Clinical practice guideline: tinnitus executive summary

David E Tunkel; Carol A Bauer; Gordon H Sun; Richard M Rosenfeld; Sujana S Chandrasekhar; Eugene R Cunningham Jr; Sanford M Archer; Brian W Blakley; John M Carter; Evelyn C Granieri; James A Henry; Deena Hollingsworth; Fawad A Khan; Scott Mitchell; Ashkan Monfared; Craig W Newman; Folashade S Omole; C Douglas Phillips; Shannon K Robinson; Malcolm B Taw; Richard S Tyler; Richard Waguespack; Elizabeth J Whamond

doi:10.1177/0194599814547475

Clinical practice guideline: tinnitus executive summary

Otolaryngol Head Neck Surg. 2014 Oct;151(4):533-41. doi: 10.1177/0194599814547475.

Authors

David E Tunkel¹, Carol A Bauer², Gordon H Sun³, Richard M Rosenfeld⁴, Sujana S Chandrasekhar⁵, Eugene R Cunningham Jr⁶, Sanford M Archer⁷, Brian W Blakley⁸, John M Carter⁹, Evelyn C Granieri¹⁰, James A Henry¹¹, Deena Hollingsworth¹², Fawad A Khan¹³, Scott Mitchell¹⁴, Ashkan Monfared¹⁵, Craig W Newman¹⁶, Folashade S Omole¹⁷, C Douglas Phillips¹⁸, Shannon K Robinson¹⁹, Malcolm B Taw²⁰, Richard S Tyler²¹, Richard Waguespack²², Elizabeth J Whamond²³

Affiliations

¹ Otolaryngology-Head and Neck Surgery, Johns Hopkins Outpatient Center, Baltimore, Maryland, USA dtunkel@jhmi.edu.
² Division of Otolaryngology-Head and Neck Surgery, Southern Illinois University School of Medicine, Springfield, Illinois, USA.
³ Partnership for Health Analytic Research, LLC, Los Angeles, California, USA.
⁴ Department of Otolaryngology, State University of New York Downstate Medical Center, Brooklyn, New York, USA.
⁵ New York Otology, New York, New York, USA.
⁶ Department of Research and Quality Improvement, American Academy of Otolaryngology-Head and Neck Surgery Foundation, Alexandria, Virginia, USA.
⁷ Divisions of Rhinology & Sinus Surgery and Facial Plastic & Reconstructive Surgery, University of Kentucky, Lexington, Kentucky, USA.
⁸ Department of Otolaryngology, University of Manitoba, Winnipeg, MB, Canada.
⁹ Department of Otolaryngology, Tulane University, New Orleans, Louisiana, USA.
¹⁰ Division of Geriatric Medicine and Aging, Columbia University, New York, New York, USA.
¹¹ National Center for Rehabilitative Auditory Research, Portland VA Medical Center, Portland, Oregon, USA.
¹² ENT Specialists of Northern Virginia, Falls Church, Virginia, USA.
¹³ Ochsner Health System, Kenner, Louisiana, USA.
¹⁴ Mitchell & Cavallo, P.C., Houston, Texas, USA.
¹⁵ Department of Otology and Neurotology, The George Washington University, Washington, DC, USA.
¹⁶ Department of Surgery, Cleveland Clinic Lerner College of Medicine, Cleveland, Ohio, USA.
¹⁷ Morehouse School of Medicine, East Point, Georgia, USA.
¹⁸ Department of Head and Neck Imaging, Weill Cornell Medical Center, NewYork-Presbyterian Hospital, New York, New York, USA.
¹⁹ Department of Psychiatry, University of California, San Diego, La Jolla, California, USA.
²⁰ Department of Medicine, UCLA Center for East-West Medicine, Los Angeles, California, USA.
²¹ Department of Otolaryngology-Head and Neck Surgery, University of Iowa, Iowa City, Iowa, USA.
²² Department of Surgery, University of Alabama School of Medicine, Birmingham, Alabama, USA.
²³ Consumers United for Evidence-based Healthcare, Fredericton, New Brunswick, Canada.

PMID: 25274374
DOI: 10.1177/0194599814547475

Abstract

The American Academy of Otolaryngology--Head and Neck Surgery Foundation (AAO-HNSF) has published a supplement to this issue featuring the new Clinical Practice Guideline: Tinnitus. To assist in implementing the guideline recommendations, this article summarizes the rationale, purpose, and key action statements. The 13 recommendations developed address the evaluation of patients with tinnitus, including selection and timing of diagnostic testing and specialty referral to identify potential underlying treatable pathology. It will then focus on the evaluation and treatment of patients with persistent primary tinnitus, with recommendations to guide the evaluation and measurement of the impact of tinnitus and to determine the most appropriate interventions to improve symptoms and quality of life for tinnitus sufferers.

Keywords: amplification; hearing aids; hearing loss; quality of life; sound therapy; tinnitus.

Publication types

Practice Guideline
Research Support, Non-U.S. Gov't

MeSH terms

Audiometry
Complementary Therapies
Directive Counseling
Hearing Aids
Humans
Patient Education as Topic
Tinnitus / diagnosis*
Tinnitus / etiology
Tinnitus / therapy*