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Tinnitus

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Updated 2023 ACR guidelines for diagnostic imaging of tinnitus.

Guidelines

Key sources

The following summarized guidelines for the evaluation and management of tinnitus are prepared by our editorial team based on guidelines from the American College of Radiology (ACR 2023), the American Cochlear Implant Alliance (ACI Alliance 2022), and the American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO-HNSF 2014). ...
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Diagnostic investigations

History and physical examination: as per AAO-HNSF 2014 guidelines, elicit a targeted history and perform a focused physical examination in the initial evaluation of patients with presumed primary tinnitus to identify conditions that, if promptly identified and managed, May relieve tinnitus.
B
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  • Audiologic examination

  • Diagnostic imaging

Medical management

Pharmacotherapy: as per AAO-HNSF 2014 guidelines, do not use antidepressants, anticonvulsants, anxiolytics, or intratympanic medications routinely in patients with persistent, bothersome tinnitus.
D

Nonpharmacologic interventions

Hearing aid: as per AAO-HNSF 2014 guidelines, obtain hearing aid evaluation in patients with hearing loss and persistent, bothersome tinnitus.
B

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  • Sound therapy

  • CBT

  • Dietary supplements

  • Acupuncture

Therapeutic procedures

Transcranial magnetic stimulation: as per AAO-HNSF 2014 guidelines, do not offer transcranial magnetic stimulation routinely in patients with persistent, bothersome tinnitus.
D

More topics in this section

  • Cochlear implants

Patient education

General counseling: as per AAO-HNSF 2014 guidelines, educate patients with persistent, bothersome tinnitus about management strategies.
B