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Tinnitus.

Julian Savage1, Angus Waddell

  • 1Université de Sherbrooke, Québec, Canada.

BMJ Clinical Evidence
|October 21, 2014
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Summary
This summary is machine-generated.

This systematic review examines chronic tinnitus treatments, finding various interventions like acupuncture, hearing aids, and cognitive behavioral therapy show potential. Further research is needed to confirm effectiveness and safety for tinnitus management.

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Area of Science:

  • Otolaryngology
  • Evidence-based medicine

Background:

  • Chronic tinnitus affects up to 18% of people in industrialized nations, severely impacting 0.5% of individuals.
  • Associated factors include hearing loss, drug toxicity, ear diseases, depression, and acoustic neuromas.
  • Tinnitus can persist for years, disrupting sleep and concentration.

Purpose of the Study:

  • To systematically review the effects of various treatments for chronic tinnitus.
  • To evaluate the effectiveness and safety of interventions for tinnitus.

Main Methods:

  • A systematic review was conducted using major databases (Medline, Embase, Cochrane Library) up to November 2013.
  • Included studies were assessed for relevance to the clinical question on chronic tinnitus treatments.
  • Harms alerts from regulatory agencies (FDA, MHRA) were incorporated.

Main Results:

  • 33 studies met the inclusion criteria for the systematic review.
  • A GRADE evaluation was performed to assess the quality of evidence for different interventions.
  • Information on the effectiveness and safety of multiple tinnitus treatments was gathered.

Conclusions:

  • The review presents data on acamprosate, acupuncture, antidepressants, benzodiazepines, carbamazepine, electromagnetic stimulation, ginkgo biloba, hearing aids, hypnosis, psychotherapy, and tinnitus-masking devices.
  • Cognitive behavioral therapy combined with tinnitus-masking devices (tinnitus retraining therapy) was also evaluated.
  • The findings provide insights into the effectiveness and safety of diverse chronic tinnitus interventions.