Centre for Persons with Tinnitus and Vestibular Disorders


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Activities

Centre for persons with tinnitus and vestibular disorders is a clinical Unit as a part of Center of Excellence activities. The Unit's objective is to bridge the gap between the need and availability of professionals for assessing and rehabilitating persons with Tinnitus and Vestibular disorders.  Hence, the emphasis will mainly be on providing the following: 

  • State-of-the-art hands-on training for stakeholders on Tinnitus, hyperacusis, and vestibular assessment and management
  • State-of-the-art clinical services to individuals with Tinnitus, hyperacusis and Vestibular disorders

              

Clinical Services

 

Vestibular Assessment and Management

Tinnitus & Hyperacusis Assessment and Management

List of tests

  • Behavioural Vestibular Assessment
  • Auditory Brainstem Response (ABR)
  • Vestibular Evoked Myogenic Potentials (VEMP) – C-VEMP, O-VEMP & M-VEMP
  • VNG – Video Nystagmography
  • V-HIT – Video Head Impulse test
  • Positional Tests
  • Vestibular Rehabilitation Therapy

List of tests

  • Tinnitus Evaluation
  • Hyperacusis Evaluation
  • Misophonia Evaluation
  • Tinnitus Retraining Therapy 
  • Cognitive Behavioural Therapy
  • Desensitization Therapy
  • Misophonia Retraining Therapy

Staff

Resource and Infrastructure

The centre houses laboratories for vestibular assessment and management. The equipment available in the centre are as follows:

  • Video Head Impulse test
  • Videonystamagography (VNG)
  • Craniocorpography
  • Stabillometry
  • Functional head inpulse test (fHIT)

The center also houses three dedicated therapy rooms for the management of Tinnitus, hyperacusis and misophonia.

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Research

Doctoral and Post-Doctoral Programs:

Under Progress: 04

Sl. No. 

Name 

Topic 

Guide /  

Co-guide 

1

Vinayagar P.T. 

Optimization of Masseter vestibular evoked myogenic potentials (mVEMP) protocol and age related changes in mVEMP 

Dr. Sujeet Kumar Sinha 

2

Kalaiyarasan R 

Frequency tuning of Masseter vestibular evoked myogenic potential in individuals with Meniere's disease, Benign paroxysmal positional vertigo and Auditory Neuropathy 

Dr. Sujeet Kumar Sinha 

3

Adithya S S  

Vestibular evaluation in individuals with vestibular migraine  

Dr. Sujeet Kumar Sinha 

4

R. Rajesh Kumar 

Effect of Electrode Placement and Its Interactions with Other Parameters of Ocular Vestibular-Evoked Myogenic Potentials in Healthy Individuals and Individuals with BPPV and ANSD 

Dr Niraj Kumar Singh 

PG dissertation under progress:

Sl. No. 

Name of the student 

Tentative title of the dissertation 

Guide 

Co-guide 

(if any) 

1

Krishnapriya M V 

Assessment of sacculomassetric and sacculocolloic reflex pathways in Individuals with Diabetes Mellitus 

Dr. Sujeet Kumar Sinha 

-

2

Meghna D 

The effect of saccular dysfunction on non-verbal cognition and auditory perceptual outcome measures in pediatric cochlear implantees 

Dr. Niraj Kumar Singh 

-

3

Nishchay Mahima Patel 

Comparison of auditory spatial processing in individuals with and without tinnitus 

Dr. Prashanth Prabhu 

-

4

Rashmi H K 

Translation and validation of Pediatric Vestibular Symptom Questionnaire (PVSQ) into Kannada 

Mr. Prajeesh Thomas 

-

5

Rithesh Kumar 

Test-retest reliability in cVEMP for different stimuli in healthy adults 

Dr. Sujeet Kumar Sinha 

-

6

Shika Saharia 

Otolith function and its association with stuttering. 

Dr. Niraj Kumar Singh 

-

7

Swathi Bs 

Frequency tuning of cVEMP in motion sickness individuals 

Dr. Sujeet Kumar Sinha 

-

8

Urmi Roy 

Comparison of spatial processing abilities of normal hearing individuals with and without misophonia 

Dr. Prashanth Prabhu 

-


Ongoing research projects in 2023-24

Sl. No. 

Title of the Project 

Investigator 

Founding source 

Amount (Lakhs) 

1

Effect of vestibular impairment and vestibular rehabilitation therapy on cognition and language processing  

PI: Dr. Niraj Kumar Singh  

CI: Dr. Prawin Kumar,  

Dr. Prakash TK,  

Dr. Brajesh Priyadarshi, & 

Dr. Amrita Kanchan 

 

DST 

(3 years) 

81.25 

Intramural Research Projects:

Sl. No. 

Title of the Project 

Investigator 

Founding source 

Amount (Lakhs) 

1

Electrophysiological Assessment of Auditory and Vestibular Neural Functioning in Individuals with Diabetes Mellitus 

PI: Dr. Prawin Kumar 

CI: Dr. M Bhanu kumar, 

Dr. Niraj Kumar Singh,  

Mr. Vipin Ghosh & 

Dr. Kumari Apeksha 

     ARF 

(3 years) 

9.56 

2

“Prevalence of Misophonia in general population and those with complaint of tinnitus– An epidemiological study”  

Dr. Prashanth Prabhu P 

 

     ARF 

5.00 

Research Paper presented at National/International Conferences /Seminars on Tinnitus and Vestibular disorders by the members of the Centre in 2023-24:     

 

SL No 

Name of the staff 

Title of the Paper 

Venue 

Date 

International 

Rajesh Kumar; Niraj Kumar Singh, Nilesh Washnik; Ishan Sunilkumar Bhatt 

 

Effect of Vestibular Evoked Myogenic Potential Stimuli on Auditory Temporal Resolution 

35th American Academy of Audiology (AAA) annual conference held at Seattle, Washington, USA 

April 19 to 22 , 2023 

Niraj Kumar Singh, Prawin Kumar, Nirnay Kumar Keshree, Mittali Joshi, Vishal Rattan Munjal, Digant Patni, Kapil Sikka, Jithendra Kumar, Divya Chauhan 

Middle-Ear or Saccular Dysfunction after Cochlear Implantation? 

Rajesh Kumar; Niraj Kumar Singh 

Can Alternate Electrode Montages Dethrone the Infra-Orbital Montage for Recording Ocular VEMP 

National 

Dr Niraj Kumar Singh, Ms Meghna Deepak; Mr Akshay Kamath; Ms Simi Milind Wagholikar; Mr Rajesh Kumar Raveendran 

Extent of otolith involvement in cochlear implant recipients : Evidence from air-conducted and bone- conducted cervical and ocular vestibular evoked myogenic potentials 

CIGICON 2023 (20th National Conference of the Cochlear Implant Group of India) at Chennai 

 

31.08.2023  

to 02.09.23 

 

Aishwarya N. Vinayagr PT, G Mohanlal(2023).  

1st place-Best paper award under Oral category 

Optimum stimulus for eliciting masseter vestibular evoked myogenic potentials: a comparison between three different acoustic stimuli. 

15th KSBISHACON, 2023 

Calicut, Kerala 

14-15 October, 2023 

Vinayagar PT and Sujeet kumar Sinha 

1st place-Best paper award under poster category  

Optimisation of some stimulus parameters for recording masseer vestibular evoked myogenic potentials. 

 

Facilitative Learning on advancements in Speech and Hearing (FlaSH Series VII) Organized by the Department of Audiology and Speech- Language Pathology held at Holy Cross College (Autonomous), Tiruchirappalli 

 

27.11.2023 to 29.11.2023 

4

Mr. Kalaiyarasan R & Dr. Sujeet Kumar Sinha 

‘Assessment of vestibulo-masseteric reflex pathways in individuals with auditory neuropathy’ 

(1st place under oral presentation category). 

5

Ms. Adithya S S & Dr. Sujeet Kumar Sinha 

scientific oral paper ‘Cervical and Masseter Vestibular Evoked Myogenic Potentials findings in individuals with migraine and vestibular migraine’ 

6

Mr. Anirban Sarkar & Dr. Sujeet Kumar Sinha 

scientific poster paper ‘Masseter VEMP in individuals with acquired severe to profound sensorineural hearing loss’ 

(2nd place under practicing professional poster presentation category).  

7

Vidya Gowda S.L; Vandana Chavan; Hema K; Kavana R.S; Prashanth Prabhu 

Prevalence Of Misophonia in General Population and Those with Complaint of Tinnitus– An Epidemiological Study 

AIISH, Mysore 

7-8 Dec, 2023 

8

Adithya Sreedharan Sanitha; Sujeet Kumar Sinha 

Vestibular Evoked Myogenic Potentials Test Results and Its Correlation with Vestibular Signs and Symptoms in Individuals with Vestibular Migraine 

AIISH, Mysore 

7-8 Dec, 2023 

9

Apoorva S; Prajeesh Thomas; Animesh Barman 

Vestibular Function in Young Skilled Football Players 

AIISH, Mysore 

7-8 Dec, 2023 

10

Rajesh Kumar Raveendran; Niraj Kumar Singh 

Alternate Electrode Montage Can Improve the Response Prevalence of Ocular Vestibular-Evoked Myogenic Potential in Auditory Neuropathy Spectrum Disorder 

AIISH, Mysore 

7-8 Dec, 2023 

11

Rajesh Kumar Raveendran; Niraj Kumar Singh; Nirmala Jagadish 

A Meta-Analysis on Comparison of Infra Orbital and Belly Tendon Electrode Montage for Recording Ocular Vestibular Evoked Myogenic Potential 

AIISH, Mysore 

7-8 Dec, 2023 

12

Nirmala Jagadish; Rajesh Kumar Raveendran, Niraj Kumar Singh 

Effect of ANSD on Otolith Neural Responses: Collective Evidence from a Meta-Analysis 

AIISH, Mysore 

7-8 Dec, 2023 

13

Akshay KamathPrashanth Prabhu, KV Nisha, Ishan Sunilkumar Bhatt 

Investigating Cochlear Synaptopathy Among Individuals with and without Tinnitus Having Normal Hearing 

AIISH, Mysore 

7-8 Dec, 2023 

14

B R Suraj Urs; KV Nisha; Prashanth Prabhu  

Comparison of Distortion product input-output function in individuals with and without Misophonia 

AIISH, Mysore 

7-8 Dec, 2023 

15

Fangaria, M. Tidole, A, Kamalakannan K, Bhargavi K, Nireeksha M B & Prabhu. P. 

Prevalence of Somatosensory tinnitus in individuals with tinnitus 

1st Annual State Conference of Indian Speech & Hearing Association Gujarat Branch (1st ISHACON) held at Ahmedabad, Gujarat, India 

24th & 25th February 2024 

16

Chauhan, S. Neha, S., Swaham, M., Kritika, N., Suman, P., Kamalakannan K. & Prabhu, P 

Prevalence of Misophonia and Misokinesia among adult population in India 

1st Annual State Conference of Indian Speech & Hearing Association Gujarat Branch (1st ISHACON) held at Ahmedabad, Gujarat, India 

24th & 25th February 2024 

17

Prajeesh, T & Sujeet Kumar Sinha 

  Mapping the sacculocollic and otolith ocular pathway dysfunction in some of the common vestibular pathologies: a single centre study 

 

55th ISHACON, Kolkata  

19–21 Jan, 2024 

 

18

Dinesh, D., Abhishek, J., Kajal, S., Suman, P., Kamalakannan K, Prabhu, P. 

Prevalence of Hyperacusis and Misophonia among Individuals with Tinnitus 

1st Annual State Conference of Indian Speech & Hearing Association Gujarat Branch (1st ISHACON) held at Ahmedabad, Gujarat, India 

24th & 25th February 2024 

Research Papers Published in Journals by the members of the centre in 2023-24:

International publications:

  1. Parmar, A., & Prabhu, P. (2023). Efficacy of different clinical assessment measures of hyperacusis: a systematic review. European Archives of Oto-Rhino-Laryngology, 280(3), 985-1004. 
  2. Sujeeth, P. R., Hanji, R., Nayyar, K., & Prabhu, P. (2023). Estimation of Prevalence of Misophonia Among High School Students in India. Indian Journal of Otolaryngology and Head & Neck Surgery, 1-4. 
  3. Aryal, S., & Prabhu, P. (2023). Auditory cortical functioning in individuals with misophonia: an electrophysiological investigation. European Archives of Oto-Rhino-Laryngology, 1-15. 
  4. Sanjay, S., Aryal, S., Nisha, K. V., & Prabhu, P. (2023). Binaural Processing and Auditory Working Memory in Individuals with Tinnitus Having Normal Hearing Sensitivity. The Journal of International Advanced Otology, 19(3), 175–181. https://doi.org/10.5152/iao.2023.22990 
  5. Singh, Niraj Kumar., Kumar, Prawin., Jagadish, Nirmala., Mendhakar, Akshay., Mahajan, Yatin (2023). Utility of Inter-frequency amplitude ration of vestibular-evoked myogenic potentials in Identifying Meniere’s disease: A Systematic Review and Meta-analysis. Ear and Hearing, 44 (5), 940-948. 
  6. Nagarajan, A., & Sinha, S. K. (2024). Masseter Vestibular evoked myogenic potentials: A new tool to assess the vestibulomasseteric reflex pathway. Journal of otology, 19(1), 46–54. https://doi.org/10.1016/j.joto.2023.12.005 
  7. Thirusangu, V.P., Sinha, S.K. (2023). Masseter vestibular-evoked myogenic potentials at different tone burst frequencies in healthy individuals. Egyptian Journal of Otolaryngology, 39, 181. https://doi.org/10.1186/s43163-023-00549-2 
  8. Thirusangu, V. P., & Sinha, S. K. (2023). Characteristics of ipsilateral, contralateral and bilateral masseter vestibular-evoked myogenic potential in healthy adults. The Journal of laryngology and otology, 137(12), 1359–1367. https://doi.org/10.1017/S0022215123000051 
  9. Nagarajan, A., Ghimire, S., Elizabeth, V. S., & Sinha, S. K. (2023). Test-retest reliability of suppression head impulse paradigm (SHIMP) in healthy individuals. Hearing, Balance and Communication, 21(4), 312–317. 

National publications:

  1. Raza, A. F., Paudel, D. R., & Prabhu, P. (2023). Vaccine-Induced Tinnitus: A New Consequence of COVID-19. Annals of Otology and Neurotology. 5, 44-45. 
  2. Aryal, S., Bhattarai, P. & Prabhu, P. (2023). Awareness and Experience of Tinnitus in Nepalese Young Adult Population. Annals of Otology and Neurotology. 5, 36-43.  
  3. Aryal, S., Sharma, Y. & Prabhu. P. (2023). Prevalence of Tinnitus and its Characteristics Among Indian Adult Population. Annals of Otology and Neurotology. 5, 15–20.  
  4. Sujeeth, P. R., Hanji, R., Karupaiah, K., & Prabhu, P. (2024). Estimation of Prevalence of Hyperacusis in High School Students of Mysore District. Indian Journal of Otolaryngology and Head & Neck Surgery, 1-4.