Tinnitus,ring it on

Abstract

Tinnitus, the abnormal perception of sound in the absence of a real acoustic stimulus, is a common presenting complaint to primary care. Its effect on individual patients may range from trivial to debilitating. The purpose of this article is to describe an approach for use by the GP to tackle this often challenging symptom.

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References

Axelsson

Ringdahl

(1989) Tinnitus—a study of its prevalence and characteristics. British Journal of Audiology 23(1): 53–62.

Baguley

McFerran

Hall

(2013) Tinnitus. The Lancet 382(9904): 1600–1607. doi: 0.1016/S0140-6736(13)60142-7.

BMJ Group. (2013). Tinnitus. Drug and Therapeutics Bulletin, 51(2), 20–24. doi:10.1136/dtb.2013.1.0162.

Cima

R. F.

Andersson

Schmidt

C. J.

Henry

J. A.

(2014) Cognitive-behavioral treatments for tinnitus: A review of the literature. Journal of the American Academy of Audiology 25(1): 29–61. doi: 10.3766/jaaa.25.1.4.

Cima

R. F.

Maes

I. H.

Joore

M. A.

Scheyen

D. J.

Refaie

A. E.

Baguley

D. B.

Vlaeyen

J. W.

(2012) Specialised treatment based on cognitive behaviour therapy versus usual care for tinnitus: A randomised controlled trial. The Lancet 379(9830): 1951–1959. doi:10.1016/S0140-6736(12)60469-3.

Clinical Practice Advisory Group of the British Association of Otorhinolaryngologists – Head and Neck Surgeons. (2002). Clinical effectiveness guidelines: Acoustic neuroma (Vestibular Schwannoma). Retrieved from https://entuk.org/sites/default/files/files/3412_Acoustic_Neuroma.pdf.

Collins

R. D.

(2013) Algorithmic diagnosis of symptoms and signs: A cost-effective approach, third edition, Philadelphia, PA: Lippincott Williams & Wilkins, pp. 485–486.

Crummer

R. W.

Hassan

G. A.

(2004) Diagnostic approach to tinnitus. American Family Physician 69(1): 120–126. Retrieved from www.aafp.org/afp/2004/0101/p120.html.

Declau

van Spaendonck

Timmermans

J. P.

Michaels

Liang

Qiu

J. P.

van de Heyning

(2001) Prevalence of otosclerosis in an unselected series of temporal bones. Otology & Neurotology 22(5): 596–602. doi:10.1097/00129492-200109000-00006.

10.

Department of Health. (2009). Provision of services for adults with tinnitus. A good practice guide. Retrieved from http://webarchive.nationalarchives.gov.uk/20130107105354/http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/documents/digitalasset/dh_093810.pdf.

11.

DVLA. (2014). At a glance guide to the medical standards of fitness to drive. Retrieved from www.gov.uk/government/uploads/system/uploads/attachment_data/file/351444/aagv1.pdf.

12.

Harcourt

Barraclough

Bronstein

A. M.

(2014) Menière’s disease. BMJ 349: g6544. doi: 10.1136/bmj.g6544.

13.

Heller

M. F.

Bergman

(1953) Tinnitus aurium in normally hearing persons. Annals of Otology, Rhinology and Laryngology 62(1): 73–83. doi: 10.1177/000348945306200107.

14.

Henry

J. A.

Zaugg

T. L.

Myers

P. J.

Kendall

C. J.

Michaelides

E. M.

(2010) A triage guide for tinnitus. The Journal of Family Practice 59(7): 389–393.

15.

Hoare

D. J.

(2013) Managing tinnitus in primary care. Nursing in Practice 70: 61–62.

16.

Hoare

D. J.

Gander

P. E.

Collins

Smith

Hall

D. A.

(2012) Management of tinnitus in English NHS audiology departments: An evaluation of current practice. Journal of Evaluation in Clinical Practice 18(2): 326–334. doi: 10.1111/j.1365-2753.2010.01566.

17.

Hobson, J., Chisholm, E., & El-Refaie, A. (2012). Sound therapy (masking) in the management of tinnitus in adults. Cochrane Database of Systematic Reviews, 12, art. no.: CD006371. doi: 10.1002/14651858.CD006371.pub2.

18.

Hoffman

H. J.

Reed

G. W.

(2004) Epidemiology of tinnitus. In: Snow

J. B.

(ed.) Tinnitus: Theory and management, London, UK: BC Decker, pp. 16–41.

19.

Krog

N. H.

Engdahl

Tanbs

(2010) The association between tinnitus and mental health in a general population sample: Results from the HUNT study. Journal of Psychosomatic Research 69(3): 289–298. doi: 10.1016/j.jpsychores.2010.03.008.

20.

Langguth

Kreuzer

P. M.

Kleinjung

de Ridder

(2013) Tinnitus: Causes and clinical management. The Lancet 12(9): 920–930. doi: 10.1016/S1474-4422(13)70160-1.

21.

Lasisi

A. O.

Abiona

Gureje

(2010) Tinnitus in the elderly: Profile, correlates, and impact in the Nigerian study of ageing. Journal of Otolaryngology, Head & Neck Surgery 143(4): 510–515. doi: 10.1016/j.otohns.2010.06.817.

22.

Levine

R. A.

(2001) Diagnostic issues in tinnitus: A neuro-otological perspective. Seminars in Hearing 22: 23–36. Retrieved from http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.15.9582&rep=rep1&type=pdf.

23.

Lloyd

S. K. W.

Baguley

D. M.

(2008) A patient with tinnitus. Clinical Otolaryngology 33(1): 25–28. doi: 10.1111/j.1749-4486.2007.01599.x.

24.

Malucelli

D. A.

Malucelli

F. J.

Fonseca

V. R.

Zeigeboim

Ribas

Trotta

Silva

T. P.

(2012) Hearing loss prevalence in patients with diabetes mellitus type 1. Brazilian Journal of Otorhinolaryngology 78(3): 105–115. doi: 10.1590/S1808-86942012000300018.

25.

Mills

R. P.

Cherry

J. R.

(1984) Subjective tinnitus in children with otological disorders. International Journal of Pediatric Otorhinolaryngology 7(1): 21–27. doi: 10.1016/S0165-5876(84)80050-6.

26.

National Institute for Health and Clinical Excellence. (2010). Clinical knowledge summaries: Tinnitus. Retrieved from http://cks.nice.org.uk/tinnitus.

27.

Phillips, J. S., & McFerran, D. (2010). Tinnitus retraining therapy (TRT) for tinnitus. Cochrane Database of Systematic Reviews, 3, art. no.: CD007330. doi: 10.1002/14651858.CD007330.pub2.

28.

RCGP. Clinical module 3.15: Care of people with ENT, oral and facial problems. Retrieved from www.RCGP.org.uk/GP-training-and-exams/∼/media/Files/GP-training-and-exams/Curriculum-2012/RCGP-Curriculum-3-15-ENT-Oral-and-Facial-Problems.ashx on 16/09/15.

29.

Rubak

Kock

Koefoed-Nielsen

Lund

S. P.

Bonde

J. P.

Kolstad

H. A.

(2008) The risk of tinnitus following occupational noise exposure in workers with hearing loss or normal hearing. International Journal of Audiology 47(3): 109–114. doi: 10.1080/14992020701581430.

30.

Simpson

R. B.

Nedzelski

J. M.

Barber

H. O.

Thomas

M. R.

(1988) Psychiatric diagnoses in patients with psychogenic dizziness or severe tinnitus. Journal of Otolaryngology 17(6): 325–330.

31.

Zhou

Xing

Liu

Wang

(2011) An epidemiologic study of tinnitus in a population in Jiangsu Province, China. Journal of the American Academy of Audiology 22(9): 578–585. doi: 10.3766/jaaa.22.9.3.