1.
What is tinnitus?
2.
How is tinnitus classified?
3.
Briefly discuss the work-up of tinnitus (include pertinent H&P evaluation, indications for labs/radiology, measurement and quantification)
4.
Call your buddies at the University of Maryland Tinnitus Center. How are patients evaluated and treated? What are the waiting period and costs?
5.
What is the role of imaging in tinnitus?
Reference(s):
Sajisevi, M, Weissman, J.L., Kaylie, D.M. What is the role of imaging in tinnitus? Laryngoscope, 124(3), 583-4.
Schoeff, S, Nicholas, B, Mukherjee, S, Kesser, B.W. Imaging prevalence of sigmoid sinus dehiscense among patients with and without pulsatile tinnitus. Otolaryngol Head Neck Surg, 150(5), 841-6.
6.
Is there a role for pharmacologic therapy of tinnitus? What other medical and non-medical treatment modalities are available for tinnitus?
Reference(s):
Hoare, D. J., Kowalkowski, V. L., Kang, S., & Hall, D. A. (2011). Systematic review and meta-analyses of randomized controlled trials examining tinnitus management. The Laryngoscope, 121(7), 1555–1564.
7.
Would you recommend cognitive behavioral therapy for tinnitus?
Reference(s):
Maes, I. H. L., Cima, R. F. F., Anteunis, L. J. C., Scheijen, D. J. W. M., Baguley, D. M., El Refaie, A., … Joore, M. A. (2014). Cost-effectiveness of specialized treatment based on cognitive behavioral therapy versus usual care for tinnitus. Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, 35(5), 787–795.
8.
Unilateral pulsatile tinnitus: which imaging modality is best?
Reference(s):
Ahsan, S.F., Seidman, M, Yaremchuk, K. (2015). What is the best imaging modality in evaluating patients with unilateral pulsatile tinnitus? Laryngoscope, 125(2), 284-5.
Madani, G, Conner, S.E. (2009). Imaging in pulsatile tinnitus. Clin Radiol, 64(3), 319-28.
9.
Educate us on the relationship between depression and tinnitus.
Reference(s):
Dobie, R. A. (1999). A review of randomized clinical trials in tinnitus. The Laryngoscope, 109(8), 1202–1211.
10.
Discuss maskers and hearing aids in tinnitus. Discuss the use of customized acoustic stimulus systems (such as Neuromonics device) for tinnitus.
Reference(s):
Wazen, J. J., Daugherty, J., Pinsky, K., Newman, C. W., Sandridge, S., Battista, R., … Luxford, W. (2011). Evaluation of a customized acoustical stimulus system in the treatment of chronic tinnitus. Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology, 32(4), 710–716.
11.
How does palatal myoclonus cause tinnitus? What is the treatment?
12.
Can cochlear implants suppress tinnitus?
Reference(s):
Yonehara, E., Mezzalira, R., Porto, P. R. C., Bianchini, W. A., Calonga, L., Curi, S. B., & Stoler, G. (2006). Can cochlear implants decrease tinnitus? The International Tinnitus Journal, 12(2), 172–174.