Tinnitus Atlas · Progress
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Ch 1
Understanding Tinnitus
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Ch 2
Pathophysiology of Tinnitus
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Ch 3
Clinical Features and Classification of Tinnitus
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Ch 4
Bedside Examination and Clinical Assessment of Tinnitus
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Ch 5
Investigations and Audiological Evaluation in Tinnitus
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Ch 6
Conservative and Pharmacological Management of Tinnitus
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Ch 7
Tinnitus Retraining Therapy and Sound Therapy
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Ch 8
Surgical and Interventional Approaches for Tinnitus
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Ch 9
Tinnitus Due to Systemic and Unusual Causes
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Modules read0 / 135
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- 01Understanding Tinnitus: A Phantom SoundFTC
- 02What Tinnitus Is — Definition and TerminologyFTC
- 03Subjective vs Objective TinnitusFTC
- 04Functional vs Structural TinnitusFTC
- 05Psychoacoustic and Temporal SubtypesFTC
- 06Epidemiology and Burden of TinnitusFTC
- 07Otologic Causes of TinnitusFTC
- 08Neurologic Causes of TinnitusFTC
- 09Vascular Causes (Pulsatile Tinnitus)FTC
- 10Muscular and Mechanical CausesFTC
- 11Pharmacologic and Ototoxic CausesFTC
- 12Idiopathic Tinnitus and Systemic LinksFTC
- 13Mechanism: Cochlear Damage and DeafferentationFTC
- 14Mechanism: Central Gain and Cortical PlasticityFTC
- 15Mechanism: Somatosensory Cross-TalkFTC
- 01Pathophysiology Overview — A Peripheral Trigger, A Central DiseaseFTC
- 02Peripheral Generators — Cochlea, Synaptopathy, DeafferentationFTC
- 03Spontaneous Hyperactivity After DeafferentationFTC
- 04Neural Synchrony, Bursting and HyperexcitabilityFTC
- 05The Dorsal Cochlear Nucleus as a GeneratorFTC
- 06The Central Gain Mechanism (Homeostatic Plasticity)FTC
- 07Tonotopic Map Reorganization and the Edge EffectFTC
- 08Thalamocortical Dysrhythmia and Neural OscillationsFTC
- 09Auditory Cortex and Resting-State NetworksFTC
- 10The Limbic and Emotional NetworkFTC
- 11Attention, Salience and the Default-Mode NetworkFTC
- 12Predictive Coding — A Bayesian Model of TinnitusFTC
- 13Phantom Perception and the Neuropathic-Pain ParallelFTC
- 14The Evidence — Neuroimaging and ElectrophysiologyFTC
- 15Unifying Models and What They Mean for TreatmentFTC
- 01How Tinnitus Presents — The Clinical PictureFTC
- 02Taking the Tinnitus HistoryFTC
- 03Pitch, Loudness and Sound QualityFTC
- 04Temporal Pattern, Onset and FluctuationFTC
- 05Recognising Pulsatile TinnitusFTC
- 06Somatic & Somatosensory FeaturesFTC
- 07Laterality and Clinical Red FlagsFTC
- 08Tinnitus Distress and the Emotional ReactionFTC
- 09Impact on Sleep and CognitionFTC
- 10Anxiety, Depression and SuicidalityFTC
- 11Hyperacusis, Misophonia and Sound ToleranceFTC
- 12Special Populations (Paediatric, Elderly, Meniere, Vestibular Migraine)FTC
- 13Questionnaires — THI, TFI and FriendsFTC
- 14Psychoacoustic Measures and Severity GradingFTC
- 15Clinical Classification and Phenotyping for ManagementFTC
- 01The Bedside Approach to TinnitusFTC
- 02General and Otoscopic ExaminationFTC
- 03The Neuro-otologic ExaminationFTC
- 04Tuning-Fork Tests (Weber, Rinne)FTC
- 05Auscultation and Inspection for Objective TinnitusFTC
- 06Tinnitus Pitch MatchingFTC
- 07Tinnitus Loudness MatchingFTC
- 08Minimum Masking LevelFTC
- 09Residual Inhibition TestingFTC
- 10Somatosensory and TMJ Bedside AssessmentFTC
- 11Neck and Vascular Examination (Pulsatile)FTC
- 12Bedside Hearing and Speech ChecksFTC
- 13Bedside Distress and Psychometric ScreeningFTC
- 14Red Flags on ExaminationFTC
- 15A Systematic Bedside ProtocolFTC
- 01The Diagnostic Work-up — What to Order and WhenFT
- 02Pure-Tone Audiometry (incl. high-frequency)FTC
- 03Speech AudiometryFTC
- 04Tympanometry and Acoustic ReflexesFTC
- 05Otoacoustic Emissions (and SOAEs)FTC
- 06ABR and ElectrocochleographyFTC
- 07Extended High-Frequency Audiometry & Hidden Hearing LossFTC
- 08Psychoacoustic Measurement (pitch, loudness, MML, RI)FTC
- 09Patient-Reported Outcome Measures in the Work-upFTC
- 10Laboratory and Blood Work-upFTC
- 11Imaging — Who to Scan and WhyFTC
- 12MRI in Tinnitus (IAC/brain, vestibular schwannoma)FTC
- 13CT and Vascular Imaging for Pulsatile TinnitusFTC
- 14Emerging and Research Investigations (fMRI/PET/EEG/MEG)FTC
- 15Building a Stratified, Cost-aware Work-upFTC
- 01The Management Philosophy — No Cure, Much HelpFTC
- 02Patient Education and ReassuranceFTC
- 03The Evidence Base and Clinical GuidelinesFTC
- 04Addressing Modifiable FactorsFTC
- 05Hearing Aids in Tinnitus ManagementFTC
- 06Pharmacotherapy — Why No Cure ExistsFTC
- 07Antidepressants (for distress and comorbidity)FTC
- 08Anxiolytics and AnticonvulsantsFTC
- 09Other Drugs and Intratympanic TherapyFTC
- 10Supplements and Complementary TherapyFTC
- 11The Placebo Effect and Trial DesignFTC
- 12Managing Comorbidities (sleep, anxiety, depression)FTC
- 13Psychological Therapies — CBT, ACT, MBSRFTC
- 14Stepped Care and Severity StratificationFTC
- 15The Multidisciplinary Management ApproachFTC
- 01Retraining the Brain — The Habituation ParadigmFTC
- 02The Jastreboff Neurophysiological ModelFTC
- 03The Principle of HabituationFTC
- 04TRT — Directive CounsellingFTC
- 05TRT — The Sound Therapy ComponentFTC
- 06TRT Categories and the Treatment ProtocolFTC
- 07Sound Enrichment and Environmental SoundFTC
- 07Masking and Residual-Inhibition TherapyFTC
- 07Notched and Customised Sound TherapyFTC
- 07Neuromodulation and Bimodal StimulationFTC
- 07Integrating CBT and MindfulnessFTC
- 07Evidence and Comparative EfficacyFTC
- 07Personalising the Therapy PlanFTC
- 08Sound Generators and Wearable DevicesFTC
- 09Hearing Aids and Combination DevicesFTC
- 01When Procedures Help — Treat the Cause, Select CarefullyFTC
- 02Surgery for the Underlying Ear DiseaseFTC
- 03Cochlear Implantation and Tinnitus SuppressionFTC
- 04Cochlear Implant for Single-Sided Deafness with TinnitusFTC
- 05Implants When a Cochlear Implant Is Not Possible (ABI, etc.)FTC
- 06Intervention for Pulsatile Tinnitus — OverviewFTC
- 07Sigmoid Sinus and Jugular Bulb ProceduresFTC
- 08Dural AV Fistula and Endovascular TreatmentFTC
- 09Glomus Tumour (Paraganglioma) ManagementFTC
- 10Superior Semicircular Canal Dehiscence RepairFTC
- 11IIH and Venous Sinus InterventionsFTC
- 12Middle-Ear and Palatal Myoclonus — Surgery and Botulinum ToxinFTC
- 13Invasive Neuromodulation (DBS, Cortical, Invasive VNS)FTC
- 14Microvascular Decompression of the Cochleovestibular NerveFTC
- 15Patient Selection and the Evidence — A Cautious AlgorithmFTC
- 01Tinnitus as a Window on Systemic DiseaseFTC
- 02Cardiovascular Disease and HypertensionFTC
- 03Anaemia and Haematologic CausesFTC
- 04Thyroid and Endocrine CausesFTC
- 05Metabolic Disease, Diabetes and DeficienciesFTC
- 06Autoimmune and Inflammatory CausesFTC
- 07Neurologic Systemic CausesFTC
- 08Infections and Post-infective TinnitusFTC
- 09Renal, Hepatic and Electrolyte CausesFTC
- 10Medication-Induced Tinnitus and PolypharmacyFTC
- 11TMJ, Cervical and Musculoskeletal CausesFTC
- 12Psychiatric and Functional ContributorsFTC
- 13Unusual and Rare Forms of TinnitusFTC
- 14The Systemic Work-up: History, Examination and the Rational Blood PanelFTC
- 15Integrating Systemic Causes: When to Suspect, Whom to Involve, and How to Co-manageFTC