title: Round and oval window reinforcement for the treatment of hyperacusis.
abstract: OBJECTIVE
  To present the outcomes of two patients (three ears) with hyperacusis treated with round and oval window reinforcement.
  
  
  METHODS
  Transcanal placement of temporalis fascia on the round window membrane and stapes footplate was performed. Loudness discomfort level testing was performed. Results of pre and post-operative hyperacusis questionnaires and audiometric testing were reviewed.
  
  
  RESULTS
  Two patients (three ears) underwent surgery. Results from the hyperacusis questionnaire improved by 21 and 13 points, respectively. Except for a mild loss in the high frequencies, no change in hearing was noted post-operatively. Both patients reported no negative effects from surgery, marked improvement in ability to tolerate noise, and would recommend the procedure to others. There were no complications.
  
  
  CONCLUSIONS
  Round and oval window reinforcement is a minimally invasive option for treating hyperacusis when usual medical therapies fail. Further studies are needed to evaluate the effectiveness of the procedure in reducing noise intolerance.
authors.affiliation: Ear Research Foundation, 1901 Floyd Street, Sarasota, FL, USA. Electronic address: EarSinus@aol.com.
authors.forename: Herbert
authors.initials: H
authors.lastname: Silverstein
authors.affiliation: Ear Research Foundation, 1901 Floyd Street, Sarasota, FL, USA. Electronic address: emmy.wu@gmail.com.
authors.forename: Yi-Hsuan Emmy
authors.initials: YH
authors.lastname: Wu
authors.affiliation: Ear Research Foundation, 1901 Floyd Street, Sarasota, FL, USA. Electronic address: shagan@earsinus.com.
authors.forename: Suzannah
authors.initials: S
authors.lastname: Hagan
mesh_terms: D000368:Aged; D001299:Audiometry / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D012001:Hyperacusis / Q000175:diagnosis* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013506:Otologic Surgical Procedures / Q000379:methods*; D010046:Oval Window, Ear / Q000601:surgery*; D011788:Quality of Life; D019651:Plastic Surgery Procedures / Q000379:methods; D018570:Risk Assessment; D012405:Round Window, Ear / Q000601:surgery*; D012494:Sampling Studies; D012720:Severity of Illness Index; D016896:Treatment Outcome