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Clinical practice guideline: tinnitus.

David E Tunkel1, Carol A Bauer2, Gordon H Sun3

  • 1Otolaryngology-Head and Neck Surgery, Johns Hopkins Outpatient Center, Baltimore, Maryland, USA dtunkel@jhmi.edu.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|October 3, 2014
PubMed
Summary
This summary is machine-generated.

This guideline offers evidence-based recommendations for managing persistent, bothersome tinnitus. It emphasizes distinguishing tinnitus severity and recommends audiologic exams, hearing aids, and cognitive behavioral therapy over routine medications or supplements.

Keywords:
amplificationhearing aidshearing lossquality of lifesound therapytinnitus

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Area of Science:

  • Otolaryngology
  • Audiology
  • Clinical Practice Guidelines

Background:

  • Tinnitus affects 10-15% of US adults, significantly impacting quality of life.
  • No current evidence-based guidelines exist for managing bothersome, persistent tinnitus.
  • This guideline focuses on adults with primary tinnitus lasting 6+ months.

Purpose of the Study:

  • Provide evidence-based recommendations for clinicians managing tinnitus patients.
  • Establish a framework to improve patient care and mitigate tinnitus effects.
  • Guide evaluation, diagnosis, and treatment of persistent, bothersome tinnitus.

Main Methods:

  • Development of clinical practice guidelines based on evidence.
  • Distinguishing between bothersome and non-bothersome tinnitus.
  • Recommending specific diagnostic and therapeutic interventions.

Main Results:

  • Strongly recommend distinguishing bothersome from non-bothersome tinnitus.
  • Recommend targeted history, physical exam, and audiologic evaluation.
  • Recommend hearing aids and cognitive behavioral therapy for persistent, bothersome tinnitus.
  • Recommend against routine imaging, medications, and supplements.

Conclusions:

  • Clinicians should differentiate tinnitus severity for appropriate management.
  • Audiologic evaluation and targeted therapies are key for persistent tinnitus.
  • Guidelines aim to improve quality of life for tinnitus sufferers.