Chronic Primary Tinnitus: A Management Dilemma

Abstract

Tinnitus often described as sound in the ear in absence of any external stimulus. It poses a challenge to the psychological and mental wellbeing of the patient and professional unsatisfaction to the clinician. The patient often an old aged individual usually approaches the outpatient department with various sounds in the ear, making him feel ill or unable to have a sound sleep. The middle-aged patient often complains of professional incapability and lack of concentration due to tinnitus. Despite vast academic research and advances, the efficiency of available treatment is debatable, often compelling the clinician to convey the message that “you may have to learn to live with it”. In the present overview of reviews, we tend to look into the management of tinnitus and present a comprehensive outlook of various evidence-based reviews from Cochrane and augmented with various studies from PubMed.

Effectiveness of Telerehabilitation Interventions for Self-management of Tinnitus: Systematic Review

“…Telerehabilitation might be of great importance to promote the self-management of patients and improve the cost-effectiveness of the treatment [40,43,44]. Currently, the recommended treatments for patients with tinnitus are TRT and CBT, which are tailored to the needs of the patient [16,17]. Although these in-person treatment forms are proven to be effective, they are also time consuming and costly [25][26][27].…”

“…There is no standard rehabilitation trajectory for the treatment of tinnitus as no single tinnitus treatment is beneficial for every patient [13][14][15][16]. The tinnitus profile of each patient is unique and needs a tailored, multidisciplinary treatment approach, which can consist of a combination of several treatment forms [13][14][15][16].…”

“…There is no standard rehabilitation trajectory for the treatment of tinnitus as no single tinnitus treatment is beneficial for every patient [13][14][15][16]. The tinnitus profile of each patient is unique and needs a tailored, multidisciplinary treatment approach, which can consist of a combination of several treatment forms [13][14][15][16]. The current clinical management strategies that are most often recommended include education, counseling, tinnitus retraining therapy (TRT), or cognitive behavioral therapy (CBT) [16,17].…”

“…The tinnitus profile of each patient is unique and needs a tailored, multidisciplinary treatment approach, which can consist of a combination of several treatment forms [13][14][15][16]. The current clinical management strategies that are most often recommended include education, counseling, tinnitus retraining therapy (TRT), or cognitive behavioral therapy (CBT) [16,17]. TRT is a combination of sound therapy and retraining counseling, teaching patients about the auditory system and the mechanisms by which tinnitus is thought to arise [18][19][20][21].…”

Efektivitas Tinnitus Retraining Therapy (TRT) sebagai Upaya Meningkatkan Kualitas Hidup Pasien Tinitus: Laporan Kasus Berbasis Bukti

“…Tinitus dapat akut atau kronik, dikatakan kronik apabila tidak membaik dengan pengobatan selama lebih dari 3 bulan, biasanya diiringi dengan tuli sensorineural. 9 Berdasarkan etiologinya, tinitus bisa diklasifikasikan menjadi tinitus primer dan sekunder. Tinitus primer merujuk pada tinitus idiopatik, tanpa disertai tuli sensorineural.…”