CBT may be effective in reducing the negative impact that tinnitus can have on quality of life. There is, however, an absence of evidence at 6 or 12 months follow-up. There is also some evidence that adverse effects may be rare in adults with tinnitus receiving CBT, but this could be further investigated. References: Fuller […]

Read more

Tinnitus retraining therapy (TRT) is a specific clinical method based on the neurophysiological model of tinnitus described by Jastreboff (Jastreboff, P.J. (1990). Neurosci. Res., 8: 221-254). The method is aimed at habituation of reactions evoked by tinnitus, and subsequently habituation of the tinnitus perception. Several other methods have been suggested for habituation of tinnitus, but […]

Read more

This systematic review and meta-analysis included 22 randomized controlled trials comprising 2,354 patients. The combination of acoustics and cognitive behavioral therapy may be an effectively treat patients with chronic tinnitus. References: Lu T, Wang Q, Gu Z, Li Z, Yan Z. Non-invasive treatments improve patient outcomes in chronic tinnitus: a systematic review and network meta-analysis. […]

Read more

13 eligible RTs with a total of 1345 patients were included in this meta-analysis. The meta-analysis results showed that the 1-month response rate, 3-month response rate, 6-month response rate, and overall response rate of TRT with drugs for tinnitus were higher than that of drugs only (P < 0.05). The results demonstrated that the THI […]

Read more

Studies have provided evidence that Hearing Aid fitting is a valuable treatment strategy for chronic tinnitus relief with associated hearing loss. References: 1) Simonetti P, Vasconcelos LG, Gândara MR, Lezirovitz K, Medeiros ÍRT, Oiticica J. Hearing aid effectiveness on patients with chronic tinnitus and associated hearing loss. Braz J Otorhinolaryngol. 2022 Nov-Dec;88 Suppl 3(Suppl 3):S164-S170. […]

Read more

Medicines used to treat other diseases, as well as foods and other ingested materials, can result in unwanted tinnitus. These include alcohol, antineoplastic chemotherapeutic agents and heavy metals, antimetabolites, antitumor agents, antibiotics, caffeine, cocaine, marijuana, nonnarcotic analgesics and antipyretics, ototoxic antibiotics and diuretics, oral contraceptives, quinine and chloroquine, and salicylates. References: Kim SH, Kim D, […]

Read more

Patients with impacted ear wax that occludes the external auditory canal can present with tinnitus, conductive hearing loss and aural fullness. Symptoms usually resolve with clearance of the wax. References: Chan HBY, Low D, Yuen HW, How CH. Tinnitus – ringing in the ears. Singapore Med J. 2020 Sep;61(9):448-452. doi: 10.11622/smedj.2020128. PMID: 33043372; PMCID: PMC7927175.

Read more

The hypothalamus pituitary adrenal axis, one of the main neuroendocrine systems involved in stress response, is commonly disturbed in tinnitus patients. Patients with chronic tinnitus have been shown to develop abnormal responses to psycho-social stress, where the hypothalamus pituitary adrenal axis response is weaker and delayed, suggesting chronic stress contributes to the development of chronic […]

Read more

In this nationally representative sample of US adults, negative sleep characteristics were significantly associated with bothersome tinnitus. Report of bothersome tinnitus was associated with less hours of sleep per night, being diagnosed with sleep disorders, report of trouble with sleeping, and OSA symptoms. References: Awad M, Abdalla I, Jara SM, Huang TC, Adams ME, Choi […]

Read more

Potential risk factors identified in the literature include pathologies of middle and inner ear structures, bone or nerve malformations, rhino sinusitis, and social factors such as poor diet. References: Hoare DJ, Smith H, Kennedy V, Fackrell K. Tinnitus in Children. J Assoc Res Otolaryngol. 2024 Jun;25(3):239-247. doi: 10.1007/s10162-024-00944-3. Epub 2024 May 6. PMID: 38709437; PMCID: […]

Read more