Fast Five Quiz: Tinnitus

Arlen D. Meyers, MD, MBA


April 07, 2021

According to guidelines from the AAO-HNS, clinicians must distinguish patients with bothersome tinnitus from patients with nonbothersome tinnitus. The guidelines also state that imaging studies of the head and neck should not be obtained in patients with tinnitus unless the tinnitus is unilateral or pulsatile, focal neurologic abnormalities are present, or asymmetric hearing loss is noted. Persistent tinnitus is that which has lasted 6 months or longer. A comprehensive audiologic evaluation is recommended in patients with tinnitus that is unilateral, persistent, or associated with hearing difficulties. This is because glomus jugulare tumors originate in the skull or middle ear, and symptoms can include partial or complete hearing loss, a ringing or pulsing sound, ear pain, and/or dizziness. Although clinicians may obtain an initial comprehensive audiologic examination in patients who have tinnitus, regardless of laterality, duration, or perceived hearing status, it is not required.

Read more about the workup of tinnitus.


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