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When alarm bells ring: emergency tinnitus.

G Altissimi1, M Salviati, R Turchetta

  • 1Department of Neurology and Psychiatry, Umberto I University Hospital, Sapienza University, Rome, Italy. filippo.mazzei@gmail.com.

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Summary

This study proposes a diagnostic-therapeutic algorithm for emergency tinnitus cases. It highlights the need for urgent intervention to manage severe tinnitus and associated psychiatric conditions, reducing suicide and distress risks.

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Area of Science:

  • Otorhinolaryngology
  • Emergency Medicine
  • Psychiatry

Background:

  • Tinnitus is a common symptom, often linked to hearing loss.
  • 0.5-2% of tinnitus sufferers seek urgent medical care.
  • Acute or rapidly worsening chronic tinnitus prompts emergency visits.

Purpose of the Study:

  • Develop a diagnostic-therapeutic algorithm for emergency tinnitus care.
  • Establish protocols for patients presenting with urgent tinnitus symptoms.

Main Methods:

  • Literature review of articles from the last 30 years.
  • Analysis of diagnostic and therapeutic strategies for tinnitus.

Main Results:

  • Psychiatric comorbidity is frequent in severe tinnitus.
  • High mortality risk (suicide) and morbidity (distress) in severe cases.
  • Urgent medical/surgical strategies are crucial for function preservation.

Conclusions:

  • Tinnitus is not always classified as an urgent ENT condition.
  • Serious associated pathologies necessitate emergency action.
  • Intervention is vital to mitigate tinnitus-related morbidity and mortality.