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Area of Science:

  • Evidence-based medicine
  • Pharmacology
  • Otolaryngology

Background:

  • Tinnitus, the perception of sound without an external source, affects millions, creating a significant healthcare burden.
  • Current management includes behavioral therapies, sound enrichment, and medications for co-morbid conditions.
  • Ginkgo biloba is explored as a potential treatment for tinnitus.

Purpose of the Study:

  • To evaluate the efficacy and safety of Ginkgo biloba for treating tinnitus in adults and children.
  • To assess Ginkgo biloba's impact on tinnitus symptom severity, loudness, and associated psychological factors.

Main Methods:

  • Systematic review and meta-analysis of randomized controlled trials (RCTs) comparing Ginkgo biloba to placebo, no intervention, or education.
  • Searched multiple databases including Cochrane ENT Register, MEDLINE, Embase, and ClinicalTrials.gov up to June 2022.
  • Primary outcomes included tinnitus symptom severity and serious adverse effects; secondary outcomes covered loudness, quality of life, and other adverse events.

Main Results:

  • Ginkgo biloba demonstrated little to no effect on tinnitus symptom severity compared to placebo over 3-6 months (very low-certainty evidence).
  • No significant difference was observed in the risk of serious adverse effects like bleeding or seizures (low-certainty evidence).
  • Evidence for effects on tinnitus loudness, health-related quality of life, and other adverse events was also very low to low certainty.

Conclusions:

  • There is substantial uncertainty regarding the benefits and harms of Ginkgo biloba for tinnitus treatment compared to placebo.
  • Insufficient evidence exists to draw meaningful conclusions when Ginkgo biloba is used with concurrent interventions like hearing aids.
  • Future research requires rigorous methodology, high-quality randomization and blinding, and validated patient-centered outcome measures.