Neuro / Head & NeckGeneralGuidelineTrainee

Tinnitus Guideline Update: Avoid Neuroimaging Without Red Flags, Offer CBT and Hearing Aids

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery1w ago

Updated tinnitus guideline: strongly recommends against routine neuroimaging unless concerning features are present, and advises assessing self-harm risk. Recommends CBT, hearing aid/cochlear implant evaluations; advises against medications, supplements, and rTMS. Bimodal neurom…

  • Do not obtain neuroradiologic imaging for tinnitus alone; only when specific concerning features (e.g., unilateral, pulsatile, focal neurologic deficits) are present.
  • Inquire about self-harm risk in all patients with bothersome tinnitus—a strong recommendation.
  • Cognitive behavioral therapy (CBT) is recommended; medications and dietary supplements are not.

Also covered by

Automated summary

RadPigeon summaries are original and for information only. They are not clinical advice.