The relationship between tinnitus and cochlear implantation is an important
issue that needs to be established because it may affect implant use. In t
his study 99 patients over 15 years of age completed pre- and post-cochlear
implantation questionnaires, and underwent performance testing. The findin
gs show that after implantation, there was marked suppression of tinnitus i
n both implanted and contralateral ears whilst the implant was off, and thi
s was further enhanced when the implant was switched on. These effects are
probably a combination of local and central factors. Presence of tinnitus,
before or after implantation, had no detrimental effects on performance.
In conclusion, providing all other factors permit, this study recommends im
planting the ear with the worst tinnitus.