Kleinjung, Tobias and Peter, Nicole and Schecklmann, Martin and Langguth, Berthold (2024) The Current State of Tinnitus Diagnosis and Treatment: a Multidisciplinary Expert Perspective. JARO-JOURNAL OF THE ASSOCIATION FOR RESEARCH IN OTOLARYNGOLOGY, 25 (5). pp. 413-425. ISSN 1525-3961, 1438-7573
Full text not available from this repository. (Request a copy)Abstract
Tinnitus, the perception of sound without an external source, affects 15% of the population, with 2.4% experiencing significant distress. In this review, we summarize the current state of knowledge about tinnitus management with a particular focus on the translation into clinical practice. In the first section, we analyze shortcomings, knowledge gaps, and challenges in the field of tinnitus research. Then, we highlight the relevance of the diagnostic process to account for tinnitus heterogeneity and to identify all relevant aspects of the tinnitus in an individual patient, such as etiological aspects, pathophysiological mechanisms, factors that contribute most to suffering, and comorbidities. In the next section, we review available treatment options, including counselling, cognitive-behavioral therapy (CBT), hearing aids and cochlear implants for patients with a relevant hearing loss, sound generators, novel auditory stimulation approaches, tinnitus retraining therapy (TRT), pharmacological treatment, neurofeedback, brain stimulation, bimodal stimulation, Internet- and app-based digital approaches, and alternative treatment approaches. The evidence for the effectiveness of the various treatment interventions varies considerably. We also discuss differences in current respective guideline recommendations and close with a discussion of how current pathophysiological knowledge, latest scientific evidence, and patient perspectives can be translated in patient-centered care.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | TYPEWRITER TINNITUS; CLINICAL GUIDELINES; CONTROLLED-TRIAL; COMPLEXITY; CARBAMAZEPINE; MANAGEMENT; SYMPTOMS; OUTCOMES; THERAPY; BLIND; Tinnitus; Evidence; Guidelines; Meta-analysis; Treatment |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Hals-Nasen-Ohren-Heilkunde Medicine > Lehrstuhl für Psychiatrie und Psychotherapie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 22 Jul 2025 12:28 |
| Last Modified: | 22 Jul 2025 12:28 |
| URI: | https://pred.uni-regensburg.de/id/eprint/63643 |
Actions (login required)
 |
View Item |
