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

...ations and Definitions of Common TermsH...

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

...Summary of Guideline Key Action St...

...nd Physical ExaminationClinicians should p...


...pt Audiologic ExaminationClinicians should...


...udiologic ExaminationClinicians may...


3. Imaging StudiesClinicians should NOT obtain...


...nnitusClinicians must distinguish patients wit...


...Persistent TinnitusClinicians should dis...


...anagement StrategiesClinicians should...


...EvaluationClinicians should recomm...


.... Sound TherapyClinicians may recommend sound th...


...ehavior TherapyClinicians should recommend cogni...


...al TherapyClinicians should NOT routinely...


...ry SupplementsClinicians should NOT r...


...ctureNo recommendation can be made regarding...


...l Magnetic StimulationClinicians should...


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


Diagnosis

Diagnosi...

...nitus can occur on one or both sides...


...y Details of Medical History in the Tinnitus Pati...


Treatment

Treatme...

...tion Discussion Points for Bothersome Ti...


...rofessional Organizations and Patient S...


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