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

...breviations and Definitions of Common T...

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

...y of Guideline Key Action Statements (KAS)...

...hysical ExaminationClinicians should perform a tar...


...Prompt Audiologic ExaminationClinicians shou...


...ologic ExaminationClinicians may o...


...tudiesClinicians should NOT obtain imagin...


...e TinnitusClinicians must distinguish pa...


...Persistent TinnitusClinicians should distingui...


...trategiesClinicians should educate pati...


...g Aid EvaluationClinicians should recommend a h...


...ound TherapyClinicians may recommend sou...


...Cognitive Behavior TherapyClinicians shoul...


...TherapyClinicians should NOT routinelya recomme...


...tary SupplementsClinicians should NOT recomme...


...No recommendation can be made regardi...


...ranial Magnetic StimulationClinici...


...utinely” is used to avoid setting a legal p...


Diagnosis

...iagnos...

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


...able 3. Key Details of Medical Hist...


Treatment

...reatment

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


...Professional Organizations and Patien...


...ions For Sound TherapiesEnvironmental Enrichment D...