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.
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