[Conservative therapy of tinnitus (author's transl)]

Conservative therapy of tinnitus presents a theme that is controversial, since the usefulness of almost all the proposed treatments is rarely based on scientific-experimental evidence. The blocking of the stellate ganglion, electric stimulation of the cochlea and the anaesthesia of the plexus tympanicus belong to the domain of surgical treatment methods of tinnitus. Drug therapy is the mainstay of treatment; our own measures are demonstrated. We attempt to give a hypothetic pharmacological interpretation of the efficacy of some drugs that derive essentially from diethylaminoethanol and the group of methylexanthines. We also mention the physical treatment methods such as tinnitus masker, ultrasound and physiotherapy as well as acupuncture. Finally, the more recent psychotherapeutic treatment-modalities, for example biofeedback, hypnosis and medical sleep are mentioned.