Updated AAO-HNS Guideline Revises Tinnitus Evaluation and Management

This is an update to the evidence-based clinical practice guideline on tinnitus from the Guideline Update Group, covering adults with persistent, bothersome tinnitus lasting 6 months or longer. The guideline states clinicians should distinguish bothersome from nonbothersome tinnitus, assess self-harm risk, avoid neuroradiologic imaging unless concerning features are present, and recommends targeted history and physical exam, audiological evaluation, patient education, hearing aid evaluation, cochlear implant referral when criteria are met, and cognitive behavioral therapy, while recommending against routine use of antidepressants or anticonvulsants.

Most relevant for: Clinicians, including primary care providers, audiologists, and specialty clinicians, managing adults with persistent and bothersome tinnitus, often associated with sensorineural hearing loss.

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Informational only. Not medical advice. Not a substitute for clinical judgment. Always consult current guidelines and your own clinical judgment.