Mechanisms and Technical Approaches to the Treatment of Subjective Tinnitus

GONG Qin; CHEN Huan; ZHENG Ying-fang

doi:10.3969/j.issn.1672-4933.2025.04.001

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Mechanisms and Technical Approaches to the Treatment of Subjective Tinnitus

Expert Forum | 更新时间：2026-07-11

- Mechanisms and Technical Approaches to the Treatment of Subjective Tinnitus
- Chinese Scientific Journal of Hearing and Speech Rehabilitation Vol. 23, Issue 4, Pages: 337-347(2025)
- 作者机构：
  
  1.清华大学生物医学工程学院北京 100084
  2.无锡清耳话声科技有限公司无锡 214000
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.1672-4933.2025.04.001
  CLC： R76.45
- Received：10 June 2025，
  
  Published：15 July 2025
- 稿件说明：
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宫琴,陈欢,郑颖芳.主观性耳鸣声治疗的机制和技术方法[J].中国听力语言康复科学杂志,2025,23(04):337-347.

GONG Qin,CHEN Huan,ZHENG Ying-fang.Mechanisms and Technical Approaches to the Treatment of Subjective Tinnitus[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(04):337-347.
宫琴,陈欢,郑颖芳.主观性耳鸣声治疗的机制和技术方法[J].中国听力语言康复科学杂志,2025,23(04):337-347. DOI： 10.3969/j.issn.1672-4933.2025.04.001.

GONG Qin,CHEN Huan,ZHENG Ying-fang.Mechanisms and Technical Approaches to the Treatment of Subjective Tinnitus[J].Chinese Scientific Journal of Hearing and Speech Rehabilitation,2025,23(04):337-347. DOI： 10.3969/j.issn.1672-4933.2025.04.001.

摘要

主观性耳鸣是病因复杂且具有高度异质性的耳科疑难病症。声疗法是一种通过实施特定频率与强度的外源性声刺激干预主观性耳鸣的感知和反应方法，主要包括掩蔽疗法、切迹音乐疗法、切迹掩蔽音乐疗法、耳鸣神经音乐疗法、海德堡神经音乐疗法、强直声治疗、抵消法和听力补偿法等多种方法。由于耳鸣机制复杂且患者主观差异，现有声治疗方法的机理和疗效需要深入探究。本文综述临床研究中常用声疗法的机理、治疗方法和疗效，比较不同声疗法的治疗周期和适用人群，探讨其局限性，并展望进一步研究方向。

Abstract

Subjective tinnitus is a complicated and highly heterogeneous otological condition with intricate etiology. Sound therapy is a method involving the application of exogenous acoustic stimuli at specific frequencies and intensities to modulate the perception and response to subjective tinnitus. It includes various approaches

such as

Masking Therapy

Tailor Made Notched Music Training (TMNMT)

Tailor-made Notch Masking Music Therapy(TNMMT)

Tinnitus Neuro Music Therapy(TNMT)

Heidelberg Model of Music Therapy(HMMT)

Tetanus Stimulation Therapy(TST)

Cancellation Therapy(CT) and Hearing Aid Compensation Therapy(HACT). Due to the complexity of tinnitus mechanisms and the significant variation among patients

the underlying mechanisms and therapeutic efficacy of existing sound therapies require further in-depth investigation. This review summarizes the mechanisms

methodologies

and clinical outcomes of commonly used sound therapies in clinical research

compares their treatment durations and target populations

discusses their limitations

and outlines future research directions.

关键词

Keywords

references

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