Tinnitus

Publication Date: October 1, 2014

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

...bbreviations and Definitions of Common...

Table 2. Summary of Guideline Key Action Statements (KAS)

...2. Summary of Guideline Key Action Stat...

...story and Physical ExaminationClinici...


...Audiologic ExaminationClinicians should obtain...


...utine Audiologic ExaminationClinicians may ob...


3. Imaging StudiesClinicians should NOT obtai...


...hersome TinnitusClinicians must distinguis...


...innitusClinicians should distinguis...


...Management StrategiesClinicians s...


...EvaluationClinicians should recommend a...


...nd TherapyClinicians may recommend sound therap...


...havior TherapyClinicians should recommend cognitiv...


...Medical TherapyClinicians should NOT routinelya r...


.... Dietary SupplementsClinicians should NOT reco...


...cupunctureNo recommendation can be made r...


...l Magnetic StimulationClinicians should...


...he word “routinely” is used to...


Diagnosis

...agnosis...

...Tinnitus can occur on one or both sides of the...


...ails of Medical History in the Tinnitus...


Treatment

...eatmen...

...Education Discussion Points for Bothersome T...


...ble 4. Professional Organizations and Patient Su...


...tions For Sound TherapiesEnvironmental Enrichme...