Semin Hear 2014; 35(02): 065-073
DOI: 10.1055/s-0034-1372523
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Tinnitus Overview

Yongbing Shi
1   Department of Otolaryngology Head and Neck Surgery, Oregon Health & Science University, Tinnitus Clinic, Portland, Oregon
,
Jennifer E. Martin
2   Department of Otolaryngology, National University of Singapore, Singapore
› Author Affiliations
Further Information

Publication History

Publication Date:
29 April 2014 (online)

Abstract

Tinnitus affects more than 10% of the population and can be a severe condition in ∼0.5% of people. Although it is related to diseases of the auditory system in the majority of cases, involvement of nonauditory structures in the brain is an important pathophysiological mechanism in patients with severe tinnitus, who often also present with sleep difficulties, mood disturbances, and cognitive dysfunction. Comprehensive evaluation of a patient with tinnitus often requires application of evaluation tools beyond audiological tests. When managing patients with chronic tinnitus and no obvious treatable underlying conditions, employment of a combination of sound treatments, habituation therapies, psychological intervention, and pharmacological agents is often needed to minimize the impact of tinnitus on patients and to improve their functionality and quality of life. Future research on tinnitus, with appropriate designs and improved measurement tools, may help us better understand tinnitus and facilitate development of novel and effective treatments.