Korean Tinnitus Guideline Recommends Imaging for Pulsatile Tinnitus, Behavioral Therapy; Advises Against Zinc Supplements

New Korean tinnitus guideline: imaging for pulsatile tinnitus or asymmetric hearing loss (Grade B); CBT and TRT conditionally recommended; zinc/vitamins strongly advised against (Grade D†); Ginkgo biloba may be considered (Grade B). Most evidence low certainty.

• Multidisciplinary panel (n=11) developed nine key questions using GRADE methodology; systematic review through 2025.
• Behavioral and rehabilitative interventions (CBT, TRT, hearing aids) had the strongest evidence for reducing tinnitus-related distress.
• Limitation: Most included studies were of low or very low certainty of evidence.

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