Physicians, dentists, psychological and medical psychotherapists, hospitals, rehabilitation facilities, health resorts. The guideline presented here is intended to show the current state of diagnostics and the therapeutic concept for patients with chronic tinnitus. Therapy should be based on this differential diagnostic assessment. The basic medical task in chronic tinnitus are the diagnostics to identify the individually relevant factors of origin and accompanying symptoms. Chronic tinnitus is not a uniform clinical picture but can take many forms. Manual medical and physiotherapeutic therapy 4.1.10:Īppendix 1: Treatment algorithm for chronic tinnitus 5.2:Īppendix 2: Counselling for tinnitus 5.3:Īppendix 3: Medical history questions and clinical severity classificationĬhronic tinnitus is a common symptom of the auditory system which, especially in combination with comorbidities, can lead to serious disease burden. Transcutaneous electrical nerve stimulation (TENS) 4.1.8.7: Intracochlear electrical stimulation-see cochlear implant 4.1.8.6: Transcranial electrical stimulation 4.1.8.2:īimodal acoustic and electrical stimulation 4.1.8.4: Repetitive transcranial magnetic stimulation 4.1.8: Tailor-made notched music therapy 4.1.5.3:ĭrug influence on neurotransmission 4.1.6.10: Music therapy approaches and sound therapy 4.1.5.1: Presentation of therapies with recommendations 4.1.1:īehavioural therapy and psychodynamically oriented methods 4.1.4: Objective tinnitus/subjective tinnitus 2.2: Pathophysiological aspects and classification of chronic tinnitus 2.1: The most important recommendations at a glance 1: German Association for the Hard of Hearing (DSB) German Professional Association of Otolaryngologists e. V. Working Group of German-Speaking Audiologists, Neuro-otologists and Otologists (ADANO) German Society for Paediatrics and Adolescent Medicine (DGKJ) German Society for Physical and Rehabilitation Medicine (DGPRM) German Society for Phoniatrics and Paedaudiology (DGPP) German Society for Functional Diagnostics and Therapy (DGFDT) German Society for Dental, Oral and Maxillofacial Medicine (DGZMK) and German Society for Psychiatry and Psychotherapy, German Society for Behavioural Medicine and Behaviour Modification (DGVM) German Medical Society for Behavioural Therapy (DÄVT) German Society for Psychosomatic Medicine and Medical Psychotherapy (DGPM) German College of Psychosomatic Medicine (DKPM) Participating professional societies/organisations
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