Tinnitus

Tinnitus is a variety of sound that is heard when no corresponding external sound is present.[1] Nearly everyone experiences faint "normal tinnitus" in a completely quiet room; but it is of concern only if it is bothersome, interferes with normal hearing, or is associated with other problems.[6] The word tinnitus comes from the Latin tinnire, "to ring".[3] In some people, it interferes with concentration, and can be associated with anxiety and depression.[7][8]

Tinnitus
Pronunciation
  • /ˈtɪnɪtəs/ or /tɪˈntəs/
SpecialtyOtorhinolaryngology, audiology
SymptomsHearing sound when no external sound is present[1]
ComplicationsPoor concentration, anxiety, depression[2]
Usual onsetGradual[3]
CausesNoise-induced hearing loss, ear infections, disease of the heart or blood vessels, Ménière's disease, brain tumors, inner ear tumors, emotional stress, traumatic brain injury, excessive earwax[2][4]
Diagnostic methodBased on symptoms, audiogram, neurological exam[1][3]
TreatmentCounseling, sound generators, hearing aids[2][5]
Frequency~12.5%[5]

Tinnitus is usually associated with hearing loss and decreased comprehension of speech in noisy environments.[2] It is common, affecting about 10–15% of people. Most tolerate it well, and it is a significant problem in only 1–2% of people.[5] It can trigger a fight-or-flight response, as the brain may perceive it as dangerous and important.[9][10][11]

Rather than a disease, tinnitus is a symptom that may result from a variety of underlying causes and may be generated at any level of the auditory system as well as outside that system. The most common causes are hearing damage, noise-induced hearing loss, or age-related hearing loss, known as presbycusis.[2] Other causes include ear infections, disease of the heart or blood vessels, Ménière's disease, brain tumors, acoustic neuromas (tumors on the auditory nerves of the ear), migraines, temporomandibular joint disorders, exposure to certain medications, a previous head injury, and earwax. It can suddenly emerge during a period of emotional stress.[4][3][2][12][13] It is more common in those with depression.[3]

The diagnosis of tinnitus is usually based on a patient's description of the symptoms they are experiencing.[3] Such a diagnosis is commonly supported by an audiogram, and an otolaryngological and neurological examination.[1][3] How much tinnitus interferes with a person's life may be quantified with questionnaires.[3] If certain problems are found, medical imaging, such as magnetic resonance imaging (MRI), may be performed. Other tests are suitable when tinnitus occurs with the same rhythm as the heartbeat.[3] Rarely, the sound may be heard by someone other than the patient by using a stethoscope, in which case it is known as "objective tinnitus."[3] Occasionally, spontaneous otoacoustic emissions, sounds produced normally by the inner ear, may result in tinnitus.[14]

Measures to prevent tinnitus include avoiding chronic or extended exposure to loud noise, and limiting exposure to ototoxic drugs and substances.[2][15] If there is an underlying cause, treating that cause may lead to improvements.[3] Otherwise, typically, tinnitus management involves psychoeducation or counseling, such as talk therapy.[5] Sound generators or hearing aids may help.[2] No medication directly targets tinnitus.

Signs and symptoms

Tinnitus is often described as ringing, but it may also sound like clicking, buzzing, hissing, or roaring.[4] It may be soft or loud, low- or high-pitched, and may seem to come from either one or both ears, or from the head itself. It may be intermittent or continuous. In some individuals, its intensity may be changed by shoulder, neck, head, tongue, jaw, or eye movements.[16]

Course

Due to variations in study designs, data on the course of tinnitus shows few consistent results. Generally, prevalence increases with age in adults, and the ratings of annoyance decreases with duration.[17][18][19]

Psychological effects

Although it is an annoying condition to which most people adapt, persistent tinnitus may cause anxiety and depression in some people.[20][21] Tinnitus annoyance is more strongly associated with the psychological condition of the person than the loudness or frequency range of the perceived sound.[22][23] Psychological problems such as depression, anxiety, sleep disturbances, and concentration difficulties are common in those with strongly annoying tinnitus.[24][25] 45% of people with tinnitus have an anxiety disorder at some time in their lives.[26]

Psychological research has focused on the tinnitus distress reaction to account for differences in tinnitus severity.[24][27][28][29] The research indicates that conditioning at the initial perception of tinnitus linked it with negative emotions, such as fear and anxiety.[30]

Types

Commonly tinnitus is classified into "subjective and objective tinnitus".[3] Tinnitus is usually subjective, meaning that the sounds the person hears are not detectable by means currently available to physicians and hearing technicians.[3] Subjective tinnitus has also been called "tinnitus aurium", "non-auditory", or "non-vibratory" tinnitus. In rare cases, tinnitus can be heard by someone else using a stethoscope. Even more rarely, in some cases it can be measured as a spontaneous otoacoustic emission (SOAE) in the ear canal. This is classified as objective tinnitus,[3] also called "pseudo-tinnitus" or "vibratory" tinnitus.

Subjective tinnitus

Subjective tinnitus is the most frequent type. It can have many causes, but most commonly it results from hearing loss. When it is caused by disorders of the inner ear or auditory nerve, it can be called "otic" (from the Greek word for ear).[31] These otological or neurological disorders include those triggered by infections, drugs, or trauma.[32] A frequent cause is traumatic noise exposure that damages hair cells in the inner ear.. Some evidence suggests that long-term exposure to noise pollution from heavy traffic may increase the risk of developing tinnitus.[33]

When there does not seem to be a connection with a disorder of the inner ear or auditory nerve, tinnitus can be called "non-otic". In 30% of cases, tinnitus is influenced by the somatosensory system; for instance, people can increase or decrease their tinnitus by moving their face, head, jaw, or neck.[34] This type is called somatic or craniocervical tinnitus, since it is only head or neck movements that have an effect.[31]

Some tinnitus may be caused by neuroplastic changes in the central auditory pathway. In this theory, the disturbance of sensory input caused by hearing loss results in such changes[35] as a homeostatic response of neurons in the central auditory system, causing tinnitus.[36] When some frequencies of sound are lost to hearing loss, the auditory system compensates by amplifying those frequencies, eventually producing sound sensations at those frequencies constantly even when there is no corresponding external sound.

Hearing loss

The most common cause of tinnitus is hearing loss. Hearing loss may have many different causes, but among those with tinnitus, the major cause is cochlear injury.[35]

In many cases no underlying cause is identified.[2][37]

Ototoxic drugs also may cause subjective tinnitus, as they may cause hearing loss,[15] or increase the damage done by exposure to loud noise.[38] This damage may occur even at doses not considered ototoxic.[39] More than 260 medications have been reported to cause tinnitus as a side effect.[40]

Tinnitus can also occur from the discontinuation of therapeutic doses of benzodiazepines. It can sometimes be a protracted symptom of benzodiazepine withdrawal and may persist for many months.[41][42] Medications such as bupropion may also cause tinnitus.[43]

Associated factors

Factors associated with tinnitus include:[44]

Objective tinnitus

A specific type of tinnitus, objective tinnitus, is characterized by hearing the sounds of one's own muscle contractions or pulse, typically a result of sounds that have been created by the movement of jaw muscles or sounds related to blood flow in the neck or face.[49] It is sometimes caused by an involuntary twitching of a muscle or a group of muscles (myoclonus) or by a vascular condition. In some cases, tinnitus is generated by muscle spasms around the middle ear.[49]

Spontaneous otoacoustic emissions (SOAEs)—faint high-frequency tones that are produced in the inner ear and can be measured in the ear canal with a sensitive microphone—may also cause tinnitus.[14] About 8% of those with SOAEs and tinnitus have SOAE-linked tinnitus, while the percentage of all cases of tinnitus caused by SOAEs is estimated at 4%.[14]

Pediatric tinnitus

Children may be subject to pulsatile or continuous tinnitus, involving anomalies and variants of the vascular parts[50] affecting the middle/inner ear structures. CT scans may be used to check the integrity of the structures, and MR scans can evaluate nerves and potential masses or malformations. Early diagnosis can prevent long-term impairments to development.[51]

Pulsatile tinnitus

Some people experience a sound that beats in time with their pulse, known as pulsatile tinnitus or vascular tinnitus.[52] Pulsatile tinnitus is usually objective in nature, resulting from altered blood flow or increased blood turbulence near the ear, such as from atherosclerosis or venous hum,[53] but it can also arise as a subjective phenomenon from an increased awareness of blood flow in the ear.[52] Rarely, pulsatile tinnitus may be a symptom of potentially life-threatening conditions such as carotid artery aneurysm[54] or carotid artery dissection.[55] Pulsatile tinnitus may also indicate vasculitis, or more specifically, giant cell arteritis. Pulsatile tinnitus may also indicate idiopathic intracranial hypertension.[56] Pulsatile tinnitus can be a symptom of intracranial vascular abnormalities and should be evaluated for irregular noises of blood flow (bruits).[57]

Pathophysiology

Tinnitus may be caused by increased neural activity in the auditory brainstem, where the brain processes sounds, causing some auditory nerve cells to become overexcited. The basis of this theory is that many with tinnitus also have hearing loss.[58]

Three reviews in 2016 emphasized the large range and possible combinations of pathologies involved in tinnitus, which result in a great variety of symptoms and specifically adapted therapies.[59][60][61][62]

Diagnosis

The diagnostic approach is based on a history of the condition and an examination of the head, neck, and neurological system.[37] Typically an audiogram is done, and occasionally medical imaging or electronystagmography.[37] Treatable conditions may include middle ear infection, acoustic neuroma, concussion, and otosclerosis.[63]

Evaluation of tinnitus can include a hearing test (audiogram), measurement of acoustic parameters of the tinnitus like pitch and loudness, and psychological assessment of comorbid conditions like depression, anxiety, and stress that are associated with severity of the tinnitus.

One definition of tinnitus, in contrast to normal ear noise experience, is that tinnitus lasts five minutes at least twice a week.[64] However, people with tinnitus often experience the noise more frequently than this. Tinnitus can be present constantly or intermittently. Some people with constant tinnitus might not be aware of it all the time, but only, for example, during the night when there is less environmental noise to mask it. Chronic tinnitus can be defined as tinnitus with a duration of six months or more.[65]

Audiology

Since most people with tinnitus also have hearing loss, a pure tone hearing test resulting in an audiogram may help diagnose a cause. An audiogram may also facilitate fitting of a hearing aid in those cases where hearing loss is significant. The pitch of tinnitus is often in the range of the hearing loss.

Psychoacoustics

Acoustic qualification of tinnitus includes measurement of several acoustic parameters like frequency in cases of monotone tinnitus or frequency range and bandwidth in cases of narrow band noise tinnitus, loudness in dB above hearing threshold at the indicated frequency, mixing-point, and minimum masking level.[66] In most cases, tinnitus pitch or frequency range is between 5 kHz and 10 kHz,[67] and loudness between 5 and 15 dB above the hearing threshold.[68]

Another relevant parameter of tinnitus is residual inhibition: the temporary suppression or disappearance of tinnitus following a period of masking. The degree of residual inhibition may indicate how effective tinnitus maskers would be as treatment.[69][70]

An assessment of hyperacusis, a frequent accompaniment of tinnitus,[71] may also be made.[72] Hyperacusis is related to negative reactions to sound and can take many forms. One parameter that can be measured is Loudness Discomfort Level (LDL) in dB, the subjective level of acute discomfort at specified frequencies over the frequency range of hearing. This defines a dynamic range between the hearing threshold at that frequency and the loudness discomfort level. A compressed dynamic range over a particular frequency range can be associated with hyperacusis. Normal hearing threshold is generally defined as 0–20 decibels (dB). Normal loudness discomfort levels are 85–90+ dB, with some authorities citing 100 dB. A dynamic range of 55 dB or less is indicative of hyperacusis.[73][74]

Severity

Tinnitus is often rated on a scale from "slight" to "severe" according to the effects it has, such as interference with sleep, quiet activities, and normal daily activities.[75]

Assessment of psychological processes related to tinnitus involves measurement of tinnitus severity and distress, as measured subjectively by validated self-report tinnitus questionnaires.[24] Such questionnaires measure the degree of psychological distress and handicap associated with tinnitus, including effects on hearing, lifestyle, health, and emotional functioning.[76][77][78] A broader assessment of general functioning, such as levels of anxiety, depression, stress, life stressors, and sleep difficulties, is also important in the assessment of tinnitus due to higher risk of negative well-being across these areas, which may be affected by or exacerbate the tinnitus symptoms.[79] Current assessment measures aim to identify levels of distress and interference, coping responses, and perceptions of tinnitus to inform treatment and monitor progress. However, wide variability, inconsistencies, and lack of consensus regarding assessment methodology are evidenced in the literature, limiting comparison of treatment effectiveness.[80] Developed to guide diagnosis or classify severity, most tinnitus questionnaires have been shown to be treatment-sensitive outcome measures.[81]

Pulsatile tinnitus

If examination reveals a bruit (sound due to turbulent blood flow), imaging studies such as transcranial doppler (TCD) or magnetic resonance angiography (MRA) should be performed.[82][83][84]

Differential diagnosis

Other potential sources of the sounds normally associated with tinnitus should be ruled out. For instance, two recognized sources of high-pitched sounds might be electromagnetic fields common in modern wiring and various sound signal transmissions. A common and often misdiagnosed condition that mimics tinnitus is radio frequency (RF) hearing, in which subjects hear objectively audible high-pitched transmission frequencies that sound similar to tinnitus.[85][86]

Prevention

Safety sign from the UK Government Regulations requiring ear protection

Prolonged exposure to loud sound or noise levels can lead to tinnitus.[87] Custom made ear plugs or other measures can help with prevention. Employers may use hearing loss prevention programs to help educate and prevent dangerous levels of exposure to noise. Government organizations set regulations to ensure employees, if following the protocol, should have minimal risk to permanent damage to their hearing.[88]

Certain groups are advised to wear ear plugs to avoid the risk of tinnitus, such as that caused by overexposure to loud noises like wind noise for motorcycle riders.[89] This includes military personnel,[38] musicians,[90] DJs,[91] agricultural workers,[92] and construction workers [93] as people in those occupations are at a greater risk compared to the general population.

Several medicines have ototoxic effects, which can have a cumulative effect that increases the damage done by noise.[38] If ototoxic medications must be administered, close attention by the physician to prescription details, such as dose and dosage interval, can reduce the damage done.[15][94][95][96]

Management

If a specific underlying cause is determined, treating it may lead to improvements.[3] Otherwise, the primary treatment for tinnitus is talk therapy,[5] sound therapy, or hearing aids. There are no effective drugs that treat tinnitus.[3][97][98]

Psychological

The best-supported treatment for tinnitus is cognitive behavioral therapy (CBT).[5][81][99] It decreases the stress those with tinnitus feel.[100] This appears to be independent of any effect on depression or anxiety.[99] Acceptance and commitment therapy (ACT) also shows promise in the treatment of tinnitus.[101] Relaxation techniques may also help.[3] A clinical protocol called Progressive Tinnitus Management has been developed by the United States Department of Veterans Affairs.[102]

Sound-based interventions

The application of sound therapy by either hearing aids or tinnitus maskers may help the brain ignore the specific tinnitus frequency. Although these methods are poorly supported by evidence, there are no negative effects.[3][103][104] There are several approaches for tinnitus sound therapy. The first is sound modification to compensate for the individual's hearing loss. The second is a signal spectrum notching to eliminate energy close to the tinnitus frequency.[105][106] There is some tentative evidence supporting tinnitus retraining therapy, which aims to reduce tinnitus-related neuronal activity.[3][107][106] An alternative tinnitus treatment uses mobile applications that include various methods including masking, sound therapy, and relaxation exercises.[108][109] Such applications can work as a separate device or as a hearing aid control system.[110]

Neuromonics is another sound-based intervention. Its protocol follows the principle of systematic desensitization and involves a structured rehabilitation program lasting 12 months. Neuromonics therapy employs customized sound signals delivered through a device worn by the patient, which aims to target the specific frequency range associated with their tinnitus perception.[111]

Medications

As of 2018 there were no medications effective for idiopathic tinnitus.[3][87][112] There is not enough evidence to determine if antidepressants[113] or acamprosate are useful.[114] There is no high-quality evidence to support the use of benzodiazepines for tinnitus.[3][112][115] Usefulness of melatonin, as of 2015, is unclear.[116] It is unclear if anticonvulsants are useful for treating tinnitus.[3][117] Steroid injections into the middle ear also do not seem to be effective.[118][119] There is no evidence to suggest that the use of betahistine to treat tinnitus is effective.[120]

Botulinum toxin injection has succeeded in some of the rare cases of objective tinnitus from a palatal tremor.[121]

Caroverine is used in a few countries to treat tinnitus.[122] The evidence for its usefulness is very weak.[123]

Neuromodulation

In 2020, information about clinical trials indicated that bimodal neuromodulation may reduce the symptoms of tinnitus. It is a noninvasive technique that involves applying an electrical stimulus to the tongue while also administering sounds.[124] Equipment associated with the treatments is available through physicians. Studies with it and similar devices continue in several research centers.

Some evidence supports neuromodulation techniques such as transcranial magnetic stimulation,[3][125] transcranial direct current stimulation, and neurofeedback.

Alternative medicine

Ginkgo biloba does not appear to be effective.[112][126] The American Academy of Otolaryngology recommends against taking melatonin or zinc supplements to relieve symptoms of tinnitus, and reported that evidence for the efficacy of many dietary supplements (such as lipoflavonoids, garlic, traditional Chinese/Korean herbal medicine, honeybee larvae, and various other vitamins and minerals, as well as homeopathic preparations) did not exist.[87] A 2016 Cochrane Review also concluded that evidence was not sufficient to support taking zinc supplements to reduce symptoms associated with tinnitus.[127]

Prognosis

While there is no cure, most people with tinnitus get used to it over time; for a minority, it remains a significant problem.[5]

Epidemiology

Adults

Tinnitus affects 1015% of people.[5] About a third of North Americans over 55 experience it.[128] It affects one third of adults at some time in their lives, whereas 10–15% are disturbed enough to seek medical evaluation.[129] 70 million people in Europe are estimated to have tinnitus.[130][131]

Children

Tinnitus is commonly thought of as a symptom of adulthood, and is often overlooked in children. Children with hearing loss have a high incidence of pediatric tinnitus, even though they do not express the condition or its effect on their lives.[132][133] Children do not generally report tinnitus spontaneously and their complaints may not be taken seriously.[134] Among those who do complain, there is an increased likelihood of associated otological or neurological pathology such as migraine, juvenile Meniere's disease, or chronic suppurative otitis media.[135] Its reported prevalence varies from 12 to 36% in children with normal hearing thresholds, and up to 66% in children with a hearing loss. Approximately 3–10% of children have been reported to be troubled by tinnitus.[136]

See also

References

  1. Levine, Robert A.; Oron, Yahav (2015). "Tinnitus". The Human Auditory System - Fundamental Organization and Clinical Disorders. Handbook of Clinical Neurology. Vol. 129. pp. 409–431. doi:10.1016/B978-0-444-62630-1.00023-8. ISBN 978-0-444-62630-1. PMID 25726282.
  2. "Tinnitus". NIH – National Institute on Deafness and Other Communication Disorders (NIDCD). 6 March 2017. Archived from the original on 3 April 2019. Retrieved 20 September 2019.
  3. Baguley, David; McFerran, Don; Hall, Deborah (November 2013). "Tinnitus". The Lancet. 382 (9904): 1600–1607. doi:10.1016/S0140-6736(13)60142-7. PMID 23827090.
  4. Han BI, Lee HW, Kim TY, Lim JS, Shin KS (March 2009). "Tinnitus: characteristics, causes, mechanisms, and treatments". Journal of Clinical Neurology. 5 (1): 11–19. doi:10.3988/jcn.2009.5.1.11. PMC 2686891. PMID 19513328. About 75% of new cases are related to emotional stress as the trigger factor rather than to precipitants involving cochlear lesions.
  5. Langguth, B; Kreuzer, PM; Kleinjung, T; De Ridder, D (September 2013). "Tinnitus: causes and clinical management". The Lancet Neurology. 12 (9): 920–930. doi:10.1016/S1474-4422(13)70160-1. PMID 23948178. S2CID 13402806.
  6. "Tinnitus – noises in the ears or head". ENT kent. Archived from the original on 28 September 2021. Retrieved 20 January 2021.
  7. Salazar, James W. (2019). "Depression in Patients with Tinnitus: A Systematic Review". Otolaryngol Head Neck Surg. 161 (1): 28–35. doi:10.1177/0194599819835178. PMC 7721477. PMID 30909841.
  8. Bhatt, Jay M. (2016). "Relationships Between Tinnitus And The Prevalence Of Anxiety And Depression". Laryngoscope. 127 (2): 466–469. doi:10.1002/lary.26107. PMC 5812676. PMID 27301552.
  9. "Taming tinnitus".
  10. "Why Does My Tinnitus Get Worse when I'm Stressed?". 17 May 2021.
  11. House, Patricia R. (2008). "Personality of the Tinnitus Patient". Ciba Foundation Symposium 85 - Tinnitus. Novartis Foundation Symposia. Vol. 85. pp. 193–203. doi:10.1002/9780470720677.ch11. ISBN 978-0-470-72067-7. PMID 7035099.
  12. Esmaili, Aaron A; Renton, John (1 April 2018). "A review of tinnitus". Australian Journal of General Practice. 47 (4): 205–208. doi:10.31128/AJGP-12-17-4420. PMID 29621860.
  13. Mazurek B, Haupt H, Olze H, Szczepeck A (2022). "Stress and tinnitus—from bedside to bench and back". Frontiers in Systems Neuroscience. 6 (47): 47. doi:10.3389/fnsys.2012.00047. PMC 3371598. PMID 22701404.
  14. Henry, James A.; Dennis, Kyle C.; Schechter, Martin A. (October 2005). "General Review of Tinnitus: Prevalence, Mechanisms, Effects, and Management". Journal of Speech, Language, and Hearing Research. 48 (5): 1204–1235. doi:10.1044/1092-4388(2005/084). PMID 16411806.
  15. Rizk HG, Lee JA, Liu YF, Endriukaitis L, Isaac JL, Bullington WM (December 2020). "Drug-Induced Ototoxicity: A Comprehensive Review and Reference Guide". Pharmacotherapy. 40 (12): 1265–1275. doi:10.1002/phar.2478. PMID 33080070. S2CID 224828345.
  16. Simmons R, Dambra C, Lobarinas E, Stocking C, Salvi R (2008). "Head, Neck, and Eye Movements That Modulate Tinnitus". Seminars in Hearing. 29 (4): 361–370. doi:10.1055/s-0028-1095895. PMC 2633109. PMID 19183705.
  17. Baguley D; Andersson g; McFerran D; McKenna L (2013). Tinnitus: A Multidisciplinary Approach (2nd ed.). Blackwell Publishing Ltd. pp. 16–17. ISBN 978-1-118-48870-6.
  18. Gopinath B, McMahon CM, Rochtchina E, Karpa MJ, Mitchell P (2010). "Incidence, persistence, and progression of tinnitus symptoms in older adults: the Blue Mountains Hearing Study". Ear and Hearing. 31 (3): 407–412. doi:10.1097/AUD.0b013e3181cdb2a2. PMID 20124901. S2CID 23601127.
  19. Shargorodsky J, Curhan GC, Farwell WR (2010). "Prevalence and characteristics of tinnitus among US adults". The American Journal of Medicine. 123 (8): 711–718. doi:10.1016/j.amjmed.2010.02.015. PMID 20670725.
  20. Andersson G (2002). "Psychological aspects of tinnitus and the application of cognitive-behavioral therapy". Clinical Psychology Review. 22 (7): 977–990. doi:10.1016/s0272-7358(01)00124-6. PMID 12238249.
  21. Reiss M, Reiss G (1999). "Some psychological aspects of tinnitus". Perceptual and Motor Skills. 88 (3 Pt 1): 790–792. doi:10.2466/pms.1999.88.3.790. PMID 10407886. S2CID 41610361.
  22. Baguley DM (2002). "Mechanisms of tinnitus". British Medical Bulletin. 63: 195–212. doi:10.1093/bmb/63.1.195. PMID 12324394.
  23. Henry, James A.; Meikle, Mary B. (May 1999). "Pulsed versus Continuous Tones for Evaluating the Loudness of Tinnitus". Journal of the American Academy of Audiology. 10 (5): 261–272. doi:10.1055/s-0042-1748497. PMID 10331618. S2CID 18675226.
  24. Henry JA, Dennis KC, Schechter MA (2005). "General review of tinnitus: Prevalence, mechanisms, effects, and management". Journal of Speech, Language, and Hearing Research. 48 (5): 1204–1235. doi:10.1044/1092-4388(2005/084). PMID 16411806.
  25. Davies A, Rafie EA (2000). "Epidemiology of Tinnitus". In Tyler, RS (ed.). Tinnitus Handbook. San Diego: Singular. pp. 1–23. OCLC 42771695.
  26. Pattyn T, Van Den Eede F, Vanneste S, Cassiers L, Veltman DJ, Van De Heyning P, Sabbe BC (2015). "Tinnitus and anxiety disorders: A review". Hearing Research. 333: 255–265. doi:10.1016/j.heares.2015.08.014. hdl:10067/1273140151162165141. PMID 26342399. S2CID 205103174.
  27. Henry JA, Wilson P (2000). "Psychological management of tinnitus". In R.S. Tyler (ed.). Tinnitus Handbook. San Diego: Singular. pp. 263–279. OCLC 42771695.
  28. Andersson G, Westin V (2008). "Understanding tinnitus distress: Introducing the concepts of moderators and mediators". International Journal of Audiology. 47 (Suppl. 2): S106–111. doi:10.1080/14992020802301670. PMID 19012118. S2CID 19389202.
  29. Weise C, Hesser H, Andersson G, Nyenhuis N, Zastrutzki S, Kröner-Herwig B, Jäger B (2013). "The role of catastrophizing in recent onset tinnitus: its nature and association with tinnitus distress and medical utilization". International Journal of Audiology. 52 (3): 177–188. doi:10.3109/14992027.2012.752111. PMID 23301660. S2CID 24297897.
  30. Jastreboff, PJ; Hazell, JWP (2004). Tinnitus Retraining Therapy: Implementing the neurophysiological model. Cambridge: Cambridge University Press. OCLC 237191959.
  31. Robert Aaron Levine (1999). "Somatic (craniocervical) tinnitus and the dorsal cochlear nucleus hypothesis". American Journal of Otolaryngology. 20 (6): 351–362. CiteSeerX 10.1.1.22.2488. doi:10.1016/S0196-0709(99)90074-1. PMID 10609479.
  32. Chan Y (2009). "Tinnitus: etiology, classification, characteristics, and treatment". Discovery Medicine. 8 (42): 133–136. PMID 19833060.
  33. Lie Becker, Marianne; et al. (2023). "Transportation Noise and Risk of Tinnitus: A Nationwide Cohort Study from Denmark". Environmental Health Perspectives. 131 (2): 27001. doi:10.1289/EHP11248. PMC 9891135. PMID 36722980.
  34. Barbara Rubinstein; et al. (1990). "Prevalence of Signs and Symptoms of Craniomandibular Disorders in Tinnitus Patients". Journal of Craniomandibular Disorders. 4 (3): 186–192. PMID 2098394.
  35. Schecklmann, Martin; Vielsmeier, Veronika; Steffens, Thomas; Landgrebe, Michael; Langguth, Berthold; Kleinjung, Tobias; Andersson, Gerhard (18 April 2012). "Relationship between Audiometric Slope and Tinnitus Pitch in Tinnitus Patients: Insights into the Mechanisms of Tinnitus Generation". PLOS ONE. 7 (4): e34878. Bibcode:2012PLoSO...734878S. doi:10.1371/journal.pone.0034878. PMC 3329543. PMID 22529949.
  36. Schaette, R; McAlpine, D (21 September 2011). "Tinnitus with a Normal Audiogram: Physiological Evidence for Hidden Hearing Loss and Computational Model". The Journal of Neuroscience. 31 (38): 13452–13457. doi:10.1523/JNEUROSCI.2156-11.2011. PMC 6623281. PMID 21940438.
  37. Yew, KS (15 January 2014). "Diagnostic approach to patients with tinnitus". American Family Physician. 89 (2): 106–113. PMID 24444578.
  38. Theodoroff SM, Konrad-Martin D (August 2020). "Noise: Acoustic Trauma and Tinnitus, the US Military Experience". Otolaryngologic Clinics of North America. 53 (4): 543–553. doi:10.1016/j.otc.2020.03.004. PMC 9015011. PMID 32334867.
  39. Don Brown, R.; Penny, Joe E.; Henley, Charles M.; Hodges, Keri B.; Kupetz, Suzyjo A.; Glenn, David W.; Jobe, Phillip C. (2008). "Ototoxic Drugs and Noise". Ciba Foundation Symposium 85 - Tinnitus. Novartis Foundation Symposia. Vol. 85. pp. 151–171. doi:10.1002/9780470720677.ch9. ISBN 978-0-470-72067-7. PMID 7035098.
  40. Stas Bekman: stas (at) stason.org. "6) What are some ototoxic drugs?". Stason.org. Archived from the original on 19 October 2012. Retrieved 26 October 2012.
  41. Riba, Michelle B; Ravindranath, Divy (2010). Clinical manual of emergency psychiatry. Washington, DC: American Psychiatric Publishing Inc. p. 197. ISBN 978-1-58562-295-5.
  42. Delanty, Norman (2001). Seizures: medical causes and management. Totowa, NJ: Humana Press. p. 187. ISBN 978-0-89603-827-1.
  43. Fornaro M, Martino M (2010). "Tinnitus psychopharmacology: A comprehensive review of its pathomechanisms and management". Neuropsychiatric Disease and Treatment. 6: 209–218. doi:10.2147/ndt.s10361. PMC 2898164. PMID 20628627.
  44. Crummer RW, Hassan GA (2004). "Diagnostic approach to tinnitus". American Family Physician. 69 (1): 120–106. PMID 14727828.
  45. Passchier-Vermeer W, Passchier WF (2000). "Noise exposure and public health". Environmental Health Perspectives. 108 (Suppl 1): 123–131. doi:10.1289/ehp.00108s1123. JSTOR 3454637. PMC 1637786. PMID 10698728.
  46. Zempleni, Janos; Suttie, John W; Gregory, III, Jesse F; Stover, Patrick J, eds. (2014). Handbook of vitamins (Fifth ed.). Hoboken: CRC Press. p. 477. ISBN 978-1-4665-1557-4. Archived from the original on 17 August 2016.
  47. Shulgin, Alexander; Shulgin, Ann (1997). "#36. 5-MEO-DET". TiHKAL: the continuation. Berkeley, CA: Transform Press. ISBN 978-0-9630096-9-2. OCLC 38503252. Archived from the original on 31 October 2012. Retrieved 27 October 2012.
  48. "Erowid Experience Vaults: DiPT – More Tripping & Revelations – 26540". Archived from the original on 2 November 2014.
  49. "MEM, Tinnitus and Ear Drum Spasms". Tinnitus And You. 18 August 2021. Archived from the original on 20 August 2021. Retrieved 24 May 2022.
  50. Kerr, Rhorie; Kang, Elise; Hopkins, Brandon; Anne, Samantha (December 2017). "Pediatric tinnitus: Incidence of imaging anomalies and the impact of hearing loss". International Journal of Pediatric Otorhinolaryngology. 103: 147–149. doi:10.1016/j.ijporl.2017.10.027. PMID 29224758.
  51. Salman, Rida; Chong, Insun; Amans, Matthew; Hui, Ferdinand; Desai, Nilesh; Huisman, Thierry A. G. M.; Tran, Brandon (May 2022). "Pediatric tinnitus: The role of neuroimaging". Journal of Neuroimaging. 32 (3): 400–411. doi:10.1111/jon.12986. PMID 35307901. S2CID 247584230.
  52. McFerran, Don; Magdalena, Sereda. "Pulsatile tinnitus" (PDF). Action on Hearing Loss. Royal National Institute for Deaf People (RNID). Archived from the original (PDF) on 22 July 2018. Retrieved 22 July 2018.
  53. Chandler JR (1983). "Diagnosis and cure of venous hum tinnitus". The Laryngoscope. 93 (7): 892–895. doi:10.1288/00005537-198307000-00009. PMID 6865626. S2CID 33725476.
  54. Moonis G, Hwang CJ, Ahmed T, Weigele JB, Hurst RW (2005). "Otologic manifestations of petrous carotid aneurysms". American Journal of Neuroradiology. 26 (6): 1324–1327. PMC 8149044. PMID 15956490.
  55. Selim, Magdy; Caplan, Louis R. (June 2004). "Carotid artery dissection". Current Treatment Options in Cardiovascular Medicine. 6 (3): 249–253. doi:10.1007/s11936-996-0020-z. PMID 15096317. S2CID 7503852.
  56. Sismanis, Aristides; Butts, Frank M.; Hughes, Gordon B. (January 1990). "Objective Tinnitus in Benign Intracranial Hypertension: An Update". The Laryngoscope. 100 (1): 33–36. doi:10.1288/00005537-199001000-00008. PMID 2293699. S2CID 20886638.
  57. Diamond BJ, Mosley JE (2011). "Arteriovenous Malformation (AVM)". In Kreutzer JS, DeLuca J, Caplan B (eds.). Encyclopedia of Clinical Neuropsychology. Springer. pp. 249–252. doi:10.1007/978-0-387-79948-3. ISBN 978-0-387-79947-6.
  58. Nicolas-Puel C, Faulconbridge RL, Guitton M, Puel JL, Mondain M, Uziel A (2002). "Characteristics of tinnitus and etiology of associated hearing loss: a study of 123 patients". The International Tinnitus Journal. 8 (1): 37–44. PMID 14763234.
  59. Møller AR (2016). "Sensorineural Tinnitus: Its Pathology and Probable Therapies". International Journal of Otolaryngology. 2016: 1–13. doi:10.1155/2016/2830157. PMC 4761664. PMID 26977153.
  60. Sedley W, Friston KJ, Gander PE, Kumar S, Griffiths TD (2016). "An Integrative Tinnitus Model Based on Sensory Precision". Trends in Neurosciences. 39 (12): 799–812. doi:10.1016/j.tins.2016.10.004. PMC 5152595. PMID 27871729.
  61. Shore SE, Roberts LE, Langguth B (2016). "Maladaptive plasticity in tinnitus – triggers, mechanisms and treatment". Nature Reviews Neurology. 12 (3): 150–160. doi:10.1038/nrneurol.2016.12. PMC 4895692. PMID 26868680.
  62. Park, Jung Mee; Kim, Woo Jin; Han, Jae Sang; Park, So Young; Park, Shi Nae (2 July 2020). "Management of palatal myoclonic tinnitus based on clinical characteristics: a large case series study". Acta Oto-Laryngologica. 140 (7): 553–557. doi:10.1080/00016489.2020.1749724. PMID 32406274. S2CID 218635840.
  63. Crummer, RW; et al. (2004). "Diagnostic Approach to Tinnitus". American Family Physician. 69 (1): 120–126. PMID 14727828.
  64. Davis, A (1989). "The prevalence of hearing impairment and reported hearing disability among adults in Great Britain". International Journal of Epidemiology. 18 (4): 911–917. doi:10.1093/ije/18.4.911. PMID 2621028.
  65. Henry, J.A., 2016. "'Measurement' of tinnitus." Otology & Neurotology, 37(8), pp. e276–e285.
  66. Henry, JA; Meikle, MB (March 2000). "Psychoacoustic measures of tinnitus". Journal of the American Academy of Audiology. 11 (3): 138–55. doi:10.1055/s-0042-1748040. PMID 10755810. S2CID 34933069.
  67. Vielsmeier V, Lehner A, Strutz J, Steffens T, Kreuzer PM, Schecklmann M, Landgrebe M, Langguth B, Kleinjung T (2015). "The Relevance of the High Frequency Audiometry in Tinnitus Patients with Normal Hearing in Conventional Pure-Tone Audiometry". BioMed Research International. 2015: 1–5. doi:10.1155/2015/302515. PMC 4637018. PMID 26583098.
  68. Basile CÉ, Fournier P, Hutchins S, Hébert S (2013). "Psychoacoustic assessment to improve tinnitus diagnosis". PLOS ONE. 8 (12): e82995. Bibcode:2013PLoSO...882995B. doi:10.1371/journal.pone.0082995. PMC 3861445. PMID 24349414.
  69. Roberts, Larry E. (2007). "Residual inhibition". Tinnitus: Pathophysiology and Treatment. Progress in Brain Research. Vol. 166. pp. 487–495. doi:10.1016/S0079-6123(07)66047-6. ISBN 978-0-444-53167-4. PMID 17956813.
  70. Roberts LE, Moffat G, Baumann M, Ward LM, Bosnyak DJ (2008). "Residual inhibition functions overlap tinnitus spectra and the region of auditory threshold shift". Journal of the Association for Research in Otolaryngology. 9 (4): 417–435. doi:10.1007/s10162-008-0136-9. PMC 2580805. PMID 18712566.
  71. Knipper M, Van Dijk P, Nunes I, Rüttiger L, Zimmermann U (2013). "Advances in the neurobiology of hearing disorders: recent developments regarding the basis of tinnitus and hyperacusis". Progress in Neurobiology. 111: 17–33. doi:10.1016/j.pneurobio.2013.08.002. PMID 24012803.
  72. Tyler, Richard S.; Pienkowski, Martin; Roncancio, Eveling Rojas; Jun, Hyung Jin; Brozoski, Tom; Dauman, Nicolas; Coelho, Claudia Barros; Andersson, Gerhard; Keiner, Andrew J.; Cacace, Anthony T.; Martin, Nora; Moore, Brian C. J. (December 2014). "A Review of Hyperacusis and Future Directions: Part I. Definitions and Manifestations". American Journal of Audiology. 23 (4): 402–419. doi:10.1044/2014_AJA-14-0010. PMID 25104073.
  73. Sherlock, LaGuinn P.; Formby, Craig (February 2005). "Estimates of Loudness, Loudness Discomfort, and the Auditory Dynamic Range: Normative Estimates, Comparison of Procedures, and Test-Retest Reliability". Journal of the American Academy of Audiology. 16 (2): 085–100. doi:10.3766/jaaa.16.2.4. PMID 15807048.
  74. Pienkowski, Martin; Tyler, Richard S.; Roncancio, Eveling Rojas; Jun, Hyung Jin; Brozoski, Tom; Dauman, Nicolas; Coelho, Claudia Barros; Andersson, Gerhard; Keiner, Andrew J.; Cacace, Anthony T.; Martin, Nora; Moore, Brian C. J. (December 2014). "A Review of Hyperacusis and Future Directions: Part II. Measurement, Mechanisms, and Treatment". American Journal of Audiology. 23 (4): 420–436. doi:10.1044/2014_AJA-13-0037. PMID 25478787.
  75. McCombe, A.; Baguley, D.; Coles, R.; McKenna, L.; McKinney, C.; Windle-Taylor, P. (October 2001). "Guidelines for the grading of tinnitus severity: the results of a working group commissioned by the British Association of Otolaryngologists, Head and Neck Surgeons, 1999". Clinical Otolaryngology and Allied Sciences. 26 (5): 388–393. doi:10.1046/j.1365-2273.2001.00490.x. PMID 11678946.
  76. Langguth, B.; Goodey, R.; Azevedo, A.; Bjorne, A.; Cacace, A.; Crocetti, A.; Del Bo, L.; De Ridder, D.; Diges, I.; Elbert, T.; Flor, H.; Herraiz, C.; Ganz Sanchez, T.; Eichhammer, P.; Figueiredo, R.; Hajak, G.; Kleinjung, T.; Landgrebe, M.; Londero, A.; Lainez, M.J.A.; Mazzoli, M.; Meikle, M.B.; Melcher, J.; Rauschecker, J.P.; Sand, P.G.; Struve, M.; Van De Heyning, P.; Van Dijk, P.; Vergara, R. (2007). "Consensus for tinnitus patient assessment and treatment outcome measurement: Tinnitus Research Initiative meeting, Regensburg, July 2006". Tinnitus: Pathophysiology and Treatment. Progress in Brain Research. Vol. 166. pp. 525–536. doi:10.1016/S0079-6123(07)66050-6. ISBN 978-0-444-53167-4. PMC 4283806. PMID 17956816.
  77. Meikle, M.B.; Stewart, B.J.; Griest, S.E.; Martin, W.H.; Henry, J.A.; Abrams, H.B.; McArdle, R.; Newman, C.W.; Sandridge, S.A. (2007). "Assessment of tinnitus: Measurement of treatment outcomes". Tinnitus: Pathophysiology and Treatment. Progress in Brain Research. Vol. 166. pp. 511–521. doi:10.1016/S0079-6123(07)66049-X. ISBN 978-0-444-53167-4. PMID 17956815.
  78. Meikle, Mary B.; Henry, James A.; Griest, Susan E.; Stewart, Barbara J.; Abrams, Harvey B.; McArdle, Rachel; Myers, Paula J.; Newman, Craig W.; Sandridge, Sharon; Turk, Dennis C.; Folmer, Robert L.; Frederick, Eric J.; House, John W.; Jacobson, Gary P.; Kinney, Sam E.; Martin, William H.; Nagler, Stephen M.; Reich, Gloria E.; Searchfield, Grant; Sweetow, Robert; Vernon, Jack A. (March 2012). "The Tinnitus Functional Index: Development of a New Clinical Measure for Chronic, Intrusive Tinnitus". Ear & Hearing. 33 (2): 153–176. doi:10.1097/AUD.0b013e31822f67c0. PMID 22156949. S2CID 587811.
  79. Henry, J. L.; Wilson, PH (2000). The Psychological Management of Chronic Tinnitus: A Cognitive Behavioural Approach. Allyn and Bacon.
  80. Landgrebe M, Azevedo A, Baguley D, Bauer C, Cacace A, Coelho C, et al. (2012). "Methodological aspects of clinical trials in tinnitus: A proposal for international standard". Journal of Psychosomatic Research. 73 (2): 112–121. doi:10.1016/j.jpsychores.2012.05.002. PMC 3897200. PMID 22789414.
  81. Martinez-Devesa, Pablo; Perera, Rafael; Theodoulou, Megan; Waddell, Angus (8 September 2010). "Cognitive behavioural therapy for tinnitus". Cochrane Database of Systematic Reviews (9): CD005233. doi:10.1002/14651858.CD005233.pub3. PMID 20824844.
  82. Pegge S, Steens S, Kunst H, Meijer F (2017). "Pulsatile Tinnitus: Differential Diagnosis and Radiological Work-Up". Current Radiology Reports. 5 (1): 5. doi:10.1007/s40134-017-0199-7. PMC 5263210. PMID 28203490.
  83. Hofmann E, Behr R, Neumann-Haefelin T, Schwager K (2013). "Pulsatile tinnitus: imaging and differential diagnosis". Deutsches Ärzteblatt International. 110 (26): 451–458. doi:10.3238/arztebl.2013.0451. PMC 3719451. PMID 23885280.
  84. Sismanis, Aristides (October 2011). "Pulsatile tinnitus: contemporary assessment and management". Current Opinion in Otolaryngology & Head and Neck Surgery. 19 (5): 348–357. doi:10.1097/MOO.0b013e3283493fd8. PMID 22552697. S2CID 22964919.
  85. Elder, JA; Chou, CK (2003). "Auditory response to pulsed radiofrequency energy". Bioelectromagnetics. Suppl 6: S162–173. doi:10.1002/bem.10163. PMID 14628312. S2CID 9813447.
  86. Lin JC, Wang Z (2007). "Hearing of microwave pulses by humans and animals: effects, mechanism, and thresholds". Health Physics. 92 (6): 621–628. doi:10.1097/01.HP.0000250644.84530.e2. PMID 17495664. S2CID 37236570.
  87. Tunkel DE, Bauer CA, Sun GH, et al. (2014). "Clinical practice guideline: tinnitus". Otolaryngology–Head and Neck Surgery. 151 (2 Suppl): S1–40. doi:10.1177/0194599814545325. PMID 25273878. S2CID 206468767.
  88. "NIOSH Program Portfolio : Hearing Loss Prevention : Program Description". www.cdc.gov – CDC. 5 February 2019. Retrieved 26 March 2019.
  89. "Bike news". www.carolenash.com. Retrieved 28 June 2021.
  90. Burns-O'Connell, Georgina; Stockdale, David; Cassidy, Oscar; Knowles, Victoria; Hoare, Derek J. (27 August 2021). "Surrounded by Sound: The Impact of Tinnitus on Musicians". International Journal of Environmental Research and Public Health. 18 (17): 9036. doi:10.3390/ijerph18179036. PMC 8431046. PMID 34501628.
  91. "DJS Shouldn't Have to Live with Constant Ringing in Their Ears". 9 August 2016.
  92. Couth, Samuel; Mazlan, Naadia; Moore, David R.; Munro, Kevin J.; Dawes, Piers (January 2019). "Hearing Difficulties and Tinnitus in Construction, Agricultural, Music, and Finance Industries: Contributions of Demographic, Health, and Lifestyle Factors". Trends in Hearing. 23. doi:10.1177/2331216519885571. PMC 6868580. PMID 31747526.
  93. "Construction Statistics - Occupational Hearing Loss Surveillance | NIOSH | CDC". 12 November 2021.
  94. Cianfrone, G; Pentangelo, D; Cianfrone, F; Mazzei, F; Turchetta, R; Orlando, MP; Altissimi, G (June 2011). "Pharmacological drugs inducing ototoxicity, vestibular symptoms and tinnitus: a reasoned and updated guide". European Review for Medical and Pharmacological Sciences. 15 (6): 601–36. PMID 21796866.
  95. Palomar García, V; Abdulghani Martínez, F; Bodet Agustí, E; Andreu Mencía, L; Palomar Asenjo, V (July 2001). "Drug-induced otoxicity: current status". Acta Oto-Laryngologica. 121 (5): 569–572. doi:10.1080/00016480121545. PMID 11583387. S2CID 218879738.
  96. Seligmann H, Podoshin L, Ben-David J, Fradis M, Goldsher M (1996). "Drug-induced tinnitus and other hearing disorders". Drug Safety. 14 (3): 198–212. doi:10.2165/00002018-199614030-00006. PMID 8934581. S2CID 23522352.
  97. "Drug Therapies". American Tinnitus Association. 20 March 2015. Retrieved 3 March 2022. There are presently no FDA-approved drugs specifically for tinnitus, and no medications that have been shown to reverse the neural hyperactivity at the root of tinnitus. Drugs cannot cure tinnitus, but they may provide relief from some severe tinnitus symptoms.
  98. Kleinjung, Tobias; Langguth, Berthold (August 2020). "Avenue for Future Tinnitus Treatments". Otolaryngologic Clinics of North America. 53 (4): 667–683. doi:10.1016/j.otc.2020.03.013. PMID 32381341.
  99. Hoare D, Kowalkowski V, Knag S, Hall D (2011). "Systematic review and meta-analyses of randomized controlled trials examining tinnitus management". The Laryngoscope. 121 (7): 1555–1564. doi:10.1002/lary.21825. PMC 3477633. PMID 21671234.
  100. Hesser H, Weise C, Zetterquist Westin V, Andersson G (2011). "A systematic review and meta-analysis of randomized controlled trials of cognitive–behavioral therapy for tinnitus distress". Clinical Psychology Review. 31 (4): 545–553. doi:10.1016/j.cpr.2010.12.006. PMID 21237544.
  101. Ost, LG (October 2014). "The efficacy of Acceptance and Commitment Therapy: an updated systematic review and meta-analysis". Behaviour Research and Therapy. 61: 105–121. doi:10.1016/j.brat.2014.07.018. PMID 25193001.
  102. Henry J, Zaugg T, Myers P, Kendall C (2012). "Chapter 9 – Level 5 Individualized Support". Progressive Tinnitus Management: Clinical Handbook for Audiologists. US Department of Veterans Affairs, National Center for Rehabilitative Auditory Research. Archived from the original on 20 December 2013. Retrieved 20 December 2013.
  103. Hoare DJ, Searchfield GD, El Refaie A, Henry JA (2014). "Sound therapy for tinnitus management: practicable options". Journal of the American Academy of Audiology. 25 (1): 62–75. doi:10.3766/jaaa.25.1.5. PMID 24622861.
  104. Sereda, Magdalena; Xia, Jun; El Refaie, Amr; Hall, Deborah A; Hoare, Derek J (27 December 2018). "Sound therapy (using amplification devices and/or sound generators) for tinnitus". Cochrane Database of Systematic Reviews. 2018 (12): CD013094. doi:10.1002/14651858.CD013094.pub2. PMC 6517157. PMID 30589445.
  105. Shore, Susan E.; Roberts, Larry E.; Langguth, Berthold (March 2016). "Maladaptive plasticity in tinnitus — triggers, mechanisms and treatment". Nature Reviews Neurology. 12 (3): 150–160. doi:10.1038/nrneurol.2016.12. PMC 4895692. PMID 26868680.
  106. Hesse, Gerhard (15 December 2016). "Evidence and evidence gaps in tinnitus therapy". GMS Current Topics in Otorhinolaryngology - Head and Neck Surgery; 15:Doc04. 15: Doc04. doi:10.3205/cto000131. PMC 5169077. PMID 28025604.
  107. Phillips JS, McFerran D (2010). "Tinnitus Retraining Therapy (TRT) for tinnitus". Cochrane Database of Systematic Reviews. 2010 (3): CD007330. doi:10.1002/14651858.CD007330.pub2. PMC 7209976. PMID 20238353.
  108. Casale, Manuele; Costantino, Andrea; Rinaldi, Vittorio; Forte, Antonio; Grimaldi, Marta; Sabatino, Lorenzo; Oliveto, Giuseppe; Aloise, Fabio; Pontari, Domenico; Salvinelli, Fabrizio (December 2018). "Mobile applications in otolaryngology for patients: An update: Otolaryngology Apps for Patients". Laryngoscope Investigative Otolaryngology. 3 (6): 434–438. doi:10.1002/lio2.201. PMC 6302723. PMID 30599026.
  109. Mosa, Abu Saleh Mohammad; Yoo, Illhoi; Sheets, Lincoln (December 2012). "A Systematic Review of Healthcare Applications for Smartphones". BMC Medical Informatics and Decision Making. 12 (1): 67. doi:10.1186/1472-6947-12-67. PMC 3534499. PMID 22781312.
  110. Kalle, Sven; Schlee, Winfried; Pryss, Rüdiger C.; Probst, Thomas; Reichert, Manfred; Langguth, Berthold; Spiliopoulou, Myra (20 August 2018). "Review of Smart Services for Tinnitus Self-Help, Diagnostics and Treatments". Frontiers in Neuroscience. 12: 541. doi:10.3389/fnins.2018.00541. PMC 6109754. PMID 30177869.
  111. Hobson J, Chisholm E, El Refaie A. Sound therapy (masking) in the management of tinnitus in adults. Cochrane Database Syst Rev. 2012 Nov 14;11(11):CD006371. doi: 10.1002/14651858.CD006371.pub3. PMID 23152235; PMCID: PMC7390392.
  112. Bauer, CA (March 2018). "Tinnitus". New England Journal of Medicine. 378 (13): 1224–1231. doi:10.1056/NEJMcp1506631. PMID 29601255.
  113. Baldo, P; Doree, C; Molin, P; McFerran, D; Cecco, S (12 September 2012). "Antidepressants for patients with tinnitus". Cochrane Database of Systematic Reviews. 9 (9): CD003853. doi:10.1002/14651858.CD003853.pub3. PMC 7156891. PMID 22972065.
  114. Savage, J; Cook, S; Waddell, A (12 November 2009). "Tinnitus". BMJ Clinical Evidence. 2009. PMC 2907768. PMID 21726476.
  115. Savage, J; Waddell, A (October 2014). "Tinnitus". BMJ Clinical Evidence. 2014: 0506. PMC 4202663. PMID 25328113.
  116. Miroddi, M; Bruno, R; Galletti, F; Calapai, F; Navarra, M; Gangemi, S; Calapai, G (March 2015). "Clinical pharmacology of melatonin in the treatment of tinnitus: a review". European Journal of Clinical Pharmacology. 71 (3): 263–270. doi:10.1007/s00228-015-1805-3. PMID 25597877. S2CID 16466238.
  117. Hoekstra, Carlijn EL; Rynja, Sybren P; van Zanten, Gijsbert A; Rovers, Maroeska M (6 July 2011). "Anticonvulsants for tinnitus". Cochrane Database of Systematic Reviews. 2011 (7): CD007960. doi:10.1002/14651858.CD007960.pub2. PMC 6599822. PMID 21735419.
  118. Pichora-Fuller, M. Kathleen; Santaguida, Pasqualina; Hammill, Amanda; Oremus, Mark; Westerberg, Brian; Ali, Usman; Patterson, Christopher; Raina, Parminder (2013). "Evaluation and Treatment of Tinnitus: Comparative Effectiveness". Comparative Effectiveness Reviews. AHRQ Comparative Effectiveness Reviews (122). PMID 24049842.
  119. Lavigne, P; Lavigne, F; Saliba, I (23 June 2015). "Intratympanic corticosteroids injections: a systematic review of literature". European Archives of Oto-Rhino-Laryngology. 273 (9): 2271–2278. doi:10.1007/s00405-015-3689-3. PMID 26100030. S2CID 36037973.
  120. Hall, Deborah A; Wegner, Inge; Smit, Adriana Leni; McFerran, Don; Stegeman, Inge (2018). Cochrane ENT Group (ed.). "Betahistine for tinnitus". Cochrane Database of Systematic Reviews. 12 (8): CD013093. doi:10.1002/14651858.CD013093. PMC 6513648. PMID 30908589.
  121. Slengerik-Hansen J, Ovesen T (2016). "Botulinum Toxin Treatment of Objective Tinnitus Because of Essential Palatal Tremor: A Systematic Review". Otology & Neurotology. 37 (7): 820–828. doi:10.1097/MAO.0000000000001090. PMID 27273401. S2CID 23675169.
  122. Sweetman, Sean C., ed. (2009). Martindale (36th ed.). Pharmaceutical Press. p. 2277. ISBN 978-0-85369-840-1.
  123. Langguth, B; Salvi, R; Elgoyhen, AB (December 2009). "Emerging pharmacotherapy of tinnitus". Expert Opinion on Emerging Drugs. 14 (4): 687–702. doi:10.1517/14728210903206975. PMC 2832848. PMID 19712015.
  124. Kwon, Diana (7 October 2020). "New Tinnitus Treatment Alleviated Annoying Ringing in the Ears". Scientific American. Springer Nature America, Inc.
  125. Meng, Z; Liu, S; Zheng, Y; Phillips, JS (5 October 2011). "Repetitive transcranial magnetic stimulation for tinnitus". Cochrane Database of Systematic Reviews (10): CD007946. doi:10.1002/14651858.CD007946.pub2. PMID 21975776.
  126. Hilton, MP; Zimmermann, EF; Hunt, WT (28 March 2013). "Ginkgo biloba for tinnitus". Cochrane Database of Systematic Reviews. 3 (3): CD003852. doi:10.1002/14651858.CD003852.pub3. PMID 23543524. S2CID 205171459.
  127. Person, Osmar C; Puga, Maria ES; da Silva, Edina MK; Torloni, Maria R (23 November 2016). "Zinc supplements for tinnitus". Cochrane Database of Systematic Reviews. 2016 (11): CD009832. doi:10.1002/14651858.cd009832.pub2. PMC 6464312. PMID 27879981.
  128. Sanchez TG, Rocha CB (2011). "Diagnosis and management of somatosensory tinnitus: review article". Clinics. 66 (6): 1089–1094. doi:10.1590/S1807-59322011000600028. PMC 3129953. PMID 21808880.
  129. Heller AJ (2003). "Classification and epidemiology of tinnitus". Otolaryngologic Clinics of North America. 36 (2): 239–248. doi:10.1016/S0030-6665(02)00160-3. PMID 12856294.
  130. "Transkribering av #89: Varför får man tinnitus?" (in Swedish). Karolinska Institutet. Archived from the original on 1 December 2022.
  131. "Almost 15 % of Europe's adults have a ringing in their ears, say researchers". European Commission: CORDIS. Archived from the original on 1 December 2022.
  132. Celik, N; Bajin, MD; Aksoy, S (2009). "Tinnitus incidence and characteristics in children with hearing loss". Journal of International Advanced Otology. 5 (3): 363–369. hdl:11655/17046. OCLC 695291085.
  133. Lee, Doh Young; Kim, Young Ho (June 2018). "Risk factors of pediatric tinnitus: Systematic review and meta‐analysis". The Laryngoscope. 128 (6): 1462–1468. doi:10.1002/lary.26924. PMID 29094364. S2CID 24633085.
  134. Mills, RP; Albert, D; Brain, C (1986). "Tinnitus in childhood". Clinical Otolaryngology and Allied Sciences. 11 (6): 431–434. doi:10.1111/j.1365-2273.1986.tb02033.x. PMID 3815868.
  135. Ballantyne JC (2009). Graham JM; Baguley D (eds.). Ballantyne's Deafness (Seventh ed.). Chichester: Wiley-Blackwell. OCLC 275152841.
  136. Shetye, A.; Kennedy, V. (1 August 2010). "Tinnitus in children: an uncommon symptom?". Archives of Disease in Childhood. 95 (8): 645–648. doi:10.1136/adc.2009.168252. PMID 20371585. S2CID 34443303.
This article is issued from Wikipedia. The text is licensed under Creative Commons - Attribution - Sharealike. Additional terms may apply for the media files.