Silverstein H, et al. - In this investigation, researchers compared the new compared with the original surgical technique used and long-term results of all patients who have undergone minimally invasive surgery for hyperacusis. All participants in the study were assessed and treated at a tertiary level otologic referral center. From 2014 to 2019, 47 individuals were enrolled, 40 met the criteria for inclusion, including adequate follow-up. All individuals had oval and round window reinforcement. Compared with 60% of individuals who had the original technique, 80% of individuals who underwent the new surgical technique had improvement in hyperacusis symptoms after surgery. In improving sound tolerance with small changes to hearing, the most recent, newer technique employed seems to have an 80% success rate. Improvement in postoperative hyperacusis symptoms is substantial and has now been shown to be stable with a mean 2-year follow-up following initial surgery. In the newer technique group, psychological measurements of anxiety and depression were also found to be significantly improved after surgery.