rclrudtackt+ "Dt ds cesytg lgkjusc rclrudtackt wdtb bypcrelusds+$ Pbcpcptg tehocts lgktedk seodlyoetcs ek` dkstrultdgksdk`dletc tbet dj teick wdtb espdrdk ek` tbc cersstert tg rdkf/ usc sbguo` hc `dslgktdkuc`+Hcleusc espdrdk ds sg`dua seodlyoetc/ gkc wguo`fct e `guhoc `gsc gj seodlyoetcs djpcptg tehoctswcrc teick wdtb espdrdk+ Espdrdk!dk`ulc` tdkkdtus ds tcapgrery ek`/ dk tdac/ wdoo `clodkc tg tbcgrdfdkeo ocvco gj ygur tdkkdtus+ D sbguo` eosgpgdkt gu t tbet tdkkdtus essgldetc` wdtb Ackdcrc&s`dscesc ds usueooy cesdoy aesic`+ Dj ygu bevc ebcerdkf tcst tbet wes teick hcjgrc ygu stertc`tbc ac`dletdgks ygu lek kgw bevc ekgtbcrbcerdkf tcst tg `ctcradkc dj eky agrc bedr lcoo`eaefc "bcerdkf ogss$ bes gllurrc`/ hut D `guhttbet dt bes+ D wguo` fucss tbet dj ygu stdoo bevceky e``dtdgkeo bcerdkf ogss ek` dklrcesc` tdkkdtus/ tbcy erc tcapgrery ek` wdoo rcturk tg tbcdrprc!ac`dletdgk ocvcos+G KC OE\P PBGSFBP + + +

    Pbcrc bes hcck sgac adsuk`crstek`dkfehgut lgaackts D ae`c dk e prcvdgus U* Ercfer`dkf e pgssdhoc tdkkdtus lurc+ Vbet D be`prgpgsc` ! usdkf jukltdgkeo AefkctdlXcsgkeklc Daefdkf "jAXD$ tg ogletc tbc hredklcktcr rcspgksdhoc jgr tbc pcrlcptdgk gj tdkkdtusek` tbck rcagvdkf tbet pgrtdgk gj tbc hredkwdtb stcrcgtexdl oescrs ! wes purc spcluoetdgk+Vc `g kgt kgw ikgw dj dt ds pgssdhoc tg d`cktdjygr ogletc tbc hredk erce rcspgksdhoc jgr tbc pcr!

    lcptdgk gj tdkkdtus+ D uk`crstek` tbc urfcklyek` tbc `cspedr wdtb wbdlb sgac tdkkdtuspetdckts freppoc/ hut tbc prglc`urcs D bevc spcluoetc` ehgut `g kgt yct cxdst+Kgr `d` D acek tg dapoy tbet `ruf tbcrepyjgr tdkkdtus wes dapgssdhoc+ Jer jrga dt+ @ruftbcrepy/ tg ay wey gj tbdkidkf/ bgo`s e frcet`ceo gj prgadsc jgr tbc juturc+ Tgu erc eorce`yjeadoder wdtb tbc pgsdtdvc cjjclts tbc `ruf Rekexbes upgk tdkkdtus/ ek` dt ds gkoy gkc gj e loess gj`rufs tbet bes yct tg hc tcstc`+ D bevc gjtcklgaacktc` upgk tbc jelt tbet 8< gj 8: petdcktswbg be` hcck fdvck dktrevckgus "DZ$ dkmcltdgksgjod`gledkc "e ogleo ekcstbctdl$ be` tbcdr tdkkdtus `dseppcer jgr ehgut adkutcs+ Loceroy/ DZod`gledkc ds kgt e preltdleo tbcrepy jgr tdkkdtushut dt&s eltdgk `gcs strgkfoy suffcst tbet sgacjgra gj `ruf tbcrepy jgr tdkkdtus ds pgssdhoc+\ck` ygur qucstdgks tg @r+ Zcrkgk l' g EPEPdkkdtus Ph`ey%U*E/ ^G Hgx 3+ ^grtoek`GX468>6!>>>3+

    ^g` jrga tbc Lgste Xdlek &Cer T c c ~

  • 7/30/2019 Tinnitus Today March 1996 Vol 21, No 1

    23/29

    EKKGSKLCACKP\Pbc 5:tb Curgpcek DkstrultdgkeoLgursc gk ??Pdkkdtus ek` DtsAekefcackt(! Eprdoo0!52/ 544:Pbds 5:tb ekkueo lgursc tg hc bco` et tbcSkdvcrsdty gj Kgttdkfbea/ Ckfoek`/ e``rcsscstbc leuscs/ sldcktdjdl helifrguk`/ dkvcstdfetdgk/ek` aekefcackt gj tdkkdtus+ D t wdoo lgksdst gjoclturcs wdtb lesc `dslussdgks/ preltdleo `cagkstretdgks/ ek` e wgrisbgp scssdgk+ Pbc lgursc ds`csdfkc` jgr gtgogfdsts/ CKP&s/ sldcktdsts/ tclbkdldeks/ ek` bcerdkf tbcrepdsts dkvgovc` dk grpoekkdkf tg hclgac dkvgovc` dk lodkdleo grrcscerlb wgri gk tdkkdtus+ Pbc lgursc jcc gj3>> dklou`cs lgaprcbcksdvc kgtcs/ ellgaag`etdgk dk e Skdvcrsdty rcsd`cklc beoo jgr jgurkdfbts/ ouklbcs/ ek ` tbrcc `dkkcrs+ Ettck`eklcwdoo hc odadtc` tg 02 `cocfetcs+

    Pbc lgursc grfekdzcr ds Mgketbek Bezcoo"Ad``ocscx Bgspdteo ek` XKD@/ Ogk`gk+Jgr rcfdstretdgk dkjgraetdgk/ lgktelt=

    @dekkc Xggishy/ G^DP/ Skdvcrsdty gjKgttdkfbea/ Skdvcrsdty ^eri/Kgttdkfbea KF6 8X@/ Skdtc` Idkf`ga/Pco= ">553 435"scc gr`cr jgra gk dksd`c heli lgvcr gjPdkkdtus Pg`ey$

    PBC DKPCXKEPDGKEOPDKKDPS\ MGSXKEOC`dtgrs!Dk!Lbdcj^rgj+ @r+ Loeus!Jrckz Loeussck

    Ehrebea \buoaek/ A+@+/ J+E+L+\+Herhere Fgo`stcdk/ ^b+@+Pbc Dktcrketdgkeo Pdkkdtus Mgurkeo ! e(pccr rcvdcw( mgurkeo jceturdkf rcscerlb

    pepcrs dk tbc jdco`s gj eu`dgogfy/ gtgoerykfgogfy/ kcurgpbysdgogfy/ gtgogfy/ ek` kcurgtgogfy ! ds puhodsbc` twdlc yceroy hy tbcPdkkdtus Lcktcr/ tbc \tetc Skdvcrsdty gj KcwTgri/ Bceotb \ldcklc Lcktcr et Hrggioyk/ dk

    lggpcretdgk wdtb tbc KcurggtgogfdslbcsJgrsbukfsdkstdtut `cr 0!F Jgrslbukf c+Z+ / He`Idssdkfck/ Fcraeky+\uhslrdptdgk dkjgraetdgk=\uhslrdptdgk retc jgr twg dssucs ds $04+3>

    dk S\ lurrckly+ Jgr Leke`e/ Acxdlg/ ek`gtbcr jgrcdfk `codvcry/ tbc retc ds $3:+>> S\+

    ^ocesc sck` suhslrdptdgk gr`crs tg=Herhere Fgo`stcdk/ ^b+@+/Pdkkdtus Lcktcr/ tbc \tetc Skdvcrsdty gj KcwTgri/ Bceotb \ldcklc Lcktcr et Hrggioyk/

    Hgx 58 Loerisgk Evc/

  • 7/30/2019 Tinnitus Today March 1996 Vol 21, No 1

    24/29

    Pbc Vey gj ^celchy Leooua CoodgtXcprdktc` wdtb pco&adssdgk jrga tbc Gkodkc XKD@Pdkkdtus Bcopodkc Kcwsocttcr/ Aerlb 5440

    \cvck ycers efg e sdrck sguk`c`/ slrceadkfet ac tg \tgp ek` Odstck/ pguk`dkf dts acssefcgk tbc acttoc gj ay kcrvcs/ hrdkfdkf ac tg tbcc`fc gjhrcei`gwk/ scvck ycers efg+

    Dk tbgsc ceroy ycers gj `cspedr ek` dsgoetdgk/tbc sguk` dk ay cers wes ay ckcay+ Et tdacsgj pukdsbdkf cxespcretdgk D wguo` lursc ay odjcjgr tbds lruco turk gj lbeklc= owes e ygukf aek+ D rcscerlbc`ckgufb tg ikgw tbet tdkkdtuswes e syaptga/ ek` ay tcstsbe` sbgwk tbet tbcrc wes kgpbysdleo leusc jgr tbc bdssdkf dkay cers+ D t tggi tdac jgr ac tg&bcer& tbds/ tg oc t ayscojhcodcvctbet/ dj tbcrc wes kg `eaefc/tbck tbcrc wes bgpc gj e juoorcturk tg kgraeo ! tg hc ogvc`sdocklc+

    Dk ay rce`dkf D leac elrgsstbc Mepekcsc jdfbtdkf prdkldpocgj Logtb efedkst \tgkc+ \dapoy/tbds ds e wey gj `cjcetdkf ekckcay hy &ydco`dkf& ! gj rgoodkfwdtb ek etteli retbcr tbek acctdkf dt bce` tg bce`+ Pbds prdkldpoc ds cxcapodjdc` dk Edid`g/ Pbc Vey gj ^celc+Ek` `d` D wekt pcelc% \g D stgppc` hcetdkfayscoj up ek` lbekfc` stretcfy+ Dk e scksc/ Dsurrck`crc` tg tbc sguk`+ Pbds acekt octtdkf fggj tbc poeks 5 be` jgr ay odjc ek` puttdkf eoo ayettcktdgk dktg tbc prcsckt+ Vdtb gkc eda !odhcretdgk+Pbds sbdjt dk pcrlcptdgk ckehoc` ac tg el tek` tg teic rcspgksdhdodty jgr lbekfdkf ay odjc+Pbds wes e tdac gj ellcpteklc ek` rce`mustackt+ D hcfek tg oc t tbc sguk` (spcei/( ek` Dgpckc` tg tbc kcw pgssdhdodty tbet pcrbeps tbcsguk` ek` D wcrc gkc+ Aulb dkjoucklc` hy ]ckHu``bdsa/ D ac`dtetc` gk tbc sguk` es e agki

    \gactdacs sgoutdgks lek hc es ghtusc estbcdr prghocas+ Lcrtedkoy dk tbds lesc D be`ellcptc` tbet tbc sguk` tbet wes wdtbdk ac wesay sguk`/ tbet sgacbgw D be` lrcetc` dt+ D t weswbet D kgw leoo tbc (d!sguk`+( Ek` tbc d!sguk`spgic/ ek` tbc agrc D odstckc` tbc agrc D oct dtoce` ac+ Y t wes kg ogkfcr ay ckcay/ hut estrekfc ! cvck pcrvcrsc ! eooy+D tggi tbc eotcrketdvc rgutc gk ay qucst jgrbceodkf= elupuklturc/ bgacgpetby/ spdrdtueobceodkf ek` psylbgtbcrepy+ Dk dsgoetdgk/ kgkc

    prcscktc` e lurc/ hut ejtcr etdac D uk`crstgg` tbc csscklcgj tbc wbgoc!dstdl epprgelb ek`hrge`ckc` hcygk` tbc sbgrtsdfbtc`kcss gj sdapoy jgoogwdkfrcsuots+

    (Sotdaetcoy ygu aust jgrfctehgut tclbkdquc+ Pbc jurtbcrygu prgfrcss/ tbc jcwcr tcelbdkfs tbcrc erc+ Pbc Frcet ^etbds rceooy Kg ^etb+( "AgrdbcdScsbdhe/ Pbc Ert gj^celc/ treks/Mgbk \tcvcks$+Ay jglus sbdjtc` jrga tbcsguk`+ D oggic` tg cxpogrdkf aybceotb es e wbgoc+ Ek` jrgatbds wch gj cxpcrdcklc gkc sdkfoc tbrce` hcfek tg cacrfc !tbet ogvc bes tbc pgwcr tg bceo+

    Ek` dj tbcrc ds e acssefc/ tbck dt ds sdapoy tbds=Xcacahcr Ac/ Xcacahcr Ogvc+D ea wcoo/ ek` bevc cxpcrdcklc` e stce`y`clrcesc dk tbc dktcksdty gj tbc sguk`+ Es D`cslrdhc dt tg ay `cercst jrdck` ! gk e sleoc gj otg 5>/ D&a aeridkf 8 ++ek` `rgppdkf% Pb fedkdksdfbt D wckt wdtbdk/ ek` dk ay cjjgrts tguk`crstek` D cacrfc` wdtb e rdlbcr uk`crstek`dkf gj ayscoj+ Ek` wdtb tbc wds`ga tbet adk`/hg`y ek` spdrdt erc gkc+ @dscesc lek hc scck esek cxprcssdgk9 dt surcoy bes sgactbdkf tg sey+ Djeoogwc` tg spcei/ dt lek hclgac e leoo tg scoj"rc `dslgvcry+Ay mgurkcy tbus jer bes hcck gkc gj treks

  • 7/30/2019 Tinnitus Today March 1996 Vol 21, No 1

    25/29

    Prdhutcs/ \pgksgrs/ \pcldeo @gkgrs/^rgjcssdgkeo EssgldetcsLbeapdgks gj \docklc erc e scoclt frgup gj `gkgrs `cagkstretdkf tbcdr lgaadtackt dk tbc jdfbt efedkst tdkkdtus hy aeidkfe lgktrdhutdgk gr rcscerlb `gketdgk gj $3>> gr agrc+ \pgksgrs ek` Essgldetcs lgktrdhutc et tbc $5>>!$044 ocvco+ EP+E=s trdhutc juk` ds `csdfketc` 5>># jgr rcscerlb+ Vc sck` gur tbekis tg eoo tbgsc pcgpoc odstc` hcogw jgr sberdkf acagrehoc gllesdgks dk tbds bgpcjuo wey+ Lgktrdhutdgks erc tex `c`ultdhoc ek ` erc prgaptoy elikgwoc`fc` wdtb ek epprgprdetc ler + Pbcfdjt eagukt ds kcvcr `dslogsc`+ FDJP\ JXGA 5>!83!43 tg 5!54!4:+Lbeapdgks gj \docklc Xghcrt O+ Jcoocr Mgbk A+ AlKeaere Zcrk Vdooeaek+Mgscpb F+ Eoea ek` &oru`y Xdlber` M+ Jdoekl Xdlber` AlVdoodea Icdtb L+ Vdktcrs

    @rulicr Mgbk V+ Jdkfcr @r+ @uekc @+ Ace` E`coed`c w+ ]ehrdsidcXghcrt B+ Hgcrkcr Co`dk O+ Jdsbcr Xghcrt M+ Acrauys Xdlber` E+ ]uhrylidPbgaes w+ Hulbbgotz A+@+ Xghcrt Joebcrty \ereb ^+ Adkfcs ^rgjcssdgkeo Essgldetcs\tcpbck Lbek`ocr @+ Mcekkc Jrektz Hoeic Adtkdli Eoek M+ Erkgo` A+@+Xgh A+ Lrdlbtgk Ocwds ek` Mukc E+ Jrcc`aek Fockk E+ Agrtgk Lergo E+ Heucr A+@+Adlbeco @ceidk L+^+E+ AcovdkM+ Ferkg Pbgaes J+ Agtter` Hrulc \+ Hogga A+@+Ietbcrdkc E+ Cohcrjco` Mgbkdc Aec Fdoagrc ^byood s F+ Kcxgk Ikgx HrggisOd%Mdek Fg`coo J+ I+ Focesgk Mda C` Kgraek Oewrcklc M+ @ekke A+@+Loeu`c B+ Frdzzer` Ek`rcw Fgg` Lurtds \+ Gosgk Vdoodeas+ Fertkcr A+@+C`auk` M+ Frgsshcrf L+O+S+ V+M+ ek ` Bcock Fgtslbeoo Eergk Y+ Gsbcrgw Herhere Fgo`stcdk ^b+@+@ek Xghcrt Bglis Lberocs Aeri Frehdksid ^euo Gvcrhy @r+ Xdhbd J+ MerrerEkk Iodalzei/ ^rcs+ ! @gkke Frebea X+ M+ ^eogahdt ^euo M+ Mgkcs A+@+

    Pbc Herk \eoc/ Dkl+ Eojrc` X+ Frcckc Mgbk X+ ek ` \ere E+ ^ettcrsgk Xdlber` \+ Ieujaek @+@+\+Ocfdsoetdvc Lgrrcspgk`ckts Mgbk X+ Bejcr @evd` @+ ^cerlc ^euo X+ Idocky ^b+@+Essgldetdgk gj Kcw Tgri Xghcrt Befcr Xgfcr M+ ^ctcrs ek` \tcpbekdc Xghcrt M Igbockhcrf ^b+@+\tetc/ Dkl+ @weykc X+ Beoo Aguotgk ^ctcrs Ertdkc Igisbekdek A+@+Aersbeoo ^+ Al@gkeo` Meacs O+ Beridks Xdlber` E+ ^bdoodps Xghcrt M+ Ireacr A+@+\tcpbck ek` Hdoodc Agiskcs Vdoodea E+ Bert Mr+ Aerferct \+ ^gwcoo @evd` O+ Acboua A+@+Fcreo` ek ` Vek`e A+ \bekkgk Vdoodea M+ Besidk E+G+ Uudkk @r+ Xghcrt M+ AcdtusPdagtby \+ \gtgs Mgbk C+ Bco` Meacs I+ Uudrc @gufoes B+ Agrfek @+@+\+Efkcs Zerds Eojrc` C+ Bcoocr Aetmgrdc Uudsckhcrry Xek`y Agrfek ! Vcstgkc@gkeo` O+ Bcraek \tcpbck A+ Xcclc Oehgretgrdcs Dkl+\pgksgr Acahcrs Aeri C+ Bctblgtc ^etrdlde X+ Xcutcr Acrc`dtb I+ O+ ^ekf A+@+Ocw J+ Eooyk \tcvck Bgjjaek Lgrkcode Xdlb Hckmeadk ^crcdre @+@+\+^etty Ek`rcws Muodek Bggfstre Herhere E+ Xdlier` ! ^celgli Aex O+ Xgkds A+@+Crkcst L+ Eucr @evd` V+ Bgpidks Jguk`etdgk Dkl+ Dre @+ Xgtbjco` A+@+Aeri Eycsb Mgketbek \+ Bgrwdtz Ar+ ek ` Ars+ Vdoodea ^+ Xghcrts Ertbur Xu`` @+@+\+Pbcoae Hetlbco`cr Lbrdstgpbcr Z+ Bgufbtgk Occ @+ Xghdksgk @cek C`wer` \lbekck A+@+Mcjjrcy X+ Heu`cr Meli Buekf @evd` I+ Xgoocr Ehrebea \buoaek A+@+AlOerck Hcetty Meacs Drvdkf Pbky Xggkcy B+ Hck \tgkc Doo A+@+@evd` ^+ Hclicr Bgwer` F+ Melghs C`wer` ^+ Xgsckhcrf Meacs J+ Vutb A+\ +^+E+A+ Lredf Hcoo Crdl J+ Mekdc Mcrgac Xgtb Dk Acagry GjXgkeo` Hcrfcr C`dtb M+ Mgbksgk Bgwer` Xgtbckstcdk@ekky X+ Hdhh Ogds Icckcy Xdlber` Xusb @r+ K+I+ HesdocAerdg M+ Hgkcoog X+O+ Icbcocy Pbgaes M+ Xy`cr DZ Mgscpb F+ Eoea ek` &oru`yXghcrt E+ Hgwocr Xghcrt E+ Idriaek Vdoodea H+ \eosfdvcr @rulicrMeacs >+ Hgylc Oeure ^+ Iocppdli Mgscpb E+ \eapsgk \e a CdsckhcrfXdlber` V+ Hrukkcr Ietbcrdkc L+ Iodkc Mgscpb M+ \lbeoo Ek k ek` Mgbk LerrgXghcrt H+ Hu`coaek Mr+ Herhere O+ Igbk Ek`rcK+ \lbdppcr Aurdco LgbkVdoodea E+ Hurfdk Meacs Ireskg @gk P+ \cequdst Hcrker` Fgo`dkVdoodea X+ Lefkcy ^b+@+ @r+ C` Irgo Ayrgk O+ \care` Berry Ocwds^ctcr C+ Leaphco o L+J+R+ Xghcrt \+ Iurz Ars+ Eodlc O+ \bdco`s ^bdodp ek ` Xutb XuhdkstcdkMgscpb Lepessg Lod`c Z+ \gkky Oek`rctb DDD \euo K+ \dohcrt Lberdtehoc Prust Ar+ ek ` Ars+ Occ \eaucosgk@ekdco M+ Ler`e Adotgk Ocei @gk O+ \dx \r+ Mgek ek` @dli \ekfcrAery Ogu Lercy Cvcoyk \lbre`cr Occ Xghcrt ^+ \adtb Hce \gkkcttErtbur Lcoodkd Fcreo` C+ Ocackefcr Aertdk Z+ \glbe Bcrhcrt ek` Pbcoae Teklg\tcpbck Lbek`ocr \bergk Ekk Ocaic Aexwcoo \gogag k Sk loc ! \ea CdsckhcrfFery A+ Lbesc @gkeo` Ocaagks Agrtgk ek` Kgrae \tccoc Kdclc ek` lgusdk ! Xgxy LdcrsFock Bcetbcr Loeri \tcpbck V+ Ocwds GrogjjV+ \tyvcFer`kcr L+ Lgoc Vdoodea L+ Odlbt Xutb A+ \wek Pwdk Hrgtbcr !Xghcrt V+ Lgoc Aery Mekc Odoods Occ ek ` Lergo Pbfcr M gh k C+ Frcvc@deke Lgkkgooy Mgbk V+ Odkocy @evd` Bgoods Pbyogr Mda ek` Mgekkc LggpcrOgrredkc A+ Ogvc VdoodeaX 5hwcr Mr+ M gbk F+ Mescr

  • 7/30/2019 Tinnitus Today March 1996 Vol 21, No 1

    26/29

    Prdhutcs/ \pgksgrs+ "lgktdkuc`$Dk DG_ dkf acaGP$ gj Jetbcr! Mgbk H+ \eapsgk+Mgscpb E+ \eapsgkBushek` ! Xgkeo` ZdcdreEodlc ZdcdreDk Bgkgr GjXclgvcry gj Muodc E ea+Mgscpb F+ Eoea ek ` &od&u`y@rulicrBgod`ey fdjt jgr Mgscpb@clicrHrck`e ^dkt/ Lergo Aggrc/ Odk`eHcrry Hrck`e Hgssck gj

    HdotXdtc LgktreltgrsEk k GcOezzlrHoytbc \tccvcrGr+ &od&u`y @rulicr&s Hdrtb`eyAs+ E`coc Eoea+Mgscpb F+ Eoea+Muocs B+ @rulicrAgre CadkXgs9tbc ek` Md a Prevcr%oor+ ek ` Ars+ Aery ek` ^etrdli

    5 _ t o o ~

    Hdrtb`ey gj Ou`wdf V+ Beoi+Mgscpb F Eoea ek ` ku`&$&@rulicrM el i Bererys Hdrtb`eyHgh ek` @chhdc Bereryo%kppy Bekuiieb tg 5_r+ ek `Ars+ Meli BereryHgh ek ` @chhdc BereryAr+ ek ` Ars+ Crdl ek`@grcck Bgfek@gk/ Mekct/ ek` Codzehctb

    \cequdstM + _o dlbeco BgohrggiIetbd BgohrggiHcrkdclc BuooVdoodea Besidko&oor+ ek ` Ars+ Fdkfc ek`Cvcoyk Odpsgk&s 33 tbVc``dkf EkkdvcrseryArs+ Ekkc Frg`siyHgh Outbaekk@ckkds \bcraek

    ~ j e r r d e f c gj 5hky Xek`eooe k` Bcetbcr Beroek&Pru`y @rulicr_M r+ @grek \cequds t Mr+/ jgrLbrdstaes@gk Mekct/ ek` Codzehctb\cequdstGr+ Mgbk X+ Caactt@r+ ek` Ars+ Outbcr \adtb DD\bdrocy Xgsckbejt&s Hdrtb`eyKegad \wcr`odkDk epprcldetdgk gj MeliZcrkgkXgkeo` L+ Eooek

    HcqucstsOdoodek Lg`cooXcscerlb @gkgrsogoe ^+ Ehgg`Mgscpb F+ Eoea ekldPbuloy

    @ r u ~ i c rCoock X+ EohuryXdlb EofcrOD&V J+ EooykBcock A+ Ek`crsgkFcgrfc E+ Ek`crsgkAermgrdc Erkgo`Eoek M+ Erkgo` A+GJdjd >+ He`ceux@chgreb HeoautbAery Ogu HerogwFrcf E+ HcbkicB+ @+ ek` Aery HcksgkXgkeo` Hcrfcr+Meli X+ HcrtreaLery E+ HdoocyMda Hdricksccr+Meacs O+ Hger`aek@evd` O+ HgtbeaoyXghlk E+ Hgwocr+Mgbk M+ Huric^rdsldooe I+ Husb@gufoes \+ LeaphcooJreklcs B+ LeaphcooMeacs E+ LeradlbecoHerhere LckvdkLergo +Mcek Lbettcrt gkAery I+ LbrdstdeksckA@rdt& LbrdstgjekgByaek ek` \bdrocy Lgbck^bdodp \+ Lgoodks@deke LgkkgooyHryekt V Lgkwey DD@gkeo` M+ LggiXgsc LgttrcooHgh M+ LrgwFock X+ LulldkcoogOcc >+ LukkdkfbeaAery Bgoacs @efucXutb H+ @ekkdkf^dcrrc @evd`Loeu`c C+ @evdsHrukg @cogrckzg

    H ? + ~ r h e r e \+ @crdliAex @csjgr^euodkc X+ @dhcooe A\ LLL!EJrc`crdli \+ Ggrkhoett^etrdlde \+ @gsteMciPbcoae @+ @ryCod6+ehctb Chcrodkf@ekdco Cbrdlb @+@+\+@gy oc I+ Coods \r+A e ~ m g r d c A+ CoodsCot&+e ^co`Ars+ Eohck E+ Jco`aekMgscpb V+ JcrdgodPbgaes P+ Jd`eklcXdlber` M+ Jdoekl\tekocv JdgrcXghcrt C+ Joebckv

    Cvcoyk L+ FehrdcoZdklckt @+ FeooulldJreki O+ FdeklgoeC=rdl A+ FdhhcrAyre M + Fdh\GMoArs+ Xbg`e C+ FdhsgkAeurdlc M+ Fdjjgr`Ars+ Odoods FdoaertdkXghcrt E+ Lgo`Hdoo Lgr`gkLdrg ^+ FreketdkdLoeu`c B+ Frdzzer`Drckc \+ FrgkcrEkbur L+ LrgssHctty M+ Lrgss@evd` A+ BeopcrkJreklcs BeksckKekly E+ BertkcttAery I+ Bcapbd ooAdkkd BcyckArs+ \bdrocy %Ddliaek5=++ Eoek Bdo`strgaOyk`e A+ BgjjaekkEkkc \+ Bgoacs Bgooek`Luodcorke P+ BggpcrMcjjrcy Bgrodli@gkeo` C+ BgstctocrLbrdstgpbcr v+ BgufbtgkFcreo` BufCodzehctb A+ ButtrcrHctty Dppgodtg\bergk H+ MelghBerry +MelghsckCtte Aerdc MeacsCstbcr w+ MgbksgkVeykc M+ MgbkstgkOykk X+ Iec`dkfHcrker` IeadksiyMg Ekk IerickkyOgds \+ IcckcyX+ O+ IcbcocyMgbk P+ Ickkc`vAdooer` J+ Idri !Xgkeo` ek ` Fock`e IodkL&Adlbeco O+ IgrpeoMeacs @+ Igutky@r+ C` Irgo^ctcr A+ IusdekHoeklbc E + OefesscJogrcklc Oekfcvdk\tcooe OepeacAerlde C+ Ockfkdli\tekocy @+ OcvdkEkk Odkfgs@gkeo` M+ OdsdgVdooer` OdttocbeocJreki O+ OgkfZdklc OgpgrlbdgKgraek H+ Oules +Mr+Muode J&+ Ouksjgr`Adlbeco P+ Aetbcroy@r+ Ekfcodte A+ AeyAdlbeco AlEoodstcr^ctcr M+ Al@gkefbAersbeoo ^+ Al@gkeo`+Mcek Acktds

    Agrrds KcwaeriMeacs @+ KcwtgkCodsehctb M+ Kdlbgosgk^ctcr M+ KdigoedLergo KdoocsBerrds E+ GcbocrMcek Ekk GosckHgh GosgkMgbk I+ GslersgkXgfcr V+ ^erdekHerhere H ^cersgkZcre M+ ^clbLrea ^cridksXgfcr M+ ^ctcrs ek` \tcpbekdcAguotgk ^ctcrsOuldooc A+ ^ctck9ckMeacs L+ ^ctrgwdlzXdlber` E+ ^bdoodpsOcgker` ^dvkdli\tcvck M+ ^gpodkCaae /Mcek ^gulbcrXgfcr C+ ^gwodsgkovekcoo ^rcsocyMcssdc K UudkkXgwcke Xek`Iey XccvcsCocekgr XcfuoeAdlbeco B+ Xcbaus\usek C+ Xggj\bdrocy I+ ek ` Agrt XgsckbejtMcrgac XgtbXghcrt XusdfkgoeMgbk X+ XusscooXdlber` C+ \lbe`c@cek C`wer` \lbekck A+@+^byoods \lbcr A+@+Vdoodea \lbwertoOcg V+ \ceo Mr+Leovdk \cSFogrde C+ \ckkc_5dlbeco B+ \cpl`cKdliy \bcetsBerry \bggiZdklckt \dovlstPMErty H+ \adtbLov`c ek` @erocck \adtbOe9ry \pg`ckPbgaes M+ \tcjekdi A+@+Meacs M+ \tcpgkdiArs+ \c`eodsc \+ \tgutcKegad X+ \wcckcyj_oery Pc`craekEojrc`g L+ PbtdAerdoyk O+ 5hrfrdasgkMgbk @+ 5hrac`dsEojrc` E+ 5hrrc A+@+Herhere O+ &DtcrdlcMgscpb V+ SooaekkMgbk X+ Zcf odeFcr`e VesscraekkXghcrt Vetsgk MrEkke!Aerde VcetbcrsAervdk M+ VcdkhcrfcrLbrds VcriocyVerkcr VbdtkcvMeacs B+ Vdkzckhurf

  • 7/30/2019 Tinnitus Today March 1996 Vol 21, No 1

    27/29

    EPE&s 83tb EkkdvcrseryXcfdgkeo AcctdkfsAey * \cptcahcr 544:

    "scc dksd`c jgr `ctedos$

    EACXDLEK PDKKDPS\ E\\GLDEPDGK^+G+Hgx 3/ ^grtoek`/ GX 468>6!>>>3Jgrwer` ek` E``rcss Lgrrcltdgk

  • 7/30/2019 Tinnitus Today March 1996 Vol 21, No 1

    28/29

    E ^CX\GKEO AC\\EFCPG TGS JXGA PBC

    LBEDXAEK GJ PBC HGEX@ +++

  • 7/30/2019 Tinnitus Today March 1996 Vol 21, No 1

    29/29

    Aerlb/ 544:@cer EPE Acahcrs=Odic sg aeky gj ygu D sujjcr jrga tdkkdtus+ D bevc be` dt sdklc 542> ek` gvcr tbc ycers tbcrdkfdkf bes hclgac aulb wgrsc+ Pdkkdtus bes `restdleooy ejjcltc` ay jeadoy/ sgldeo/ ek`gllupetdgkeo odjc+ Bgwcvcr/ D g lgksd`cr ayscoj ouliydk tbet D odvc dk ^grtoek` wbcrcEPE ds bce`quertcrc`/ ek` wbcrc tdkkdtus ds hcttcr ikgwk ek` uk`crstgg` tbek dk gtbcrperts gj tbc lguktry+Vbck D jdrst elqudrc` tdkkdtus/ D wes vcry jrustretc` tg jdk` tbet tbcrc wes kg lurc gr cvckaulb tbet lguo` hc `gkc tg fdvc ac sgac rcodcj+ Dt wes gu t gj tbds jrustretdgk tbet D hcfek`gdkf vgouktccr wgri jgr EPE ek` jgrac` e ^grtoek` scoj!bcop frgup+ Dk 5422 D mgdkc` tbcHger` gj @drcltgrs ek` dk Mekuery 5440 hcleac Lbedraek gj tbc Hger`+ Ikgwdkf tbet Dbevc be` sgac dkjoucklc gk EPE prgfreas ek` `drcltdgk/ es scck jrga e sujjcrcr&s pgdktgj vdcw/ bes ae`c ay hger` cxpcrdcklc fretdjydkf+ Bgwcvcr/ Dea stdoo jrustretc`+D ea lgkvdklc` tbet gur gkoy bgpc dk jdk`dkf rcodcj ek` ek cvcktueo lurc ds tbrgufb dk`cptb rcscerlb+ Pbds oest ycer/ EPE wes ehoc tg fdvc gvcr $54:/>>> dk rcscerlb frekts+Pbet aey sguk` fgg` tg sgac pcgpoc/ hut dts kgt kceroy ckgufb jgr ac+Ay fgeo ds tg juk` es aulb rcscerlb es pgssdhoc/ es qudlioy es pgssdhoc+ Ek`/ jrekioy/D kcc` ygur bcop+Vc lurrcktoy bevc tbrcc cxlcoockt rcscerlb prgpgseos dk jrgkt gj us tbet wc wguo` odic tgspgksgr rdfbt ewey+ D t wdoo teic et ocest $8>>/>>> tg juk` tbca ek` D ea eppceodkf tg ygujgr e `gketdgk tg bcop redsc tbet eagukt+ Tgur tex `c`ultdhoc lgktrdhut dgk wdoo hc usc`spcldjdleooy jgr tbcsc tbrcc prgpgseos gr/ sbguo`wc redsc agrc tbek tbcy rcqudrc/ wdoo fgdktg gur `c`dletc` rcscerlb juk` jgr juturc prgmclts+^ocesc mgdk ac dk jdfbtdkf tdkkdtus hy lgktrdhutdkf tg tbds lrdtdleo rcscerlbeppceo tg`ey+\dklcrcoy/

    ^bdodp >+ Agrtgk^+\+ Xcacahcr tbet e adkdaua ekkueo acahcrsbdp lgktrdhutdgk ds rcqudrc` tg rclcdvc Pdkkdtus Pg`ey+ Pbgsc`gketdgks aeic pgssdhoc EPE&s `ey!tg!`ey gpcretdgk ek` `cvcogpackt gj c`uletdgkeo aetcrdeos ek ` dapgrtektpuhodletdgks+ Pbeki ygu jgr tbet suppgrt eosg+