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Article

Comparison of Treatment Outcome between Repetitive Transcranial Magnetic Stimulation (rTMS) and Transcutaneous Direct Current Stimulation (tDCS) in Intractable Tinnitus

by
Seong Hoon Bae
1,
Seo Jin Moon
1,
Jeong Gum Lee
1,
Yun Kyung Yim
1,
Hee So Oh
1,
Dong Hee Han
2 and
In Seok Moon
1,*
1
Department of Otorhinolaryngology, Yonsei University College of Medicine, Seoul 03722, Korea
2
Yonsei Charm Otorhinolaryngology Clinic, Seoul 02490, Korea
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2021, 10(4), 635; https://doi.org/10.3390/jcm10040635
Submission received: 6 January 2021 / Revised: 28 January 2021 / Accepted: 3 February 2021 / Published: 7 February 2021
(This article belongs to the Topic Brain, Hearing and Tinnitus Science)
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Abstract

Repetitive transcranial magnetic stimulation (rTMS) and transcutaneous direct current stimulation (tDCS) are non-invasive treatments for chronic tinnitus based on neuromodulation of cortical activity. Both are considered effective, but with heterogeneous results due to lack of established protocols. Because the target groups for both modalities overlap, it is difficult to recommend one of them. We tried to unify the inclusion criteria and treatment schedules to compare the two modalities. The medical charts of 36 patients who underwent rTMS as part of clinical routine were reviewed and data for 34 patients who underwent tDCS about 7 years later were collected prospectively. Both groups had chronic unilateral tinnitus refractory to medication. Patients were treated for 5 consecutive days, and tinnitus symptoms were evaluated by survey both at the end of the treatment schedule and 1 month after the treatment. The ratio of responders who showed >20% reduction in tinnitus handicap inventory scores were compared. At the end of the treatment, the rTMS group showed a rapid response compared to the tDCS group (rTMS, 30.6%; tDCS, 12.1%; p = 0.054). However, both groups showed a significant and similar reduction in tinnitus symptoms 1 month after the treatment (rTMS, 47.2%; tDCS, 36.4%; p = 0.618). As both groups showed comparable results for tinnitus reduction, tDCS may be superior in terms of cost-effectiveness.
Keywords: tinnitus; transcranial magnetic stimulation; transcranial direct current stimulation tinnitus; transcranial magnetic stimulation; transcranial direct current stimulation

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MDPI and ACS Style

Bae, S.H.; Moon, S.J.; Lee, J.G.; Yim, Y.K.; Oh, H.S.; Han, D.H.; Moon, I.S. Comparison of Treatment Outcome between Repetitive Transcranial Magnetic Stimulation (rTMS) and Transcutaneous Direct Current Stimulation (tDCS) in Intractable Tinnitus. J. Clin. Med. 2021, 10, 635. https://doi.org/10.3390/jcm10040635

AMA Style

Bae SH, Moon SJ, Lee JG, Yim YK, Oh HS, Han DH, Moon IS. Comparison of Treatment Outcome between Repetitive Transcranial Magnetic Stimulation (rTMS) and Transcutaneous Direct Current Stimulation (tDCS) in Intractable Tinnitus. Journal of Clinical Medicine. 2021; 10(4):635. https://doi.org/10.3390/jcm10040635

Chicago/Turabian Style

Bae, Seong Hoon, Seo Jin Moon, Jeong Gum Lee, Yun Kyung Yim, Hee So Oh, Dong Hee Han, and In Seok Moon. 2021. "Comparison of Treatment Outcome between Repetitive Transcranial Magnetic Stimulation (rTMS) and Transcutaneous Direct Current Stimulation (tDCS) in Intractable Tinnitus" Journal of Clinical Medicine 10, no. 4: 635. https://doi.org/10.3390/jcm10040635

APA Style

Bae, S. H., Moon, S. J., Lee, J. G., Yim, Y. K., Oh, H. S., Han, D. H., & Moon, I. S. (2021). Comparison of Treatment Outcome between Repetitive Transcranial Magnetic Stimulation (rTMS) and Transcutaneous Direct Current Stimulation (tDCS) in Intractable Tinnitus. Journal of Clinical Medicine, 10(4), 635. https://doi.org/10.3390/jcm10040635

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