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About - Tinnitus

Sensation of a ringing, roaring, or buzzing sound in the ears or head. It is often associated with many forms of hearing impairment and noise exposure.

Results: 1 to 20 of 108

Tinnitus Retraining Therapy (TRT) for tinnitus

Tinnitus is described as the perception of sound or noise in the absence of real acoustic stimulation. Tinnitus may be perceived in one or both ears, within the head or outside the body. Although various theories have been suggested, the cause is not fully understood. A wide range of treatments have been used, but none has been found effective in all patients.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2010

Does cognitive behavioral therapy help people to cope better with tinnitus?

Cognitive behavioral therapy (CBT) can help people cope better with tinnitus and reduce accompanying depression symptoms. But it doesn't reduce the tinnitus sounds.

Informed Health Online [Internet] - Institute for Quality and Efficiency in Health Care (IQWiG).

Version: October 20, 2016

Ginkgo biloba for tinnitus

People with tinnitus hear sounds such as crackling or whistling in the absence of external noise. Noises appear to arise in the ears or inside the head and may be experienced all of the time, or only intermittently. The causes of tinnitus are not yet fully understood and a variety of treatments are offered including medication, psychotherapy, noise 'maskers' and tinnitus retraining therapy. The review of trials assessed the effectiveness of extract of Ginkgo biloba. Few good‐quality trials were found. Four studies were included in the review, with a total of 1543 participants. The included studies were overall at low risk of bias. There was no evidence that Ginkgo biloba is effective for tinnitus when this is the primary complaint.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2013

Anticonvulsants for tinnitus

Tinnitus is the perception of sound or noise in the absence of external acoustic stimulation. It is a common and potentially distressing symptom for which no adequate therapy exists. The pathophysiology of tinnitus has been compared to phantom limb pain therefore anticonvulsant drugs have been proposed as a possible therapy.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2011

Cognitive behavioural therapy for tinnitus

Tinnitus can be described as the experience of sound in the ear or in the head. Subjective tinnitus is not heard by anyone else. At present no particular treatment for tinnitus has been found effective in all patients.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2010

Antidepressants for patients with tinnitus

Tinnitus is described as the perception of sound or noise in the absence of real acoustic stimulation, and it is frequently associated with depression or depressive symptoms. Six studies involving a total of 610 patients matched the inclusion criteria for this review. Four evaluated three tricyclic antidepressant agents (amitriptyline, nortriptyline and trimipramine) for the treatment of tinnitus. These studies did not find enough evidence to prove the efficacy of these agents in the management of tinnitus. One study evaluated paroxetine, a selective serotonin reuptake inhibitor antidepressant, and one evaluated trazodone, an atypical antidepressant. Neither of these studies showed benefit of paroxetine or trazodone in the treatment of tinnitus. Side effects, though relatively minor, were common in all groups of antidepressants. Further research is required.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2012

Sound therapy (masking) in the management of tinnitus in adults

Tinnitus can be described as a perception of sound that is not related to an external acoustic source. Subjective tinnitus is not heard by anyone else but the sufferer. At present no particular treatment for tinnitus has been found effective in all patients.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2012

Hyperbaric oxygen for sudden hearing loss and tinnitus (ringing in the ears) of unknown cause

Idiopathic sudden sensorineural hearing loss (ISSHL) is common and often results in permanent hearing loss. It therefore has a high impact on the well‐being of those affected. Tinnitus (abnormal persistent noises or ringing in the ear) is similarly common and often accompanies the hearing loss. Although the cause of these complaints is not clear, they may be related to a lack of oxygen secondary to a vascular problem not yet identified. Hyperbaric oxygen therapy (HBOT) involves breathing pure oxygen in a specially designed chamber and it is sometimes used as a treatment to increase the supply of oxygen to the ear and brain in an attempt to reduce the severity of hearing loss and tinnitus.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2012

Transcranial magnetic stimulation for tinnitus

Tinnitus can be described as the experience of sound in the ear or in the head. Subjective tinnitus is not heard by anyone else. The exact cause of tinnitus remains unknown. At present no particular treatment has been found effective in all patients. Recently, researchers have been able to image the brain using specialised techniques (such as functional magnetic resonance imaging (fMRI) and positron emission tomography (PET)). This has led us to believe that high spontaneous neuronal activity in the central auditory system and associated areas may responsible for the perception of tinnitus. Repetitive transcranial magnetic stimulation (rTMS) is a non‐invasive means of inducing electrical currents in the brain and can decrease this neuronal activity. The purpose of this Cochrane Review was to assess the effectiveness and safety of rTMS for the treatment of tinnitus.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2011

Chronic tinnitus: What helps – and what doesn’t?

Although a wide range of treatments for chronic tinnitus are offered and used, none of them have been proven to reduce the symptoms. Cognitive behavioral therapy can help people cope better with the tinnitus sounds and improve their quality of life.If tinnitus lasts longer than six months, it is considered to be chronic tinnitus. In many cases the cause remains unknown. This makes it harder to treat effectively. A lot of treatments have been tried out and some have been tested in scientific studies. But most of the studies weren't conclusive enough. So more research is needed in order to be able to say whether any treatments can effectively reduce tinnitus sounds.This doesn't mean that you just have to put up with tinnitus. But because all treatments can have side effects, it isn't a good idea to try out every last one of them. It often makes more sense to try to accept the sounds and find a way to keep them from becoming too distressing in everyday life. Cognitive behavioral therapy (CBT) can help people to do this, as research has shown.

Informed Health Online [Internet] - Institute for Quality and Efficiency in Health Care (IQWiG).

Version: October 20, 2016

Tinnitus: Overview

Most people experience ringing in their ears every now and then, for instance after a loud concert. But some people constantly hear sounds such as a whistling noise for no apparent reason. Tinnitus can seriously affect your everyday life. Read what has been shown to help – and what hasn't.

Informed Health Online [Internet] - Institute for Quality and Efficiency in Health Care (IQWiG).

Version: October 20, 2016

What is the evidence that 1Hz rTMS positively affects chronic tinnitus?

Bibliographic details: Phillips N, El Refaie A.  What is the evidence that 1Hz rTMS positively affects chronic tinnitus? Audiological Medicine 2012; 10(2): 76-82

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).

Version: 2012

Zinc supplements for tinnitus

Tinnitus is the perceived sensation of sound in the ear or head. Severe tinnitus affects 1% to 2% of the population. People with severe tinnitus frequently have psychological changes and a decrease in their quality of life. Tinnitus is difficult to control and many doctors are testing new treatments to improve the quality of life of people who suffer from this problem. This review looked for high‐quality studies in the literature that involved zinc supplements as a possible treatment for tinnitus in adults. The aim was to evaluate whether oral zinc is effective in the treatment of tinnitus.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2016

Hearing aids for tinnitus in people with hearing loss

Tinnitus describes 'ringing', 'whooshing' or 'hissing' sounds that are heard in the absence of any corresponding external sound. About 10% of people experience tinnitus and for some it has a significant negative impact on their quality of life. Tinnitus is commonly associated with some form of hearing loss and is possibly the result of hearing loss‐related changes in brain activity. It is logical to think, therefore, that providing people who have hearing loss and tinnitus with a hearing aid will not only improve their ability to hear sound but will also reduce their tinnitus symptoms. Hearing aids increase the volume at which people hear external sounds so this may help mask or cover up the tinnitus sound. They also improve communication, which may reduce the symptoms often associated with tinnitus such as stress or anxiety. Hearing aids may also improve tinnitus symptoms by reducing or reversing abnormal types of nerve cell activity that are thought to be related to tinnitus. The purpose of this review is to evaluate the evidence from high‐quality clinical trials that try to work out the effects hearing aids have on people's tinnitus. We particularly wanted to look at how bothersome their tinnitus is, how depressed or anxious tinnitus patients are and whether hearing aid use has an effect on patterns of brain activity thought to be associated with tinnitus.

Cochrane Database of Systematic Reviews: Plain Language Summaries [Internet] - John Wiley & Sons, Ltd.

Version: 2014

Evaluation and treatment of tinnitus: comparative effectiveness

Bibliographic details: Pichora-Fuller MK, Santaguida P, Hammill A, Oremus M, Westerberg B, Ali U, Patterson C, Raina P.  Evaluation and treatment of tinnitus: comparative effectiveness. Rockville, MD, USA: Agency for Healthcare Research and Quality. Comparative Effectivenss Review No. 122. 2013 Available from: http://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and-reports/?pageaction=displayproduct&productID=1649

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).

Version: 2013

Clinical efficacy of tinnitus retraining therapy and cognitive behavioural therapy in the treatment of subjective tinnitus: a systematic review

OBJECTIVE: This study aimed to compare the outcomes of two frequently employed interventions for the management of tinnitus: tinnitus retraining therapy and cognitive behavioural therapy.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).

Version: 2014

The efficacy of auditory perceptual training for tinnitus: a systematic review

Auditory perceptual training affects neural plasticity and so represents a potential strategy for tinnitus management. We assessed the effects of auditory perceptual training on tinnitus perception and/or its intrusiveness via a systematic review of published literature. An electronic database search using the keywords 'tinnitus and learning' or 'tinnitus and training' was conducted, updated by a hand search. The ten studies identified were reviewed independently by two reviewers, data were extracted, study quality was assessed according to a number of specific criteria and the information was synthesised using a narrative approach. Nine out of the ten studies reported some significant change in either self-reported or psychoacoustic outcome measures after auditory training. However, all studies were quality rated as providing low or moderate levels of evidence for an effect. We identify a need for appropriately randomised and controlled studies that will generate high-quality unbiased and generalisable evidence to ascertain whether or not auditory perceptual training has a clinically relevant effect on tinnitus.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).

Version: 2010

Ginkgo biloba extract in the treatment of tinnitus: a systematic review

Tinnitus is a symptom frequently encountered by ear, nose, and throat practitioners. A causal treatment is rarely possible, and drug and nondrug treatment options are limited. One of the frequently prescribed treatments is Ginkgo biloba extract. Therefore, randomized, placebo-controlled clinical trials of Ginkgo biloba extract preparations were searched for and reviewed systematically. There is evidence of efficacy for the standardized extract, EGb 761(®) (Dr Willmar Schwabe GmbH & Co KG Pharmaceuticals, Karlsruhe, Germany), in the treatment of tinnitus from three trials in patients in whom tinnitus was the primary complaint. Supportive evidence comes from a further five trials in patients with age-associated cognitive impairment or dementia in whom tinnitus was present as a concomitant symptom. As yet, the efficacy of other ginkgo preparations has not been proven, which does not necessarily indicate ineffectiveness, but may be due to flawed clinical trials. In conclusion, EGb 761(®), a standardized Ginkgo biloba extract, is an evidence-based treatment option in tinnitus.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).

Version: 2011

Gabapentin for tinnitus: a systematic review

PURPOSE: The main aim of this study was to assess the effect of gabapentin on tinnitus via a systematic review.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).

Version: 2011

Acupuncture in the treatment of tinnitus: a systematic review and meta-analysis

This study aimed at a systematic review and meta-analysis of all available randomized controlled trials (RCTs) using acupuncture to treat tinnitus. Five electronic databases, in both English and Chinese, were searched. All studies in our review and meta-analysis included parallel RCTs of tinnitus patients which compared subjects receiving acupuncture (or its other forms, such as electroacupuncture) to subjects receiving no treatment, sham treatment, drugs or basic medical therapy. Data from the articles were validated and extracted using a predefined data extraction form. Nearly all of Chinese studies reported positive results, while most of English studies reported negative results. Analysis of the combined data found that the acupuncture treatments seemed to provide some advantages over conventional therapies for tinnitus. It had difference in acupuncture points and sessions between Chinese studies and English studies. Methodological flaws were also found in many of the RCTs, especially in Chinese studies. The results of this review suggest that acupuncture therapy may offer subjective benefit to some tinnitus patients. Acupuncture points and sessions used in Chinese studies may be more appropriate, whereas these studies have many methodological flaws and risk bias, which prevents us making a definitive conclusion.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet] - Centre for Reviews and Dissemination (UK).

Version: 2014

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