Renaissance of Tinnitus management
Jen-Tsung LAI
MA Xin
Abstract：Tinnitus is the most common otological disorder and remains a clinical enigma. Auditory system, non-audi-tory systems, emotional systems and other tinnitus modulating systems all play a certain role in tinnitus. This article is a re-view of its possible pathogenesis and proposes a simplified clinical algorithm for the management of tinnitus patients: 1. Disturbances of the hearing system–is there stable, significant or fluctuant hearing loss;2. Disturbances of tinnitus modu-lating systems, including the eustachian tube system and sleep systems and migraine,sleep changes related to stress, meno-pause in the female and obstructive sleep apnea (OSA) in the male, eustachian disorders possibly related to silent chronic rh-inosinusitis or laryngopharyngeal reflux;3. Mix of 1 and 2;4. Potentially dangerous tinnitus;5. Idiopathic subjective tinni-tus. Managing tinnitus patients following this clinical algorithm may result in improved outcomes.
Keywords：TinnitusClinical patternMechanism of tinnitus
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 140-144 )