Fast Five Quiz: Tinnitus

Arlen D. Meyers, MD, MBA

Disclosures

April 07, 2021

Usually, patients just want to know that their tinnitus is not caused by cancer or a malignant brain tumor. A skilled counselor can easily provide this reassurance. For most patients, once more serious possibilities are eliminated, counseling will suffice. Amplification with hearing aids or other devices may improve subjective tinnitus and is recommended by AAO-HNS guidelines for patients with persistent, bothersome tinnitus.

AAO-HNS guidelines do not routinely recommend antidepressants, anticonvulsants, anxiolytics, or intratympanic medications for a primary indication of treating persistent, bothersome tinnitus. The guidelines also state that clinicians should not recommend transcranial magnetic stimulation for the routine treatment of patients with persistent, bothersome tinnitus.

Clinical sound therapy trials are emerging; however, outcomes typically remain modest. Few patients achieve complete remission of tinnitus or hyperacusis unless the underlying hearing loss is treated with hearing aids or implants, in which case success rates are higher.

Read more about the treatment of tinnitus.

This Fast Five Quiz was excerpted and adapted from the Medscape Drugs & Diseases article Tinnitus.

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