The DOI matches its Crossref record; 247 of the 250 references it cites were found in a registry or an index.
Clinical Practice Guideline: Tinnitus
Abstract
OBJECTIVE: Tinnitus is the perception of sound without an external source. More than 50 million people in the United States have reported experiencing tinnitus, resulting in an estimated prevalence of 10% to 15% in adults. Despite the high prevalence of tinnitus and its potential significant effect on quality of life, there are no evidence-based, multidisciplinary clinical practice guidelines to assist clinicians with management. The focus of this guideline is on tinnitus that is both bothersome and persistent (lasting 6 months or longer), which often negatively affects the patient's quality of life. The target audience for the guideline is any clinician, including nonphysicians, involved in managing patients with tinnitus. The target patient population is limited to adults (18 years and older) with primary tinnitus that is persistent and bothersome. PURPOSE: The purpose of this guideline is to provide evidence-based recommendations for clinicians managing patients with tinnitus. This guideline provides clinicians with a logical framework to improve patient care and mitigate the personal and social effects of persistent, bothersome tinnitus. It will discuss the evaluation of patients with tinnitus, including selection and timing of diagnostic testing and specialty referral to identify potential underlying treatable pathology. It will then focus on the evaluation and treatment of patients with persistent primary tinnitus, with recommendations to guide the evaluation and measurement of the effect of tinnitus and to determine the most appropriate interventions to improve symptoms and quality of life for tinnitus sufferers. ACTION STATEMENTS: The development group made a strong recommendation that clinicians distinguish patients with bothersome tinnitus from patients with nonbothersome tinnitus. The development group made a strong recommendation against obtaining imaging studies of the head and neck in patients with tinnitus, specifically to evaluate tinnitus that does not localize to 1 ear, is nonpulsatile, and is not associated with focal neurologic abnormalities or an asymmetric hearing loss. The panel made the following recommendations: Clinicians should (a) perform a targeted history and physical examination at the initial evaluation of a patient with presumed primary tinnitus to identify conditions that if promptly identified and managed may relieve tinnitus; (b) obtain a prompt, comprehensive audiologic examination in patients with tinnitus that is unilateral, persistent (≥ 6 months), or associated with hearing difficulties; (c) distinguish patients with bothersome tinnitus of recent onset from those with persistent symptoms (≥ 6 months) to prioritize intervention and facilitate discussions about natural history and follow-up care; (d) educate patients with persistent, bothersome tinnitus about management strategies; (e) recommend a hearing aid evaluation for patients who have persistent, bothersome tinnitus associated with documented hearing loss; and (f) recommend cognitive behavioral therapy to patients with persistent, bothersome tinnitus. The panel recommended against (a) antidepressants, anticonvulsants, anxiolytics, or intratympanic medications for the routine treatment of patients with persistent, bothersome tinnitus; (b) Ginkgo biloba, melatonin, zinc, or other dietary supplements for treating patients with persistent, bothersome tinnitus; and (c) transcranial magnetic stimulation for the routine treatment of patients with persistent, bothersome tinnitus. The development group provided the following options: Clinicians may (a) obtain an initial comprehensive audiologic examination in patients who present with tinnitus (regardless of laterality, duration, or perceived hearing status); and (b) recommend sound therapy to patients with persistent, bothersome tinnitus. The development group provided no recommendation regarding the effect of acupuncture in patients with persistent, bothersome tinnitus.
Overview
Integrity signals
Registry
Cites
Statistics
Verification
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In the citing paper
“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 Tunkel et al., 2014
In the citing paper
“The American Academy of Otolaryngology–Head and Neck Surgery guidelines recommended that ACT was an effective treatment for patients with persistent and bothersome tinnitus [5].”
From Validation of the Tinnitus Acceptance Questionnaire: Japanese Version (2022) · cites this paper as [5]
In the citing paper
“The American Academy of Otolaryngology evidence-based guidelines for tinnitus management recommend the use of CBT (Tunkel et al. 2014).”
From Psychological Therapy for People with Tinnitus: A Scoping Review of Treatment Components. (2017) · cites this paper as Tunkel et al. 2014
Citations
Cites
McKhann, G. M., Knopman, D. S., Chertkow, H., Hyman, B. T., Jack, C. R., Kawas, C. H., Klunk, W. E., Koroshetz, W. J., Manly, J. J., Mayeux, R., et al. (2011) · Alzheimer's & Dementia · doi:10.1016/j.jalz.2011.03.005 · Cited by 18,657
Assessing the quality of reports of randomized clinical trials: Is blinding necessary?
Jadad, A. R., Moore, R. A., Carroll, D., Jenkinson, C., Reynolds, D. J. M., Gavaghan, D. J., & McQuay, H. J. (1996) · Controlled Clinical Trials · doi:10.1016/0197-2456(95)00134-4 · Cited by 17,582
Albert, M. S., DeKosky, S. T., Dickson, D., Dubois, B., Feldman, H. H., Fox, N. C., Gamst, A., Holtzman, D. M., Jagust, W. J., Petersen, R. C., et al. (2011) · Alzheimer's & Dementia · doi:10.1016/j.jalz.2011.03.008 · Cited by 10,152 · cited 2×
“Studies of the clock drawing test have shown a mean sensitivity (85%) and specificity (85%) for the diagnosis of dementia.(64) Multiple scoring guidelines have been used to judge the clock as either “normal” or “abnormal” and thus determine whether the patient passes this screen for dementia.”
NON-INVASIVE MAGNETIC STIMULATION OF HUMAN MOTOR CORTEX
Barker, A. T., Jalinous, R., & Freeston, I. L. (1985) · The Lancet · doi:10.1016/s0140-6736(85)92413-4 · Cited by 4,466
Albert, M., DeKosky, S. T., Dickson, D. W., Dubois, B., Feldman, H., Fox, N. C., Gamst, A. C., Holtzman, D. M., Jagust, W. J., Petersen, R. C., et al. (2013) · FOCUS The Journal of Lifelong Learning in Psychiatry · doi:10.1176/appi.focus.11.1.96 · Cited by 2,643
American Speech‐Language‐Hearing Association
Weiner, F. F., & Ketzenberger, K. E. (2008) · Wiley eBooks · doi:10.1002/9780470373699.speced0119 · Cited by 2,552
Development of the Tinnitus Handicap Inventory.
Newman, C., Jacobson, G., & Spitzer, J. (1996) · Archives of Otolaryngology - Head and Neck Surgery · doi:10.1001/archotol.1996.01890140029007 · Cited by 2,140
Self-citationCurrent estimates from the National Health Interview Survey.
Ss, J. (1981) · PubMed · Cited by 1,866
Katayama, H., Yamaguchi, K., Kozuka, T., Takashima, T., Seez, P., & Matsuura, K. (1990) · Radiology · doi:10.1148/radiology.175.3.2343107 · Cited by 1,471
Clock-drawing: is it the ideal cognitive screening test?
Shulman, K. I. (2000) · International Journal of Geriatric Psychiatry · doi:10.1002/1099-1166(200006)15:6 · Cited by 1,354
Research works printed but not linked: 31
- US Department of Veterans Affairs, ed, 2013, Annual Benefits Report: Fiscal Year 2012
- Deshaies P, 2011, Environmental Noise and Tinnitus, 71
- Stouffer JL, 1991, Tinnitus as a function of duration and etiology: counseling implications, Am J Otol, 12, 188
- Pichora‐Fuller MK, 2013, Evaluation and treatment of tinnitus: comparative effectiveness
- Oxford Centre for Evidence‐Based Medicine.OCEBM Levels of Evidence Working Group. The Oxford 2011 levels of evidence.http://www.cebm.net/index.aspx?o=5653. Published2011.
- Mainland BJ, Multiple clock drawing scoring systems: simpler is better [published online June 13, 2013], Int J Geriatr Psychiatry
- 10.1177/0194599812436449 · DOI · Paper page
- National Institutes of Health Consensus Development Conference Statement on Acoustic Neuroma, 1994, The Consensus Development Panel, Arch Neurol, 51, 201
- Dobie RA, 2004, Tinnitus: Theory and Management, 1
- Davis A, 2000, Tinnitus, 1
- Newman CW, 2004, Tinnitus: Theory and Management, 237
- Zaugg TL, 2002, Proceedings of the Seventh International Tinnitus Seminar, 226
- Rosenblum J, 2012, Neuroimaging of Common Neurologic Conditions in Practical Neurology, 333
- Malouff J, 2008, Self‐help books for tinnitus‐related distress: do they really help?, Tinnitus Today
- Tyler RS, 2008, The Consumer Handbook on Tinnitus
- Henry JA, 2010, How to Manage Your Tinnitus: A Step‐by‐Step Workbook
- Davis PB, 1995, Living with Tinnitus
- Kochkin S, 2008, Tinnitus treatment and the effectiveness of hearing aids: hearing care professional perceptions, Hear Rev, 15, 14
- Vernon J, 1977, Attempts to relieve tinnitus, J Am Audiol Soc, 2, 124
- Vernon JA, 2000, Tinnitus Handbook, 313
- Jastreboff PJ, 2004, Tinnitus: Theory and Management, 310
- Hallam RS, 2006, Tinnitus Treatment, 65
- Davis P, 2006, Tinnitus Treatment: Clinical Protocols, 146
- Davis PB, 1998, Music as Therapy in the Rehabilitation of Tinnitus Sufferers: Effects of Spectral Modification and Counseling
- Davis PB, 1996, Proceedings of the Fifth International Tinnitus Seminar, 305
- Davis PB, 2001, Relative effects of acoustic stimulation and counseling in the tinnitus rehabilitation process, Aust New Zeal J Audiol, 23, 84
- Davis P, 1999, Proceedings of the Sixth International Tinnitus Seminar, 394
- 10.1097/00006842-200209000-00014 · DOI · Paper page
- Savage J, 2009, Tinnitus [published online November 12, 2009], Clin Evid (Online), 2009, 0506
- Coles RRA, 1992, Proceedings of Fourth International Tinnitus Seminar, 453
- Jiang B, 2010, Acupuncture treatment for senile of tinnitus of 30 cases [in Chinese], Jiangsu J TCM, 42, 52
Cited by
Sorted by citations
Items 301–400 of 761
Reliability and validity of the Lithuanian Tinnitus Handicap Inventory
Ulozienė, I., Balnytė, R., Alzbutienė, G., Arechvo, I., Vaitkus, A., Šileikaitė, M., Šaferis, V., & Ulozas, V. (2016) · Medicina · doi:10.1016/j.medici.2016.07.002 · Cited by 9
Evaluation and revision of a Tinnitus Brochure
Ming, J., & Kelly-Campbell, R. J. (2017) · Speech Language and Hearing · doi:10.1080/2050571x.2017.1316920 · Cited by 9
Tinnitus 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
Recent Publications by Ochsner Authors.
Burshell, A. (2014) · PubMed Central · Cited by 9
Han, J. H., Kwak, S., Lee, J. G., Lee, Y., Kim, D., & Bae, S. H. (2023) · Otology & Neurotology · doi:10.1097/mao.0000000000003853 · Cited by 8
Network 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
Huang, C. H., Lan, H., Jiang, F., Huang, Y., & Lai, D. (2024) · PeerJ · doi:10.7717/peerj.16846 · Cited by 8
“Table 1 shows the distribution of authorship, type, adherence to Tunkel et al. ’ s (2014) guidelines, and compliance with other relevant literature standards for sound therapy videos.”
BackgroundMethodInfluentialArtificial intelligence -assisted tinnitus support with ChatGPT-4
Alaskarov, E., & Aliyeva, A. (2025) · European Archives of Oto-Rhino-Laryngology · doi:10.1007/s00405-025-09719-9 · Cited by 9
Salmito, M. C., Maia, F. Z. E., Greters, M. E., Venosa, A. R., Ganança, F. F., Ganança, M. M., Mezzalira, R., Bittar, R. S. M., Gasperin, A. C., Pires, A. P. B. D. Á., et al. (2019) · Brazilian Journal of Otorhinolaryngology · doi:10.1016/j.bjorl.2019.11.002 · Cited by 8
Association between depression and tinnitus in US adults: A nationally representative sample
Lin, X., Liu, Y., Chen, Z., Wei, Y., Lin, J., Chen, C., Lin, W., & Xu, Y. (2023) · Laryngoscope Investigative Otolaryngology · doi:10.1002/lio2.1134 · Cited by 8
Deep Brain Stimulation for Primary Refractory Tinnitus: A Systematic Review
Basner, L., Smit, J. V., Zeitler, D. M., Schwartz, S., Krause, K. L., Bansal, A., & Farrokhi, F. R. (2024) · Brain Sciences · doi:10.3390/brainsci14050452 · Cited by 8
Intratympanic Steroid Injection in Tinnitus Management
Shim, H. J. (2016) · Hanyang Medical Reviews · doi:10.7599/hmr.2016.36.2.125 · Cited by 8
Luyten, T., de Heyning, P. V., Jacquemin, L., Looveren, N. V., Declau, F., Fransén, E., & Gilles, A. (2019) · Trials · doi:10.1186/s13063-018-3121-6 · Cited by 8
Current Device-based Clinical Treatments for Tinnitus
Sherlock, L. P., & Eisenman, D. J. (2020) · Otolaryngologic Clinics of North America · doi:10.1016/j.otc.2020.03.010 · Cited by 8
Role 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
Knäpper, J., Girauta, M. V., & Coromina, J. (2021) · Journal of Dietary Supplements · doi:10.1080/19390211.2021.1944947 · Cited by 7
“Tinnitus is difficult to manage with few interventions currently recommended in the guidelines and scarce well-designed studies available (Tunkel et al. 2014).”
Husain, F. T., Chappell, J., & Tai, Y. (2021) · International Journal of Audiology · doi:10.1080/14992027.2021.1953712 · Cited by 9
“Within this patient population, about 20% present symptoms consistent with bothersome tinnitus that typically require clinical intervention (Tunkel et al. 2014).”
Maxwell, K. S., Robinson, J. M., Hoffmann, I., Hou, H. J., Searchfield, G. D., Baguley, D. M., McMurry, G., Piu, F., & Anderson, J. J. (2021) · Otology & Neurotology · doi:10.1097/mao.0000000000003369 · Cited by 8
Xie, C.-Y., Niu, Y.-G., Ping, J., Wang, Y.-H., Yang, C.-N., Li, Y.-F., & Zhou, G.-Q. (2021) · BMC Genomic Data · doi:10.1186/s12863-021-00987-y · Cited by 7
The 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
“In the United States, the prevalence of tinnitus among adults is estimated to range from 10% to 15% [1, 2].”
Du, H., Xu, F., Qian, X., Zhang, J., Liu, B., Li, A., Huang, Z., & Gao, X. (2022) · Frontiers in Neuroscience · doi:10.3389/fnins.2022.976095 · Cited by 8
Lv, H., Liu, J., Chen, Q., Zhang, Z., Wang, Z., Gong, S., Ji, J., & Wang, Z. (2023) · IEEE Transactions on Neural Systems and Rehabilitation Engineering · doi:10.1109/tnsre.2023.3241941 · Cited by 8
Thompson, D. M., Taylor, J., Hall, D. A., Walker, D.-M., McMurran, M., Casey, A., Stockdale, D., Featherstone, D., & Hoare, D. J. (2017) · Ear and Hearing · doi:10.1097/aud.0000000000000492 · Cited by 8
Multisensory environmental sensitivity in patients with chronic tinnitus
Danioth, L., Brotschi, G., Croy, I., Friedrich, H., Caversaccio, M., & Negoias, S. (2020) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2020.110155 · Cited by 8
Tinnitus Management: The Utilization of a Hybrid Telehealth and In-Person Delivery Model
Scaglione, T., & Kuzbyt, B. (2021) · Seminars in Hearing · doi:10.1055/s-0041-1731692 · Cited by 8
Cognitive Behavioral Therapy for Veterans With Tinnitus.
Schmidt, C. J., Kerns, R. D., Finkel, S., Michaelides, E. M., & Henry, J. A. (2018) · Europe PMC (PubMed Central) · Cited by 8
Self-citationVerbist, B., Connor, S., & Farina, D. (2025) · European Radiology · doi:10.1007/s00330-024-11316-z · Cited by 6
Chalimourdas, A., Hansen, D., Verboven, K., & Michiels, S. (2025) · Ear and Hearing · doi:10.1097/aud.0000000000001682 · Cited by 7
Effects of Physical Interventions on Subjective Tinnitus, a Systematic Review and Meta-Analysis
Bousema, E. J., Koops, E. A., van Dijk, P., & Dijkstra, P. U. (2023) · Brain Sciences · doi:10.3390/brainsci13020226 · Cited by 7
Berman, Z. R., Citrenbaum, C., Corlier, J., Leuchter, A. F., Folmer, R. L., & Leuchter, M. K. (2024) · Neuromodulation Technology at the Neural Interface · doi:10.1016/j.neurom.2024.01.001 · Cited by 7
Tinnitus mechanisms and the need for an objective electrophysiological tinnitus test
Fabrizio-Stover, E. M., Oliver, D. L., & Burghard, A. L. (2024) · Hearing Research · doi:10.1016/j.heares.2024.109046 · Cited by 8
Somatic Tinnitus and Manual Therapy: A Systematic Review
Kinne, B. L. (2019) · Online Journal of Otolaryngology and Rhinology · doi:10.33552/ojor.2019.01.000510 · Cited by 7
Wang, X., Qi, M., Zeng, X., Cai, W., Yin, G., Zhang, S., Cen, J., Gu, J., Yuan, L., Fang, B., et al. (2021) · Audiology and Neurotology · doi:10.1159/000511254 · Cited by 8
Survey of Audiology Graduate Programs: Training Students in Tinnitus Management
Henry, J. A., Sonstroem, A., Smith, B. D., & Grush, L. D. (2021) · American Journal of Audiology · doi:10.1044/2020_aja-20-00140 · Cited by 7
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
Marinelli, J. P., Anzalone, C. L., Prummer, C. M., Poling, G. L., Staab, J. P., Tombers, N. M., Lohse, C. M., & Carlson, M. L. (2022) · Journal of Translational Medicine · doi:10.1186/s12967-022-03271-4 · Cited by 7
Micronutrients in tinnitus: A National Health and Nutrition Examination Survey analysis
Narayanan, S. S., Murali, M., Lucas, J. C., & Sykes, K. J. (2022) · American Journal of Otolaryngology · doi:10.1016/j.amjoto.2022.103460 · Cited by 7
S3-Leitlinie zu chronischem Tinnitus überarbeitet
Hesse, G., Kastellis, G., & Mazurek, B. (2022) · HNO Nachrichten · doi:10.1007/s00060-022-8403-7 · Cited by 7
Hauptmann, C., Williams, M., Vinciati, F., & Haller, M. (2017) · Case Reports in Otolaryngology · doi:10.1155/2017/5304242 · Cited by 7
Characteristics of knowledge content in a curated online evidence library
Varada, S. L., Lacson, R. C., Raja, A. S., Ip, I. K., Schneider, L. I., Osterbur, D., Bain, P. A., Vetrano, N., Cellini, J., Mita, C., et al. (2017) · Journal of the American Medical Informatics Association · doi:10.1093/jamia/ocx092 · Cited by 7
Li, Y., Feng, G., Wu, H., & Gao, Z. (2019) · Acta Oto-Laryngologica · doi:10.1080/00016489.2019.1575522 · Cited by 7
Intermittent tinnitus—an empirical description
Burkart, M., Brueggemann, P., Szczepek, A., Frank, D. W., & Mazurek, B. (2019) · HNO (Berlin. Print) · doi:10.1007/s00106-019-0623-9 · Cited by 6
Use of a Smartphone App for Cochlear Implant Patients With Tinnitus
Perreau, A. E., Tyler, R. S., Frank, V. E., Watts, A., & Mancini, P. C. (2021) · American Journal of Audiology · doi:10.1044/2021_aja-20-00195 · Cited by 7
Self-citationTinnitus Screener: Short-Term Test–Retest Reliability
Thielman, E. J., Reavis, K. M., Theodoroff, S. M., Grush, L. D., Thapa, S., Smith, B. D., Schultz, J., & Henry, J. A. (2023) · American Journal of Audiology · doi:10.1044/2022_aja-22-00140 · Cited by 7
Self-citationTranscranial Magnetic Stimulation in Neuropsychiatry
Rabins, P. V. (2001) · American Journal of Psychiatry · doi:10.1176/appi.ajp.158.10.1753-a · Cited by 7
Habilidades auditivas em adultos jovens com e sem percepção de zumbido: um estudo de comparações
Moreira, H. G., Tessele, D. R., Malavolta, V. C., Schumacher, C. G., Piccolotto, C. L., Ferrão, P. V. G., Sanfins, M. D., & Garcia, M. V. (2023) · Audiology - Communication Research · doi:10.1590/2317-6431-2023-2853pt · Cited by 6
Frosolini, A., Benedetti, S., Manfredini, D., Pollis, M., Gennaro, P., & Gabriele, G. (2025) · CRANIO® · doi:10.1080/08869634.2025.2485028 · Cited by 5
“The more methodologically robust studies, such as Ralli et al. [18] and Lavinsky et al. [19], utilized independent blind assessments and record linkage, which provided more reliable outcomes.”
Pulsatile Tinnitus: A Comprehensive Clinical Approach to Diagnosis and Management
Pacheco-López, S., Barbero, J. P. M., Busquier, H., García-Valdecasas-Bernal, J., & Espinosa-Sánchez, J. M. (2025) · Journal of Clinical Medicine · doi:10.3390/jcm14134428 · Cited by 6
Ueno, M., Shinden, S., Oishi, N., Suzuki, N., Suzuki, D., Ogawa, K., & Ozawa, H. (2022) · Ear Nose & Throat Journal · doi:10.1177/01455613221112346 · Cited by 6
Lee, D., Jeong, Y., Lee, S., Jin, T.-J., & Jin, I.-K. (2024) · Audiology Research · doi:10.3390/audiolres14010012 · Cited by 6
Li, K.-S., & Liu, Y.-H. (2024) · Otology & Neurotology · doi:10.1097/mao.0000000000004196 · Cited by 6
Wu, N., Xu, M., Liu, C., Chen, Q., Gao, J., Wang, Z., & Lv, H. (2024) · Neuroscience · doi:10.1016/j.neuroscience.2024.07.008 · Cited by 6
Predictors of Response to Cognitive Behavioral Therapy in Patients With Tinnitus
Mueller, L. E., Kallogjeri, D., Frumkin, M. R., Dizdar, K., Shin, J., Rodebaugh, T. L., & Piccirillo, J. F. (2024) · JAMA Otolaryngology–Head & Neck Surgery · doi:10.1001/jamaoto.2024.2264 · 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
Han, S., Shen, Y., Wu, X., Dai, H., Li, Y., Liu, J., & Tao, D.-D. (2025) · European Journal of Neuroscience · doi:10.1111/ejn.16643 · Cited by 6
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
“…distinguishes patients with recent-onset tinnitus from those with persistent symptoms and focuses on the evaluation and treatment of persistent tinnitus (lasting 6 months or longer) to guide the selection of the most appropriate intervention to improve tinnitus symptoms (Tunkel et al. 2014).”
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
“Another treatment option is auditory stimulation with hearing aids or sound therapy (Hoare et al. 2014; Sherlock and Eisenman 2020; Tunkel et al., 2014).”
Musical Ear Syndrome: Prevalence and characteristics in cochlear implant bearers
Duchêne, J., Dumas, A. R., Bonnard, D., Sagardoy, T., & Franco‐Vidal, V. (2020) · European Annals of Otorhinolaryngology Head and Neck Diseases · doi:10.1016/j.anorl.2020.11.005 · Cited by 6
Changes in Heart Rate Variability Following Acoustic Therapy in Individuals With Tinnitus
Reinhart, P. N., Griffin, K., & Micheyl, C. (2021) · Journal of Speech Language and Hearing Research · doi:10.1044/2021_jslhr-20-00596 · Cited by 7
Barrenechea, F. V. (2022) · Acta Otorrinolaringologica (English Edition) · doi:10.1016/j.otoeng.2022.10.003 · 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
“In addition, the American Clinical Practice Guidelines for Tinnitus (12) continue to recommend hearing aids, health counseling and education, cognitive behavioral therapy, and auricular therapy as the primary treatment strategies (13).”
InfluentialSherlock, L., Gibson, K. J., Talian, D. S., & Lake, D. C. (2023) · American Journal of Audiology · doi:10.1044/2022_aja-22-00201 · Cited by 1
Personality Traits and Tinnitus Distress
Qi, M., Zhang, S., Li, L., Li, Z., Yin, G., Yuan, L., Fang, B., Gu, J., Wang, X., Zeng, X., et al. (2023) · Noise and Health · doi:10.4103/nah.nah_68_22 · Cited by 6
Sun, 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
Acupuncture for Tinnitus: A Scoping Review of Clinical Studies
Lee, K. H., Kim, M. H., Kim, J., & Nam, H. J. (2024) · Complementary Medicine Research · doi:10.1159/000538236 · Cited by 5
Lin, X., Fang, Y., Hu, H., & Ye, Z. (2024) · BMJ Open · doi:10.1136/bmjopen-2023-082906 · Cited by 6
“Eligible comparator interventions in the control arm will be restricted to (1) active treatment for tinnitus (eg, sound therapy, cognitive–behavioural therapy, pharmacological therapy, education and counselling, etc) 8 ; (2) no intervention or waitlist control; (3) placebo controls such as sham VNS.”
BackgroundMethodBeukes, 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
“…tinnitus, which by definition is idiopathic, may or may not be associated with sensorineural hearing loss, and six months or longer in duration (Tunkel et al. 2014); dominant tinnitus frequency measured between 0.2 and 10 kHz and able to pass an audibility assessment of the therapy tones…”
InfluentialSelf-citationA clinical trial of nicergoline to prevent temporary threshold shift
Klamkam, P., Pagcharoenpol, R., Treesaranuwattana, T., Silpsrikul, P., Jaruchinda, P., Wasuwat, P., & Suwannahitatorn, P. (2022) · Laryngoscope Investigative Otolaryngology · doi:10.1002/lio2.746 · Cited by 6
“Moreover, tinnitus duration can be divided into recent onset, lasting less than 6 months, and persistent tinnitus, lasting 6 months and longer.(6) The noise causes damage to the inner ears by two mechanisms.”
Marder, K. G., Cho, J. M., Chincanchan, R., Wilson, A. C., Corlier, J., Krantz, D. E., Ginder, N. D., Lee, J. C., Wilke, S. A., Tadayonnejad, R., et al. (2022) · Frontiers in Neurology · doi:10.3389/fneur.2022.831832 · Cited by 6
Chen, S.-L., Hu, C.-Y., Chan, K., Chin, S., & Ho, C.-Y. (2022) · American Journal of Otolaryngology · doi:10.1016/j.amjoto.2022.103528 · Cited by 7
Translation and validation of the Tinnitus Primary Function Questionnaire into Brazilian Portuguese
Coradini, P. P., Gonçalves, S. N., & Oiticica, J. (2022) · Brazilian Journal of Otorhinolaryngology · doi:10.1016/j.bjorl.2022.06.004 · Cited by 6
The 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
Min, T.-W., Yeo, J., Lee, Y., Kim, S., Lee, D., & Ha, I. (2022) · Healthcare · doi:10.3390/healthcare10081547 · Cited by 7
TINNITUS. A Non-invasive Neuromodulatory Perspective
Rossi, S., & Mandalà, M. (2024) · Current Treatment Options in Neurology · doi:10.1007/s11940-024-00802-w · Cited by 5
Andren, K. G., Marinelli, J. P., Spear, S. A., Thapa, S., Thielman, E. J., Erbele, I. D., & Reavis, K. M. (2025) · Otolaryngology · doi:10.1002/ohn.1153 · Cited by 5
McMahan, E. E., & Lim, H. H. (2025) · Communications Medicine · doi:10.1038/s43856-025-00837-3 · Cited by 5
Chronic Primary Tinnitus: A Management Dilemma
Soni, A., & Dubey, A. (2020) · Audiology Research · doi:10.3390/audiolres10020010 · Cited by 5
“It may benefit patient with predominant anxiety issues [38].”
Aly, M. A. A., Ramadan, E. M. O., & Eloseily, A. M. (2025) · European Archives of Oto-Rhino-Laryngology · doi:10.1007/s00405-024-09182-y · 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
Over‐the‐Counter Tinnitus “Cures”: Marketers’ Promises Do Not Ring True
Vendra, V., Vaisbuch, Y., Mudry, A., & Jackler, R. K. (2018) · The Laryngoscope · doi:10.1002/lary.27677 · Cited by 4
“The American Academy of Otolaryngology–Head and Neck Surgery (AAO–HNS) released its Clinical Practice Guidelines for Tinnitus in 2014.(5) This comprehensive review of the available scientific data explicitly recommended against the use of dietary supplements for the treatment of tinnitus.”
Usage Patterns of CT and MRI in the Evaluation of Otologic Disease
Moroco, A. E., Saadi, R. A., Baker, A. R., Zhu, J., & Işıldak, H. (2021) · Otology & Neurotology · doi:10.1097/mao.0000000000003095 · Cited by 4
Sheppard, A., Ishida, I. M., Holder, T., Stocking, C., Qian, J., & Sun, W. (2022) · Journal of the American Academy of Audiology · doi:10.1055/s-0041-1736576 · Cited by 5
Kim, H., Ha, J., Park, H., Choung, Y., & Jang, J. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12093261 · Cited by 3
Wang, X., Guo, L., Tian, R., Fei, Y., Ji, J., Diao, C., Zuo, L., Zeng, Y., Guo, Q., Chen, K., et al. (2023) · Journal of Speech Language and Hearing Research · doi:10.1044/2023_jslhr-22-00493 · Cited by 5
Pink noise: a potential sound therapy for tinnitus.
Lai, H., Wang, G., Zheng, Z., Gao, M., Li, S., & Wu, S. (2023) · PubMed Central · Cited by 5
On using iNaturalist data to estimate trends
Δερμιτζάκη, Ε., & Ευκλείδη, Α. (2020) · Biodiversity Informatics · doi:10.12681/psy_hps.24266 · Cited by 5
Assessing Meaningful Improvement: Focus on the Tinnitus Functional Index
Henry, J. A., Thielman, E. J., Zaugg, T. L., Griest, S. E., & Stewart, B. J. (2024) · Ear and Hearing · doi:10.1097/aud.0000000000001456 · Cited by 5
Self-citationHu, W., Xu, D., & Xing, Q. (2024) · Medicine · doi:10.1097/md.0000000000039832 · 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
Updates in medical malpractice
Ruhl, D. S., & Littlefield, P. D. (2015) · Current Opinion in Otolaryngology & Head & Neck Surgery · doi:10.1097/moo.0000000000000182 · Cited by 5
Tunkel, D. E., Jones, S., & Rosenfeld, R. M. (2016) · JAMA · doi:10.1001/jama.2016.11905 · Cited by 5
Self-citationRehabilitation Options for Subjective Tinnitus
Kim, D., Shin, J., Lee, K.-J., & Jin, I.-K. (2017) · Audiology and Speech Research · doi:10.21848/asr.2017.13.1.1 · Cited by 5
de Matos, I. L., Rocha, A. V., & Mondelli, M. F. C. G. (2017) · Audiology - Communication Research · doi:10.1590/2317-6431-2017-1880 · Cited by 5
Sound Therapy for Tinnitus: Options for Audiologists
Henry, J. A., & Quinn, C. M. (2020) · Perspectives of the ASHA Special Interest Groups · doi:10.1044/2020_persp-19-00156 · Cited by 5
Self-citationXing, M. J., Kallogjeri, D., & Piccirillo, J. F. (2021) · Otolaryngology · doi:10.1177/0194599821994742 · Cited by 5
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
Niu, Y., Ning, J., Zhao, S., & Fang, C. (2021) · Evidence-based Complementary and Alternative Medicine · doi:10.1155/2021/2446357 · Cited by 5
RetractedFan, L., Gao, Y., Zhou, J., Hu, H., & Gao, H. (2022) · Journal of Pain Research · doi:10.2147/jpr.s383968 · Cited by 5
Bommakanti, K. K., Seist, R., Kukutla, P., Çetinbaş, M., Batts, S. A., Sadreyev, R. I., Stemmer-Rachamimov, A. O., Brenner, G. J., & Stanković, K. M. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12072642 · Cited by 5
Metadata
- Authors
- Tunkel, D. E., Bauer, C. A., Sun, G. H., Rosenfeld, R. M., Chandrasekhar, S. S., Cunningham, E. R., Archer, S. M., Blakley, B. W., Carter, J. M., Granieri, E. C., Henry, J. A., Hollingsworth, D., Khan, F. A., Mitchell, S., Monfared, A., Newman, C. W., Omole, F. S., Phillips, C. D., Robinson, S. K., Taw, M. B., Tyler, R. S., Waguespack, R., & Whamond, E. J.
- Affiliations
- Johns Hopkins University (US)
- SIU Medicine (US)
- Partnership for Health Analytic Research (US)
- SUNY Downstate Health Sciences University (US)
- New York Otology New York New York USA
- American Academy of Otolaryngology — Head and Neck Surgery (US)
- University of Kentucky (US)
- University of Manitoba (CA)
- Tulane University (US)
- Columbia University Irving Medical Center (US)
- Portland VA Medical Center (US)
- Virginia Commonwealth University (US)
- Ochsner Health System (US)
- Houston Christian University (US)
- George Washington University (US)
- Cleveland Clinic Lerner College of Medicine (US)
- Morehouse School of Medicine (US)
- NewYork–Presbyterian Hospital (US)
- University of California San Diego (US)
- University of California, Los Angeles (US)
- University of Iowa (US)
- University of Alabama (US)
- Consumers United for Evidence‐Based Healthcare Fredericton New Brunswick Canada
- ORCID
- Venue
- Otolaryngology–Head and Neck Surgery
- Publisher
- Wiley
- Published
- 2014-10
- Volume
- 151
- Issue
- S2
- Pages
- S1-S40
- ISSN
- 0161-6439 (ISSN-L)
- 0194-5998
- 1097-6817
- OpenAlex
- W2118772689
- Cited by
- 769
- References
- 250
- Citations by year
- 2026: 21 · 2025: 60 · 2024: 97 · 2023: 87 · 2022: 91 · 2021: 91 · 2020: 83 · 2019: 74 · 2018: 43 · 2017: 52 · 2016: 41 · 2015: 25 · 2014: 3
- FWCI
- 24.88
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Otolaryngology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- American Academy of Otolaryngology-Head and Neck Surgery
- Topics
- Life Sciences › Neuroscience › Sensory Systems › Hearing, Cochlea, Tinnitus, Genetics
- Health Sciences › Health Professions › Speech and Hearing › Hearing Loss and Rehabilitation
- Physical Sciences › Physics and Astronomy › Acoustics and Ultrasonics › Noise Effects and Management
- Keywords
- tinnitus, tinnitus management, tinnitus evaluation, hearing loss, hearing aids, cognitive behavioral therapy, tinnitus retraining therapy, tinnitus masking
- MeSH terms
- Adolescent, Adult, Humans, Tinnitus, Practice Guidelines as Topic, Young Adult
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
