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A multidisciplinary European guideline for tinnitus: diagnostics, assessment, and treatment
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“Currently, CBT is the only intervention strongly recommended in clinical practice guidelines for tinnitus (Tunkel et al., 2014; Cima et al., 2019; Ogawa et al., 2020)”
From Research trends and hotspots of cognitive behavioral therapy for tinnitus: a bibliometric analysis (2025) · cites this paper as Cima et al., 2019
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Becker, L., Keck, A., Rohleder, N., & Müller, N. (2022) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2022.883926 · Cited by 12
“Mean perceived stress scores, assessed with the 10-item version of the Perceived Stress Scale (PSS; Cohen et al., 1983), revealed a mean score of 24.1 ± 9.1 (two missing) for the tinnitus group.”
MethodInfluentialEfficacy of Amplification for Tinnitus Relief in People With Mild Hearing Loss
Kam, A. C. S. (2024) · Journal of Speech Language and Hearing Research · doi:10.1044/2023_jslhr-23-00031 · Cited by 11
Chen, J., Zhong, P., Meng, Z., Pan, F., Qi, L., He, T., Lu, J., He, P., & Zheng, Y. (2020) · European Archives of Oto-Rhino-Laryngology · doi:10.1007/s00405-020-06340-w · Cited by 11
“Plus the effect of music on emotion, once these related problems are relieved, the symptoms of tinnitus will be alleviated [37].”
BackgroundBrüeggemann, P., Sória, M. G., Brandes-Schramm, J., & Mazurek, B. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10143151 · Cited by 11
“It is perceived by 10–19% of adults in the general population and approximately by one in three of the elderly [1].”
BackgroundSelf-citationStandardized Clinical Profiling in Spanish Patients with Chronic Tinnitus
Haro‐Hernandez, E., Perez‐Carpena, P., Unnikrishnan, V., Spiliopoulou, M., & Lopez-Escamez, J. A. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11040978 · Cited by 11
“Some studies reported the effect of several treatments in tinnitus, although there are limitations due to the heterogeneity of the results [48].”
BackgroundVanneste, S., Ridder, D. D., Gallus, S., Husain, F. T., Kleinjung, T., Langguth, B., Lopez-Escamez, J. A., Schlee, W., Mohan, A., & Elgoyhen, A. B. (2026) · Nature Reviews Disease Primers · doi:10.1038/s41572-026-00702-0 · Cited by 10
“Despite this, as the clinical effect of electrical stimulation of the cochlea is successful, there is great potential for research into making this technique available to people with no or mild-to-moderate hearing loss 185 .”
Fagelson, M. A. (2022) · Brain Sciences · doi:10.3390/brainsci12111585 · Cited by 10
Haas, M., Lucic, M., Pichler, F., Lein, A., Brkic, F. F., Riss, D., & Liu, D. T. (2023) · European Archives of Oto-Rhino-Laryngology · doi:10.1007/s00405-023-07894-1 · Cited by 10
Chronischer Tinnitus im Wechselspiel somatischer und psychischer Faktoren
Boecking, B., Brüeggemann, P., Rose, M., & Mazurek, B. (2023) · HNO · doi:10.1007/s00106-023-01370-2 · Cited by 10
Self-citationA process for prioritising systematic reviews in tinnitus
Sereda, M., McFerran, D. J., Axon, E., Baguley, D., Hall, D. A., Potgieter, I., Cima, R. F. F., Cox, S., & Hoare, D. J. (2020) · International Journal of Audiology · doi:10.1080/14992027.2020.1733677 · Cited by 10
Self-citationValidation of the mandarin tinnitus evaluation questionnaire
Chen, Z., Zheng, Y., Fei, Y., Wu, D., & Yang, X. (2021) · Medicine · doi:10.1097/md.0000000000026490 · Cited by 10
Quality of Life and Psychological Distress in Portuguese Older Individuals with Tinnitus
Haider, H. F., Ribeiro, S. F., Hoare, D. J., Fialho, G., Hall, D. A., Antunes, M. C. D. S., Caria, H., & Paço, J. C. (2021) · Brain Sciences · doi:10.3390/brainsci11070953 · Cited by 10
“For some analyses, Tinnitus group individuals were categorized as either Irrelevant/Mild Tinnitus group or Moderate/Severe/Catastrophic Tinnitus group (according to THI scores less than 37 or more than 37 respectively—cut-off proposed at European Tinnitus Guidelines [14]), to assess how tinnitus severity affects QoL a…”
MethodSelf-citationOron, Y., Ben‐David, B. M., & Doron, G. (2022) · Health Informatics Journal · doi:10.1177/14604582221083483 · Cited by 9
Sirh, S. J., Sirh, S. W., Mun, H. Y., & Sirh, H. M. (2022) · Frontiers in Neuroscience · doi:10.3389/fnins.2022.758575 · Cited by 11
“Several tinnitus therapies, such as sound therapy, pharmacotherapy, neuromodulation, neurostimulation, and cognitive behavioral therapy (CBT), are beneficial (De Ridder et al., 2014; Yuan et al., 2018; Lefaucheur et al., 2020; Ogawa et al., 2020).”
BackgroundInfluentialGinkgo biloba Administered Singly and Combined With Antioxidants in Tinnitus Patients
Chauhan, B., Arya, S., & Chauhan, K. (2023) · Journal of Audiology & Otology · doi:10.7874/jao.2022.00395 · Cited by 10
Current understanding of subjective tinnitus in adults
Kang, Y.-J., & Zheng, Y. (2024) · European Archives of Oto-Rhino-Laryngology · doi:10.1007/s00405-024-08633-w · Cited by 10
Burke, L. A., & Refaie, A. E. (2024) · Audiology Research · doi:10.3390/audiolres14030035 · Cited by 9
“…defined as the ‘percept of a sound or sounds in the ear or head without an external source’, while bothersome tinnitus has been further described as a ‘negative emotional and auditory experience, associated with, or described in terms of, actual or potential physical or psychological harm’ [1].”
BackgroundGreenwell, K., Sereda, M., Coulson, N., Geraghty, A. W. A., Bradbury, K. J., & Hoare, D. J. (2020) · British Journal of Health Psychology · doi:10.1111/bjhp.12486 · Cited by 9
“…involves reducing the tinnitus percept through sound therapy (e.g. wearable sound generators, hearing aids) and/or reducing the negative emotional impact of tinnitus through education or psychological therapy (e.g. cognitive behaviour therapy [CBT], client-centred counselling) (Cima et al., 2019).”
BackgroundSelf-citationSurrounded by Sound: The Impact of Tinnitus on Musicians
Burns-O’Connell, G., Stockdale, D., Cassidy, O., Knowles, V., & Hoare, D. J. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18179036 · Cited by 9
“Tinnitus is the perception of sound in the absence of an external source, which can be permanent or temporary [1].”
BackgroundSelf-citationHu, J.-H., Xǔ, J., Shang, S., Chen, H., Yin, X., Qi, J., & Wu, Y. (2021) · Frontiers in Neuroscience · doi:10.3389/fnins.2021.752419 · Cited by 10
Schoisswohl, S., Langguth, B., Hebel, T., Vielsmeier, V., Abdelnaim, M. A., & Schecklmann, M. (2022) · Brain Sciences · doi:10.3390/brainsci12020203 · Cited by 9
“Accordingly, the recommendations for rTMS as a tinnitus treatment vary across guidelines [14,15].”
BackgroundIvanšić, D., Palm, J., Pantev, C., Brüeggemann, P., Mazurek, B., Guntinas‐Lichius, O., & Dobel, C. (2022) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2022.110794 · Cited by 9
Self-citationInternet-Delivered Psychological Treatments for Tinnitus: A Brief Historical Review
Andersson, G. (2022) · American Journal of Audiology · doi:10.1044/2022_aja-21-00245 · Cited by 9
Prevalence and associated risk factors of tinnitus among adult Palestinians: a cross-sectional study
Al-Lahham, S., Nazzal, Z. A. S., Massarweh, A., Saymeh, D., Al-abed, S., Muhammad, D., Alawni, R., Bouzya, N., Alqub, M., Ghanim, M. A., et al. (2022) · Scientific Reports · doi:10.1038/s41598-022-24015-w · Cited by 9
Wójcik, J., Kochański, B., Cieśla, K., Lewandowska, M., Karpiesz, L., Niedziałek, I., Raj-Koziak, D., Skarzynski, P. H., & Wolak, T. P. (2023) · Scientific Reports · doi:10.1038/s41598-023-45024-3 · Cited by 10
“Despite the high prevalence of tinnitus worldwide (an estimated 10–25% of the population worldwide), there is no one-size-fits-all treatment available at the moment 27,105,113–116 .”
BackgroundLong-Term Prognosis of Tinnitus Associated with Idiopathic Sudden Sensorineural Hearing Loss
Diao, T., Ma, X., Li, J., Lai, J., Yu, L., Zhang, J., Wang, Y., Zheng, H., Jing, Y., & Han, L. (2021) · Audiology and Neurotology · doi:10.1159/000514814 · Cited by 9
“Diao/Ma/Li/Lai/Yu/Zhang/Wang/Zheng/ Jing/Han Audiol Neurotol 2021;26:461–469462 DOI: 10.1159/000514814 Board of Chinese Journal of Otorhinolaryngology, Head and Neck Surgery, 2012; Tunkel et al., 2014; Cima et al., 2019].”
BackgroundInfluentialTINNITUS SOUND THERAPY WITH A MOBILE APPLICATION: CASE STUDY
Kutyba, J. J., Jędrzejczak, W. W., Raj-Koziak, D., Gos, E., & Skarzynski, P. H. (2019) · Journal of Hearing Science · doi:10.17430/1003717 · Cited by 9
“However, it should be emphasized that each patients reacts in a different way to treatment [35], meaning that one method may be beneficial for one patient but completely unacceptable and ineffective for another.”
BackgroundTinnitus and Metacognitive Beliefs—Results of a Cross-Sectional Observational Study
Natalini, E., Fioretti, A. B., Riedl, D., Moschèn, R., & Eibenstein, A. (2020) · Brain Sciences · doi:10.3390/brainsci11010003 · Cited by 9
“Tinnitus is a multifactorial disorder and it involves the percept of a sound or sounds, such as ringing, roaring, whistling or buzzing, in the ear or head when no external source is present [1].”
BackgroundInfluentialSereda, M., Xia, J., Scutt, P., Hilton, M. P., Refaie, A. E., & Hoare, D. J. (2019) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd013514 · Cited by 9
Self-citationNetwork meta-analysis of acupuncture for tinnitus
Ji, L., Zhang, H., Wang, L., Yin, Z., Cen, J., & Guo, Y. (2023) · Medicine · doi:10.1097/md.0000000000035019 · Cited by 8
Hu, H., Lin, X., Ye, Z., Fang, L., Gao, H., & Zhang, Q. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1334660 · Cited by 8
“Currently no universally effective treatments are available (Cima et al., 2019).”
BackgroundAudiological findings in professionals exposed to music and their relation with tinnitus
Vardonikolaki, A., Kikidis, D., Iliadou, E., Markatos, N., Pastiadis, K., & Bibas, A. G. (2020) · Progress in brain research · doi:10.1016/bs.pbr.2020.08.002 · Cited by 8
Self-citationSchecklmann, M., Weber, F. C., Lehner, A., Langguth, B., & Schoisswohl, S. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20064982 · Cited by 8
“CBT is the best evaluated therapeutic concept for patients suffering from chronic tinnitus with the highest evidence in the field of tinnitus [11].”
BackgroundCuesta, M., & Cobo, P. (2024) · Journal of Otology · doi:10.1016/j.joto.2024.01.003 · Cited by 8
Tinnitus update: what can be done for the ringing?
Tsang, B. K.-T., Collins, G., Anderson, S. R., & Westcott, M. (2024) · Internal Medicine Journal · doi:10.1111/imj.16414 · Cited by 8
“There is a large conceptual overlap between these models 38 and their treatment approaches, which aim to remove the negative emotions associated with tinnitus, reduce tinnitus distress and promote tinnitus habituation.”
InfluentialEMDR in the Treatment of Chronic Subjective Tinnitus: A Systematic Review
Luyten, T., Rompaey, V. V., de Heyning, P. V., Looveren, N. V., Jacquemin, L., Cardon, E., Declau, F., Fransén, E., Bodt, M. S. D., & Gilles, A. (2020) · Journal of EMDR Practice and Research · doi:10.1891/emdr-d-20-00005 · Cited by 8
“The European tinnitus treatment guidelines suggest a stepped care approach with psychoeducation and audiological interventions as first steps and specialized multidisciplinary CBT for tinnitus (CBT4T) as a next step (Cima et al., 2019).”
BackgroundRole of microRNA‑375‑3p‑mediated regulation in tinnitus development
Han, K., Cho, H., Han, K.-R., Mun, S., Kim, Y., Park, I., & Chang, M. Y. (2021) · International Journal of Molecular Medicine · doi:10.3892/ijmm.2021.4969 · Cited by 8
Do Body Mass Index Levels Correlate with Tinnitus Among Teachers?
Marchiori, L. L. D. M., Marchiori, G. D. M., Carlos, P., Benites, S. L., Mendes, M. S. B., & Ciquinato, D. S. D. A. (2021) · International Archives of Otorhinolaryngology · doi:10.1055/s-0040-1722251 · Cited by 8
Knäpper, J., Girauta, M. V., & Coromina, J. (2021) · Journal of Dietary Supplements · doi:10.1080/19390211.2021.1944947 · Cited by 7
“Other interventions suggested for the management of hearing loss and tinnitus include cochlear implantation (Tyler et al. 2008) and hearing aids, although with scarce evidence (Hoare et al. 2014; Ramakers et al. 2015; Cima et al. 2019).”
BackgroundMethodInfluentialThe effect of caffeine on tinnitus: Randomized triple-blind placebo-controlled clinical trial
Ledesma, A. L. L., Rodrigues, D. L., Silva, I. M. D. C., de Oliveira, C. A. C., & Bahmad, F. (2021) · PLoS ONE · doi:10.1371/journal.pone.0256275 · Cited by 8
“The European multidisciplinary guideline for the assessment, diagnosis and treatment of tinnitus recommends researching the pitch and loudness of tinnitus as part of the minimum patient assessment [7].”
BackgroundMethodBoecking, B., Rausch, L., Psatha, S., Amarjargal, N., Dettling-Papargyris, J., Funk, C., Oppel, K., Brüeggemann, P., Rose, M., & Mazurek, B. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11175244 · Cited by 8
Self-citationCurrent Clinical Trials for Tinnitus
Dyhrfjeld‐Johnsen, J., & Cederroth, C. R. (2020) · Otolaryngologic Clinics of North America · doi:10.1016/j.otc.2020.03.012 · Cited by 8
Kutyba, J. J., Jędrzejczak, W. W., Gos, E., Bieńkowska, K. I., Raj-Koziak, D., & Skarzynski, P. H. (2021) · International Journal of Audiology · doi:10.1080/14992027.2021.1964040 · Cited by 8
Hu, H., Lin, X., Fang, L., Li, Y., & Gao, H. (2023) · Journal of Pain Research · doi:10.2147/jpr.s433048 · Cited by 7
“Participants have a definitive diagnosis of subjective tinnitus with a duration of ≥6 months.(29,30) 2.”
Verbist, B., Connor, S., & Farina, D. (2025) · European Radiology · doi:10.1007/s00330-024-11316-z · Cited by 6
Simoes, J. P., Schoisswohl, S., Schlee, W., Basso, L., Bernal-Robledano, A., Boecking, B., Cima, R. F. F., Denys, S., Engelke, M., Escalera‐Balsera, A., et al. (2023) · Trials · doi:10.1186/s13063-023-07303-2 · Cited by 6
Self-citationAuditory brainstem response test results in normal hearing adolescents with subjective tinnitus
Han, M. S., Jeong, Y. J., Im, G. J., Song, J., Chae, S.-W., Rah, Y. C., & Choi, J. (2021) · International Journal of Pediatric Otorhinolaryngology · doi:10.1016/j.ijporl.2021.110775 · Cited by 7
Efficacy of Repetitive Transcranial Magnetic Stimulation (rTMS) for Tinnitus: A Retrospective Study
Yang, H., Cheng, G., Liang, Z., Deng, W., Huang, X., Gao, M., & Zheng, Y. (2021) · Ear Nose & Throat Journal · doi:10.1177/01455613211016896 · Cited by 7
“But preexisting studies fail to provide a reliable and accurate evidence-basedmedicationmanagement for tinnitus.(1) Animal experiments and functional imaging of the human brain show that abnormal patterns of auditory hair cell differentiation induce hypersynchrony and hyperactivity in the central auditory pathways and…”
BackgroundTinnitus in 2021. Time to consider evidence-based digital interventions
Andersson, G. (2021) · The Lancet Regional Health - Europe · doi:10.1016/j.lanepe.2021.100263 · Cited by 8
Why a Clinical Decision Support System is needed for Tinnitus?
Sarafidis, M., Manta, O., Kouris, I., Schlee, W., Kikidis, D., Vellidou, E., & Koutsouris, D. (2021) · Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC) · doi:10.1109/embc46164.2021.9630137 · Cited by 7
Self-citationYuan, H., Lu, P., Chen, J., Ma, P., Wang, W.-L., Ding, X., Lun, Y.-Q., Gao, W., & Lu, L. (2022) · European Archives of Oto-Rhino-Laryngology · doi:10.1007/s00405-022-07480-x · Cited by 7
van Zwieten, G., Devos, J. V. P., Kotz, S. A., Ackermans, L. P. C. M., Brinkmann, P., Dauven, L., George, E. L. J., Janssen, A. M. L., Kremer, B., Leue, C., et al. (2022) · Audiology Research · doi:10.3390/audiolres13010005 · Cited by 7
“The absence of an underlying medical cause in most cases leaves many patients without an available curative evidence-based treatment [7,8].”
BackgroundThe Benefit of YouTube Videos as a Source of Information on Tinnitus for Patients
Bakshi, S. S., Kalidoss, V. K., Ramesh, S., & Das, S. (2023) · International Archives of Otorhinolaryngology · doi:10.1055/s-0043-1771169 · Cited by 7
Pandey, H. R., Keshri, A. K., Singh, A., Sinha, N., & Kumar, U. (2024) · Brain Imaging and Behavior · doi:10.1007/s11682-023-00846-7 · Cited by 7
Single nucleotide polymorphisms in tinnitus patients exhibiting severe distress
Watabe, T., Kanzaki, S., Sato, N., Matsunaga, T., Muramatsu, M., & Ogawa, K. (2020) · Scientific Reports · doi:10.1038/s41598-020-69467-0 · Cited by 7
Li, P., Che, C., Wu, Y., & Sun, S. (2025) · BMJ Open · doi:10.1136/bmjopen-2024-096995 · Cited by 7
Audiological biomarkers of tinnitus in an older Portuguese population
Haider, H. F., Ribeiro, D., Ribeiro, S., Trigueiros, N., Caria, H., Borrego, L. M., Pinto, I., Papoila, A. L., Hoare, D. J., & Paço, J. C. (2022) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2022.933117 · Cited by 6
“We have used the cutoff THI >37 for statistical comparison purposes, in agreement with the European Tinnitus Guidelines (Cima et al., 2019).”
MethodSelf-citationStudy on tinnitus-related electroencephalogram microstates in patients with vestibular schwannomas
Zhang, C., Wang, X., Ding, Z., Zhou, H., Liu, P., Xue, X., Wang, L., Jiang, Y., Chen, J., Shen, W., et al. (2023) · Frontiers in Neuroscience · doi:10.3389/fnins.2023.1159019 · Cited by 6
Saczuk, K., Kal, W., Kaczała, A., Wawrzeń, J., Mielczarek, M., Eyüboğlu, T. F., Özcan, M., & Łukomska−Szymańska, M. (2024) · Journal of Clinical Medicine · doi:10.3390/jcm13237346 · Cited by 10
The Alteration of Brain Network Topology in Tinnitus Transition From Recent‐Onset to Chronic
Xie, J., Zhang, W., Wei, W., Bai, Y., Shen, Y. M., Meng, N., Wang, X., & Wang, M. (2025) · European Journal of Neuroscience · doi:10.1111/ejn.16664 · Cited by 6
“According to a multidisciplinary European guideline, tinnitus is classified as acute (less than 3 months), subacute (3–6 months) and chronic (6 months or more) (Cima et al. 2019).”
Sound therapy for cochlear implant users with tinnitus
van Heteren, J. A. A., Arts, R. A. G. J., Killian, M. J. P., Assouly, K. K. S., van de Wauw, C., Stokroos, R. J., Smit, A. L., & George, E. L. J. (2020) · International Journal of Audiology · doi:10.1080/14992027.2020.1832266 · Cited by 6
ICF domains covered by the Tinnitus Questionnaire and Tinnitus Functional Index
van der Wal, A., Michiels, S., Pauw, J. D., Jacxsens, L., Chalimourdas, A., Gilles, A., Braem, M. J. A., Rompaey, V. V., de Heyning, P. V., & Hertogh, W. D. (2021) · Disability and Rehabilitation · doi:10.1080/09638288.2021.1972172 · Cited by 6
Tao, Y., Chen, K., Li, D., Yin, K., Li, Y., Long, J., & Hui, L. (2023) · Frontiers in Neurology · doi:10.3389/fneur.2022.1085684 · Cited by 6
“Recently, A Multidisciplinary European Guideline for Tinnitus only recommends CBT as the primary treatment strategy, and cochlear implantation is recommended for tinnitus patients with hearing loss (14).”
BackgroundSun, J., Wang, X., Li, J., Zhang, T., Chen, Q., Liu, W., Cai, L., Zhao, P., Yang, Z., Pan, J., et al. (2023) · Ear and Hearing · doi:10.1097/aud.0000000000001429 · Cited by 6
“As such, clinicians cannot determine an effective treatment method for patients with tinnitus because of a lack of understanding of the mechanism of neuroanatomical alterations (Tunkel et al. 2014; Cima et al. 2019; Lewis et al. 2020).”
BackgroundThe potassium channels: Neurobiology and pharmacology of tinnitus
Lai, H., Gao, M., & Yang, H. (2023) · Journal of Neuroscience Research · doi:10.1002/jnr.25281 · Cited by 6
“Despite the huge potential market, cognitive behavioral therapy is the only treatment currently recommended by the European Guideline (Cima et al., 2019 ), and there is no approved pharmacological therapy for tinnitus.”
BackgroundLin, X., Fang, Y., Hu, H., & Ye, Z. (2024) · BMJ Open · doi:10.1136/bmjopen-2023-082906 · Cited by 6
Martins, M. L., Galdino, M. K. C., Silva, D. S. F., Valença, E. C. D., dos Santos, M. B., de Medeiros, J. F., Machado, D. G. D. S., & da Rosa, M. R. D. (2024) · Neurophysiologie Clinique · doi:10.1016/j.neucli.2024.103020 · Cited by 6
Poels, L., Zarowski, A. J., Leblans, M., Vanspauwen, R., van Dinther, J., & Offeciers, E. F. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10173793 · Cited by 6
Beukes, E. W., Andersson, G., & Manchaiah, V. K. C. (2021) · Frontiers in Medicine · doi:10.3389/fmed.2021.771646 · Cited by 6
Theodoroff, S. M., McMillan, G. P., Schmidt, C. J., Dann, S. M., Hauptmann, C., Goodworth, M.-C. R., Leibowitz, R. Q., Random, C., & Henry, J. A. (2021) · International Journal of Audiology · doi:10.1080/14992027.2021.2004325 · Cited by 6
A device and an app for the diagnosis and self-management of tinnitus
Vittorini, P., Chamoso, P., & la Prieta, F. D. (2022) · Berichte aus der medizinischen Informatik und Bioinformatik/Journal of integrative bioinformatics · doi:10.1515/jib-2022-0004 · Cited by 6
“This has aroused the interest of the scientific community, but there are still not many recent research articles in the literature addressing this problem [27, 28].”
BackgroundThe effect of lidocaine iontophoresis for the treatment of tinnitus: a systematic review
Bülow, M., Best, N., Brugger, S., Derlien, S., Loudovici-Krug, D., & Lemhöfer, C. (2022) · European Archives of Oto-Rhino-Laryngology · doi:10.1007/s00405-022-07645-8 · Cited by 6
The Content and Quality of Information About Hyperacusis Presented Online
Smith, S., Smallwood, E., Sereda, M., Adams, B., & Hoare, D. J. (2020) · American Journal of Audiology · doi:10.1044/2020_aja-19-00074 · Cited by 6
“339 management in that practice guidelines are published for tinnitus (Cima et al., 2019).”
BackgroundSelf-citationMcMahan, E. E., & Lim, H. H. (2025) · Communications Medicine · doi:10.1038/s43856-025-00837-3 · Cited by 5
Electroencephalographic features of chronic subjective tinnitus: A scoping review
Graetz, L. J., Goldsworthy, M. R., Pope, K. J., Sghirripa, S., Sayed, T., O'Loughlin, R., & Shekhawat, G. S. (2025) · Hearing Research · doi:10.1016/j.heares.2025.109410 · Cited by 5
Day–night hyperarousal in tinnitus patients
Bao, X., Feng, X., Huang, H., Li, M., Chen, D., Wang, Z., Li, J., Huang, Q., Yuexin, C., & Li, Y. (2025) · Sleep Medicine · doi:10.1016/j.sleep.2025.106519 · Cited by 5
The Impact of Tinnitus on Fibromyalgia
Chung, C. H., Monyeki Kotsedi, D., Jang, G., Monyeki Kotsedi, D., Lee, C.-H., Monyeki Kotsedi, D., & Ph, D. (2020) · Journal of Rheumatic Diseases · doi:10.4078/jrd.2021.28.1.31 · Cited by 6
“The cause of tinnitus is not well known in most cases, so there is no curative treatment [8].”
BackgroundPatel, N., Malicka, A. N., McGinnity, S., Anderson, R. B., Paolini, A. G., & Crosland, P. (2021) · Ear and Hearing · doi:10.1097/aud.0000000000001112 · Cited by 5
“, psychology, ENT); with regards to treatment, all recommend cognitive behavioral therapy (CBT), often as part of a stepped-care approach, the use of hearing aids (for clients with hearing loss) and recommend against prescribing medication, dietary supplements or the use of neuromodulation for tinnitus (Tunkel et al.…”
BackgroundThe International Vocabulary of Tinnitus
Baguley, D., Caimino, C., Gilles, A., & Jacquemin, L. (2022) · Frontiers in Neuroscience · doi:10.3389/fnins.2022.887592 · Cited by 6
“, 2019) and present treatment relies upon counseling and sound therapy (Cima et al., 2019).”
BackgroundDemoen, S., Jacquemin, L., Timmermans, A. A. A., Rompaey, V. V., Vanderveken, O. M., Vermeersch, H., Joossen, I., Eetvelde, J. V., Schlee, W., Marneffe, W., et al. (2022) · Trials · doi:10.1186/s13063-022-06378-7 · Cited by 5
Wang, M., Liu, J., Kong, L. Z., Zhao, Y., Diao, T., & Ma, X. (2022) · Frontiers in Neuroscience · doi:10.3389/fnins.2022.983427 · Cited by 5
“These mechanisms show that tinnitus is related to “aberrant” neural activity (that is not produced by physically measurable sounds from the environment) that is generated at some level of the auditory system (Cima et al., 2019).”
BackgroundLourenço, M. G., Fuller, T., Ranson, S., Vlaeyen, J., & Cima, R. (2022) · Ear and Hearing · doi:10.1097/aud.0000000000001261 · Cited by 5
Self-citationHoare, D. J., Smith, H. L., Kennedy, V., & Fackrell, K. (2024) · Journal of the Association for Research in Otolaryngology · doi:10.1007/s10162-024-00944-3 · Cited by 5
Self-citationPredictors of Tinnitus Symptom Relief With Hearing Aids in a European Multicenter Study
Schiele, T., Boecking, B., Amarjargal, N., Psatha, S., Schoisswohl, S., Simoes, J. P., Dettling-Papargyris, J., Aguirre, J., Markatos, N., Cima, R. F. F., et al. (2025) · Ear and Hearing · doi:10.1097/aud.0000000000001624 · Cited by 5
“Indeed, according to current European guidelines, conventional amplification and cognitive behavioral therapy approaches are the recommended first-line interventions for the management of chronic tinnitus (Cima et al. 2019; Mazurek et al. 2022).”
Self-citationLuo, Y., Gao, M., Xiao, Y., & Yang, H. (2024) · Otology & Neurotology · doi:10.1097/mao.0000000000004409 · Cited by 5
Impact of short-term tinnitus treatment on cognitive function and neural synchronization
Lee, H. Y., Shin, S.-H., & Byun, S. W. (2025) · Frontiers in Neurology · doi:10.3389/fneur.2025.1478033 · Cited by 5
“Similarly, the Japanese and European guidelines discourage medical treatments, citing low evidence and potential side effects, yet do not account for specific clinical abnormalities or tailored approaches (33, 34).”
Development and Preliminary Evaluation of the Tinnitus Severity Short Form
Frumkin, M. R., Kallogjeri, D., Piccirillo, J. F., Beukes, E. W., Manchaiah, V. K. C., Andersson, G., & Rodebaugh, T. L. (2021) · American Journal of Audiology · doi:10.1044/2021_aja-20-00164 · Cited by 4
Smit, A. L., Vesala, M., Goedhart, H., van Eijden, J., Wempe, C., & Stegeman, I. (2022) · Frontiers in Neurology · doi:10.3389/fneur.2021.778450 · Cited by 5
Safazadeh, S., Renken, R. J., Thioux, M., & van Dijk, P. (2024) · Brain Sciences · doi:10.3390/brainsci14060544 · Cited by 4
“These inventories are consistently used in tinnitus neuroimaging studies [7,18], and their use is recommended in American and European clinical guidelines [19,20].”
MethodSchoisswohl, S., Basso, L., Simoes, J. P., Engelke, M., Langguth, B., Mazurek, B., Lopez-Escamez, J. A., Kikidis, D., Cima, R. F. F., Bernal-Robledano, A., et al. (2024) · medRxiv · doi:10.1101/2024.01.09.24300978 · Cited by 5
Self-citationSteinmetzger, K., Schiele, T., Boecking, B., Avraamides, M. N., Bamidis, P. D., Basso, L., Dobel, C., Gilou, S. C., Ioannou, C. I., Shimi, A. G., et al. (2024) · Frontiers in Audiology and Otology · doi:10.3389/fauot.2024.1347283 · Cited by 4
Self-citationTheta–Beta/Gamma Coupling Identifies Bothersome Tinnitus Induced by Thalamocortical Dysrhythmia
Wang, Y., Zhang, J., Huang, X., Huang, S., Feng, Y., Shi, H., Wang, H., Salvi, R., & Yin, S. (2025) · Brain and Behavior · doi:10.1002/brb3.70437 · Cited by 4
“Twenty-seven patients with THI scores of 36 points or lower were classified into the NBT group, while 21 patients with tinnitus scores higher than 36 points were assigned to the BT group, in accordance with the multidisciplinary European guideline for tinnitus (Cima et al. 2019).”
Boecking, B., Brüeggemann, P., & Mazurek, B. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1375813 · Cited by 4
Self-citationTeggi, R., Cangiano, I., Familiari, M., Gioffrè, V., Nobile, A., & Gatti, O. (2025) · Audiology Research · doi:10.3390/audiolres15010004 · Cited by 4
“The term subjective tinnitus refers to a sound heard by a patient in the ear/s or head, but which does not exist in the outer world [1].”
Ballmaier, J., Dobel, C., & Guntinas‐Lichius, O. (2023) · Laryngo-Rhino-Otologie · doi:10.1055/a-1824-1658 · Cited by 4
“[17] Cima RFF, Mazurek B, Haider H et al.”
BackgroundFrancavilla, B., Marzocchella, G., Alagna, A., Tilotta, S., Leo, E. D., Omer, G. L., & Girolamo, S. D. (2024) · Journal of Personalized Medicine · doi:10.3390/jpm14090912 · Cited by 4
“Most therapeutic options for tinnitus have proven to be largely ineffective or, at best, selectively effective, offering only limited relief to certain patient groups [14,15].”
BackgroundSarnicka, I., Raj-Koziak, D., Skarżyńśki, H., Fludra, M., Karendys-Łuszcz, K., & Gos, E. (2024) · Journal of Hearing Science · doi:10.17430/jhs/191396 · Cited by 4
Mekki, S., Sehlo, M. G., Youssef, U. M., Ibraheem, O. A., & Ghazaly, M. R. (2024) · International Archives of Otorhinolaryngology · doi:10.1055/s-0044-1788000 · Cited by 4
Sajid, I. M., & Frost, K. (2021) · The Journal of Laryngology & Otology · doi:10.1017/s0022215121002243 · Cited by 4
Prediction of declining engagement to self-monitoring apps on the example of tinnitus mHealth data
Schleicher, M., Hamacher, S., Naujoks, M., Günther, K., Schmidt, T., Pryss, R., Schobel, J., Schlee, W., & Spiliopoulou, M. (2022) · Proceedings - IEEE Symposium on Computer-Based Medical Systems · doi:10.1109/cbms55023.2022.00047 · Cited by 4
“Subjective tinnitus is a "highly complex condition" and is characterized by its "multifactorial origin" leading to "heterogeneous patient profiles" [15].”
Background
Metadata
- Authors
- Cima, R. F. F., Mazurek, B., Haider, H., Kikidis, D., Lapira, A., Noreña, A., & Hoare, D. J.
- Affiliations
- Maastricht University (NL)
- Charité – Universitätsmedizin Berlin (DE)
- CUF Infante Santo Hospital (PT)
- National and Kapodistrian University of Athens (GR)
- University of Malta (MT)
- Aix-Marseille Université (FR)
- University of Nottingham (GB)
- Corresponding author
- Cima, R. F. F.
- Venue
- HNO
- Published
- 2019-03
- Volume
- 67
- Issue
- S1
- Pages
- 10-42
- ISSN
- 0017-6192 (ISSN-L)
- 1433-0458
- OpenAlex
- W2920860670
- Cited by
- 442
- References
- 262
- Citations by year
- 2026: 52 · 2025: 60 · 2024: 71 · 2023: 65 · 2022: 71 · 2021: 74 · 2020: 38 · 2019: 9
- FWCI
- 27.46
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- HNO (publishedVersion)
- PubMed (publishedVersion)
- Research Publications (Maastricht University) (publishedVersion, other-oa)
- Repository@Nottingham (University of Nottingham) (publishedVersion, other-oa)
- Repository@Nottingham (University of Nottingham) (submittedVersion, cc-by)
- HAL (submittedVersion)
- Lirias (submittedVersion)
- Research Publications (Maastricht University) (submittedVersion, other-oa)
- Topics
- Life Sciences › Neuroscience › Sensory Systems › Hearing, Cochlea, Tinnitus, Genetics
- Health Sciences › Health Professions › Speech and Hearing › Hearing Loss and Rehabilitation
- Life Sciences › Neuroscience › Neurology › Vestibular and auditory disorders
- Keywords
- tinnitus, tinnitus diagnosis, tinnitus assessment, tinnitus treatment, multidisciplinary care
- MeSH terms
- Humans, Tinnitus, Interdisciplinary Studies
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