We thank Dr Langenbach for his interest in our article and for giving us the opportunity to further discuss our results. Of the 31 patients who were included in our analysis, only 2 (1 man and 1 woman) had psychiatric symptoms (depression and anxiety), and they were being followed up by the Department of Psychiatry at our hospital. They did not report any change in their tinnitus after intratympanic injections of either dexamethasone or saline solution. None of the other participants (n=29) had any psychiatric complaints. All patients included in the study had otologic diagnoses that are commonly associated with tinnitus (see Table 2 and Table 3 in our article). Five patients had otosclerosis and 4 had Ménière’s disease (endolymphatic hydrops), which are major cochlear histopathologic diagnoses in patients with tinnitus.1,2
Araújo MFS, Oliveira CA, Bahmad FM. Psychological Factors in Severe Disabling Tinnitus—Reply. Arch Otolaryngol Head Neck Surg. 2005;131(9):829–830. doi:10.1001/archotol.131.9.829-b
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