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J Audiol Otol > Volume 27(1); 2023 > Article
Journal of Audiology and Otology 2023;27(1):37-44.
DOI: https://doi.org/10.7874/jao.2022.00395    Published online January 10, 2023.
Ginkgo biloba Administered Singly and Combined With Antioxidants in Tinnitus Patients
Bhushan Chauhan1  , Shantanu Arya1  , Komal Chauhan2 
1Department of ENT, M. M. Institute of Medical Sciences and Research, MMDU, Mullana, Ambala, Haryana, India
2National Institute of Food Technology Entrepreneurship and Management, Kundli, Sonipat, Haryana, India
Correspondence  Bhushan Chauhan ,Tel: +91-9357097074, Email: bhushan.chauhan112@gmail.com
Submitted: September 18, 2022  Accepted after revision: November 24, 2022
Abstract
Background and Objectives
Tinnitus, or ear ringing, involves impulsive and spontaneous activity in the auditory neurons. Its prevalence is high in the elderly, but 10%–15% of adults suffer from tinnitus, affecting their quality of life. Therefore, this study aimed to evaluate the efficacy of Ginkgo biloba administered singly and in combination with antioxidants in tinnitus patients.
Subjects and Methods
Patients were randomly allocated to Placebo (T0, n=22), Treatment 1 (T1, n=24), and Treatment 2 (T2, n=23) groups. The patients were educated on the study’s methodology and were instructed to visit at 0, 4, 8, 12, and 14 weeks. The placebo group received starch capsule supplements. Conversely, the treatment groups received Ginkgo biloba (60 mg twice a day) singly and in combination with antioxidants. We enrolled 69 patients aged 40–70 years (41 men, 28 women). The Tinnitus Handicap Index (THI), Visual Analogue Score (VAS), and Short Form 36 (SF-36) Health Scores were determined pre- and post-treatment at each visit.
Results
Supplementation of Ginkgo biloba, along with antioxidants, provided marked improvement (p<0.05) in post-treatment THI and VAS scores in the T2 group compared to those in the T1 and T0 groups. The greatest (p<0.05) percent difference was observed in the pre- and post-treatment THI (-36%) and VAS scores (-22.6%) of T2 patients. Likewise, the SF-36 scores improved significantly (p<0.05) in the T2 group in varied parameters.
Conclusions
Ginkgo biloba, along with antioxidants, can be a promising therapy for tinnitus patients, providing marked improvement in THI, VAS, and SF-36 scores.
Keywords: Tinnitus; Ginkgo biloba; Antioxidants; Tinnitus Handicap Index; Visual Analogue Score
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