Tinnitus
Key Points
Key Points
- Tinnitus is the perception of sound without an external source.
- More than 50 million people in the United States have reported experiencing tinnitus, resulting in an estimated prevalence of 10%-15% in adults.
- About 20% of adults who experience tinnitus will seek clinical intervention.
- The estimated prevalence in the United States of experiencing tinnitus at any time is 25.3% and experiencing frequent (almost always or at least once a day) tinnitus is 7.9%.
- Not a disease in and of itself, tinnitus is actually a symptom that can be associated with multiple causes and aggravating co-factors such as Meniere’s disease, sudden sensorineural hearing loss (SNHL), otosclerosis, vascular tumor and vestibular schwannoma (VS).
- Patients with these identifiable and other causative diagnoses of secondary tinnitus are excluded from the management recommendations of this guideline.
Table 1. Abbreviations and Definitions of Common Terms
...able 1. Abbreviations and Definitio...
Table 2. Summary of Guideline Key Action Statements (KAS)
...2. Summary of Guideline Key Action Statements...
...ry and Physical ExaminationClinicians shoul...
...logic ExaminationClinicians should obtain a pr...
...b. Routine Audiologic ExaminationClinicians ma...
.... Imaging StudiesClinicians should NOT...
...rsome TinnitusClinicians must disti...
...t TinnitusClinicians should distin...
...Management StrategiesClinicians should educat...
...EvaluationClinicians should recomme...
.... Sound TherapyClinicians may recommend s...
.... Cognitive Behavior TherapyClinicians should r...
...edical TherapyClinicians should NOT routinelya...
...tary SupplementsClinicians should NOT recommen...
12. AcupunctureNo recommendation can...
13. Transcranial Magnetic StimulationClini...
...The word “routinely” is used to avoid s...
Diagnosis
...agnosis
...Tinnitus can occur on one or both si...
Table 3. Key Details of Medical History in the Ti...
Treatment
...eatment...
...ation Discussion Points for Bothers...
...ional Organizations and Patient Support Grou...
...tions For Sound TherapiesEnvironmental Enr...