A hyperacusis research study is currently underway at the Silverstein Institute in Sarasota, Florida. The purpose of the study is to investigate treatment options for hyperacusis. The study was undertaken after obtaining good results by treating 2 patients with a minimally invasive surgical procedure. The procedure is called  “Round and Oval window Reinforcement”  and it involves using the patient’s own body tissue without any foreign implants. A research paper describing the initial results has been published in the American Journal of Otolaryngology. (Silverstein, H. Am J Otolaryngol. 2015 Mar-Apr;36(2):158-62. doi: 10.1016/j.amjoto.2014.10.014. Epub 2014 Oct 14). The long-term results are not known at this time, but we hope that our research will shed more light on this debilitating condition. 

A second research paper, Minimally Invasive Surgery for the Treatment of Hyperacusis, was published in September 2016 in the Otologoy & Neurotology Journal (Silverstein H, Ojo R, Daugherty J, Nazarian R, Wazen J. Otol Neurotol. 2016 Sep 23.) detailing additional results. Click here to read more.

Dr. Silverstein recently gave a lecture on Hyperacusis which featured testimonials from four patients. See below or  Click here to watch this video.

Hyperacusis: Symptoms and Treatments







If you have these symptoms and are interested in learning more about this research study, please contact Dr. Herbert Silverstein:

E-mail earsinus@aol.com

Phone 941-366-9222 or 888-418-9200 1901 Floyd Street, Sarasota, FL 34239

Click here to read a recent New York Times article on Hyperacusis.


A New Minimally Invasive Surgical Procedure for Superior Semicircular Canal Dehiscence (SSCD)

Minimally Invasive Surgical ProcedureIn some people, the bone of the superior semicircular canal of the inner ear disappears and the balance mechanism becomes in contact with the covering of the brain. This creates a third window in the inner ear. Normally, we have two windows, the oval and the round window. When the ear drum vibrates to sound, the little bones of hearing and the stapes bone vibrate in the oval window. When there are three windows present, many different symptoms can occur. What is interesting is that each patient can have different symptoms, which include hearing loss, dizziness, fullness in the ear, autophonia (hearing ones voice loudly), pulsating tinnitus, having dizziness when there is loud sound, hearing ones footsteps or eyeballs moving and dizziness when there is pressure in the ear canal. Closing the dehiscence surgically, requires major surgery by lifting the brain or going through the mastoid bone.

A minimally invasive surgery has been developed that reduces the symptoms significantly so that the patients may not require the major procedure. The procedure is done as an outpatient and a small piece of tissue is placed on the round window membrane which partially closes the third window.

The result of a multi institutional study has been published and can be read by clicking here.

If you would like more information, please make an appointment to see Dr. Herbert Silverstein or Dr. Jack Wazen at the Silverstein Institute (941) 366-9222 or Toll Free (888) 418-9200.

Inventions and Procedures of Herbert Silverstein, MD, FACS

  • Round window reinforcement for Superior Semicircular Canal Dehiscence (SSCD)
  • Laser STAMP for restoring hearing in otosclerosis without a prosthesis
  • MicroWick for direct drug treatment of the inner ear, patented 1999
  • EarKare for preventing ear wax accumulation and ear infections. Trade mark
  • Silverstein Facial nerve monitor for preventing facial nerve injury at surgery
  • Trans-cochlear eighth nerve section for tinnitus and vertigo of Meniere’s  disease
  • Laser tympanostomy to make bloodless opening of ear drum
  • Topical anesthetic of the ear drum, Tetracaine/alcohol
  • Silverstein Permanent aeration tube patented 1968
  • Vestibular neurectomy for curing vertigo while preserving hearing 1978
  • Subtotal resection of acoustic neuroma in elderly, 1974
  • Silverstein tympanoplasty silicone implant to prevent adhesions in ear surgery
  • incus stapes connector to re-establish the sound conduction mechanism
  • Silverstein packing strips for ear surgery 

EarKaresm Facial Nerve Monitor LaserSTAMP Middle Ear Aeration Vestibular Nerve Section Micromed