Zenner, Hans-Peter and Delb, Wolfgang and Kroener-Herwig, Birgit and Jaeger, Burkhard and Peroz, Ingrid and Hesse, Gerhard and Mazurek, Birgit and Goebel, Gerhard and Gerloff, Christian and Trollmann, Regina and Biesinger, Eberhard and Seidler, Harald and Langguth, Berthold (2017) A multidisciplinary systematic review of the treatment for chronic idiopathic tinnitus. EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY, 274 (5). pp. 2079-2091. ISSN 0937-4477, 1434-4726
Full text not available from this repository. (Request a copy)Abstract
The majority of tinnitus patients are affected by chronic idiopathic tinnitus, and almost 60 different treatment modalities have been reported. The present study is a multidisciplinary systematic analysis of the evidence for the different forms of treatment for chronic tinnitus. The results are used to form the basis of an S3 guideline. A systematic search was carried out in PubMed and the Cochrane Library. The basis for presenting the level of evidence was the evidence classification of the Oxford Centre of Evidence-based Medicine. Whenever available, randomised controlled trials were given preference for discussing therapeutic issues. All systematic reviews and meta-analyses were assessed for their methodological quality, and effect size was taken into account. As the need for patient counselling is self-evident, specific tinnitus counselling should be performed. Due to the high level of evidence, validated tinnitus-specific, cognitive behavioural therapy is strongly recommended. In addition, auditory therapeutic measures can be recommended for the treatment of concomitant hearing loss and comorbidities; those should also be treated with drugs whenever appropriate. In particular, depression should be treated, with pharmacological support if necessary. If needed, psychiatric treatment should also be given on a case-by-case basis. With simultaneous deafness or hearing loss bordering on deafness, a CI can also be indicated. For auditory therapeutic measures, transcranial magnetic or direct current stimulation and specific forms of acoustic stimulation (noiser/masker, retraining therapy, music, and coordinated reset) for the treatment of chronic tinnitus the currently available evidence is not yet sufficient for supporting their recommendation.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | TRANSCRANIAL MAGNETIC STIMULATION; QUALITY-OF-LIFE; RANDOMIZED CONTROLLED-TRIAL; PLACEBO-CONTROLLED TRIAL; GINKGO-BILOBA EXTRACT; COGNITIVE-BEHAVIORAL THERAPY; DOUBLE-BLIND; COCHLEAR IMPLANTATION; MUSIC-THERAPY; HEARING-AIDS; Tinnitus; Cognitive behavioural therapy; Drug therapy; Cochlear implant; Retraining therapy |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Psychiatrie und Psychotherapie |
| Depositing User: | Petra Gürster |
| Date Deposited: | 14 Dec 2018 13:10 |
| Last Modified: | 17 Sep 2020 07:56 |
| URI: | https://pred.uni-regensburg.de/id/eprint/992 |
Actions (login required)
 |
View Item |
