Health Condition 1: H833- Noise effects on inner ear
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients between the age of eighteen to fifty years 2. Patients will be selected on the basis of signs and symptoms of karnanada tinnitus associated with sensorineural hearing loss described as per Ayurvedic texts as different types of sound sensation in ear like bheri (cuttle drum sound) mrudunga (roaring sensation) shankha (ringing sensation) 3. Diagnosis of subjective non pulsatile tinnitus (uni or bilateral) that is persistent (commonly more than or equal to 3 months) 4. Sensorineural hearing loss confirmed by Pure Tone Audiometry (PTA) 5. Stable baseline care (no new tinnitus treatments started within last 2 to 4 weeks such as hearing aid fitting, CBT initiation, new meds aimed at tinnitus, etc 6. Ability to comply willing for daily ear procedure, taking oral medicine, coming for follow ups and provide informed consent
Exclusion criteria
Exclusion criteria: 1. Patients below the age of eighteen and above the age of fifty years. 2. Patients suffering from any chronic debilitating diseases such as uncontrolled hypertension, uncontrolled diabetes, uncontrolled thyroid disease, severe anemia or B12 deficiency not corrected. 3. Patients suffering from pulsatile tinnitus, objective tinnitus or complex auditory hallucinations and psychosis-related symptoms; 4. Patients suffering from otosclerosis, otomycosis, active otitis externa or otitis media, chronic suppurative otitis media, cholesteatoma, tympanic membrane perforation or grommet/ear surgery history, impacted wax at baseline, 5. Cases which require surgical intervention and cases with history of ear surgery. 6. Patients suffering from vestibular/cochlear disorders with fluctuating course, M ni re s disease, endolymphatic hydrops, recent sudden SNHL (e.g., within last 3 months) or rapidly progressive hearing loss 7. Patients on current or recent exposure to ototoxic drugs (e.g., aminoglycosides, cisplatin, loop diuretics, high-dose salicylates), ongoing benzodiazepine dose changes, recent antidepressant initiation or dose change, substance dependence (alcohol/drugs) affecting adherence and symptom reporting 8. Patient with ear canal pathology that makes oil instillation unsafe/painful (eczema flare, severe dermatitis, stenosis) or known allergy to the ingredients 9. Patient currently participating in another interventional trial or unable to complete validated questionnaires reliably
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Efficacy of the intervention on signs and symptoms of Karnanada (tinnitus associated with SNHL) using tinnitus questionnaire and pure tone audiometry at the outset of the study and again after 30 days intervention.Timepoint: Pure tone audiometry and tinnitus questionnaire will be done at the outset and again after 30 days. | — |
Secondary
| Measure | Time frame |
|---|---|
| NILTimepoint: NIL | — |
Countries
India
Contacts
Institute Of Teaching And Research In Ayurveda, Jamnagar