A multidisciplinary European guideline for tinnitus: diagnostics, assessment, and treatment

  title={A multidisciplinary European guideline for tinnitus: diagnostics, assessment, and treatment},
  author={Rilana F. F. Cima and Birgit Mazurek and Hassan Haider and Dimitrios Kikidis and Alec Lapira and Arnaud Norena and Derek James Hoare},
HNO 2019 · 67 (Suppl 1):S10–S42 https://doi.org/10.1007/s00106-019-0633-7 Published online: 7 March 2019 © Springer Medizin Verlag GmbH, ein Teil von Springer Nature 2019 R. F. F. Cima · B. Mazurek · H. Haider · D. Kikidis · A. Lapira · A. Noreña · D. J. Hoare 1 Faculty of Psychology and Neuroscience, Department of clinical Psychological Science, Experimental Health Psychology, Maastricht University, Maastricht, The Netherlands 

Standardized Clinical Profiling in Spanish Patients with Chronic Tinnitus

Comparisons to the online and hospital responses to the Spanish version of European School for Interdisciplinary Tinnitus Research screening-questionnaire (ESIT-SQ) in tinnitus individuals by an unsupervised age clustering show self-reported tinnitis surveys are a low confidence source for tinn Titus phenotyping.

Multidisciplinary Tinnitus Research: Challenges and Future Directions From the Perspective of Early Stage Researchers

This review summarizes current knowledge in various tinnitus-relevant research fields including tinnitis generating mechanisms, heterogeneity, epidemiology, assessment, and treatment development, in an effort to highlight the main challenges and provide suggestions for future research to overcome them.

Systematic Review on Healthcare and Societal Costs of Tinnitus

A comprehensive review of the literature shows a gap in the knowledge about the economic burden of tinnitus on healthcare systems, patients and society, and comprehensive health economic evaluations are needed to fill the gaps in current knowledge.

Methodological Aspects of Randomized Controlled Trials for Tinnitus: A Systematic Review and How a Decision Support System Could Overcome Barriers

The results of the analysis of the 73 included randomized clinical trials provide important insight on the identification of limitations of previous works, methodological pitfalls or gaps in current knowledge, a prerequisite for the adequate interpretation of current literature and execution of future studies.

An effective decision‐making aid for patients with tinnitus: A retrospective review of 205 patients

  • D. MurphyJ. Phillips
  • Medicine
    Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery
  • 2020
Tinnitus is the perception of sound in the absence of an external source that affects 10.2-14.2% of the adult population in the United Kingdom and has a peak incidence in those aged 60-69 years.

A study on the epidemiology of tinnitus in the United Kingdom

An increasing incidence of tinnitus over time is found, emphasizing the continuously growing health burden, as well as head and neck disorders.

Electrical stimulation to treat tinnitus: a meta-analysis and systemic review of randomized controlled trials

Overall, electrical stimulation may be an effective and well-tolerated treatment option for tinnitus.

Current therapeutic trends for tinnitus cure and control: a scoping review

Although several scoping reviews are published with an exclusive focus on individual therapies, authors recommend an umbrella review of systematic reviews to generate evidence-based practice consensus for tinnitus.

Systems Medicine Approach for Tinnitus with Comorbid Disorders

A more differentiated, systems medicine approach to disease and patient treatment is put forward, focusing on the interplay of tinnitus, depression, and chronic pain, which can be characterised by a variety of phenotypes composed of variable sets of symptoms and biomarkers.

Unification of Treatments and Interventions for Tinnitus Patients (UNITI): a study protocol for a multi-center randomized clinical trial

Results and conclusions from the current study might not only provide an essential contribution to combinatory and personalized treatment approaches in tinnitus but could also provide more profound insights in the heterogeneity of tinn Titus, representing an important step towards a cure for tinnitis.



Clinical Guidelines and Practice

Clinicians, scientists, and policy makers are called on to work together to address the barrier to good practice linking diagnosis to the most effective management strategies.

Treatment options for subjective tinnitus: Self reports from a sample of general practitioners and ENT physicians within Europe and the USA

Clinicians working in six Westernized countries were surveyed to establish the range of referral pathways, evaluate the typical treatment options for categories of subjective tinnitus defined as acute or chronic, and seek clinical opinion about levels of satisfaction with current standards of practice.

General review of tinnitus: prevalence, mechanisms, effects, and management.

A broad-based review of what is presently known about tinnitus, including prevalence, associated factors, theories of pathophysiology, psychological effects, effects on disability and handicap, workers' compensation issues, clinical assessment, and various forms of treatment is provided.

Treatment of tinnitus

  • B. Langguth
  • Medicine, Biology
    Current opinion in otolaryngology & head and neck surgery
  • 2015
Treatment of tinnitus should be based on a comprehensive diagnosis of etiologic and concomitant aspects of an individual's tinnitis, with specific consideration of the available evidence, their mechanisms of action and their limitations.

Pulsatile Tinnitus: Differential Diagnosis and Radiological Work-Up

The value of different diagnostic imaging modalities in the work-up of pulsatile tinnitus is discussed in relation to the differential diagnosis, and imaging findings of different diseases are presented.

Management of tinnitus in English NHS audiology departments: an evaluation of current practice

It is recommended that core elements of practice should be standardized, including use of a validated tinnitus questionnaires and an agreed pathway for decision making to better understand the rationale for management strategies offered.

Current pharmacological treatments for tinnitus

A glimpse of hope is appearing in the horizon as an increasing number of pharmaceutical industries now have compounds targeting tinnitus in their pipeline, and evidence-based pharmacological approaches are limited to the treatment of comorbidities.

Different Teams, Same Conclusions? A Systematic Review of Existing Clinical Guidelines for the Assessment and Treatment of Tinnitus in Adults

A European guideline for the assessment and treatment of subjective tinnitus in adults seems feasible, and would have the potential to benefit the large number of clinicians in countries where clinical guidelines do not yet exist, and support standardization of treatment for patients across Europe.

Cognitive-behavioral treatments for tinnitus: a review of the literature.

Treatment strategy might best be CBT-based, moving toward a more multidisciplinary approach, and there is room for the involvement of different disciplines, using a stepped-care approach.