A multidisciplinary systematic review of the treatment for chronic idiopathic tinnitus
2017 | review. A publication with affiliation to the University of Göttingen.
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A multidisciplinary systematic review of the treatment for chronic idiopathic tinnitus
Zenner, H.-P.; Delb, W.; Kroener-Herwig, B.; Jaeger, B.; Peroz, I.; Hesse, G.& Mazurek, B. et al. (2017)
European Archives of Oto-Rhino-Laryngology, 274(5) pp. 2079-2091.
Springer. DOI: https://doi.org/10.1007/s00405-016-4401-y
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Details
- Authors
- Zenner, Hans-Peter; Delb, Wolfgang; Kroener-Herwig, Birgit; Jaeger, Burkhard; Peroz, Ingrid; Hesse, Gerhard; Mazurek, Birgit; Goebel, Gerhard; Gerloff, Christian; Trollmann, Regina; Biesinger, Eberhard; Seidler, Harald; Langguth, Berthold
- 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.
- Issue Date
- 2017
- Status
- published
- Publisher
- Springer
- Journal
- European Archives of Oto-Rhino-Laryngology
- ISSN
- 1434-4726; 0937-4477