New guidelines for Tinnitus Management through Integrated Approach
New guidelines for Tinnitus Management through Integrated Approach
New guidelines for Tinnitus Management through Integrated Approach
Mohanna Javanbakht
PhD candidate of Audiology, Faculty member of Audiology department, University of Social Welfare & Rehabilitation Sciences. M.javanbakht@yahoo.com
Background & Objectives: Tinnitus is a problem that most otologists and audiologists face on an almost daily basis. Fifteen percent of the general population report tinnitus, and this number is surprisingly stable throughout the industrialized world. Eighty to ninety percent of tinnitus patients show some evidence of hearing loss. However, we should have attention that the number of people who have tinnitus and have some damage to the auditory system may be even higher because the audiogram does not reflect damage to the auditory system until there have been enough hair cells affected. While the vast majority of people with tinnitus have hearing loss, there are other causes of tinnitus and other influencing factors as well that we will mentioned them through this presentation and will have particular attention to some of the modern theories of tinnitus origin.
80-90% of people who have tinnitus are able to naturally habituate to it and live with it, but 10-20% of tinnitus sufferers seek medical/habilitation attention. When it comes
to therapeutic approaches for tinnitus, there is really no clear winner. Many patients will be adequately served by counseling and sound therapy. Sound therapy may be
hearing aids, noise generators, and/or listening to music. In last 3 year, particularly like were seen for use of hearing aids with additional and special acoustic options
that will discuss. The other new and effective tinnitus management method is Integrated Tinnitus Management which addresses all of the major components of
tinnitus distress: auditory perception, the over-attention that people pay to tinnitus, the emotional component of tinnitus, and sleep difficulties. People who have very negative reactions to their tinnitus may need a comprehensive integrated tinnitus management that includes cognitive-behavioral concepts and relaxation, along with the counseling and acoustic tools.
Method/Source: This review uses relevant articles published in the fields of tinnitus origins and tinnitus management methods in the present decade.
Conclusions: This presentation will begins with a review of various theories of tinnitus, discusses treatment options including hearing aids, musical stimuli and then concludes with a discussion of two case evaluation and management reports which performed in Rofeideh hospital, ENT and Audiology clinic; one with peripheral and the other with central origin of tinnitus and try to introduce and show the effectiveness of Individualized and Integrated Tinnitus Management approach.