Tinnitus Atlas

Tinnitus Atlas

Tinnitus

An interactive teaching atlas of tinnitus — its causes, mechanisms, assessment and management, built chapter by chapter. All 9 chapters are live.

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Chapters

  1. What tinnitus is, how it is classified, and the otologic, neurologic, vascular, muscular and pharmacologic causes behind it.

  2. Cochlear deafferentation, the dorsal cochlear nucleus, central gain and cortical plasticity, and the limbic networks that make tinnitus persist.

  3. Pitch, loudness, timing and impact; pulsatile vs non-pulsatile; somatic modulation; special populations; and the THI/TFI/VAS tools.

  4. Otoscopy and neuro-otologic exam, tuning-fork tests, pitch/loudness matching, masking and residual inhibition, somatosensory testing and red flags.

  5. Audiometry, tympanometry, OAEs, ABR and ECochG, psychoacoustic and patient-reported measures, and MRI/CT imaging of the unilateral or pulsatile ear.

  6. Counselling and education, the evidence (and limits) of drug therapy, supplements and the placebo effect, and severity-stratified, multidisciplinary care.

  7. Jastreboff's neurophysiological model, habituation, sound enrichment and generators, hearing aids, neuromodulation, and CBT/mindfulness integration.

  8. Cochlear implantation for tinnitus, vascular interventions, and emerging neuromodulation — rTMS, vagus-nerve and deep-brain stimulation.

  9. Tinnitus as a clue to systemic disease — vascular, metabolic, haematologic, autoimmune and drug-induced causes — and the work-up that finds them.

Audience levels

Every section is tagged for an audience level. Foundation (F) is for medical students and foundation trainees; Trainee (T) is for ENT, audiology, and neurotology trainees; Clinician (C) is for qualified clinicians. Modules teach all three levels in sequence so a learner can stop at the depth that suits them.