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Baguley, David; McFerran, Don; Hall, Deborah


David Baguley

Don McFerran

Deborah Hall


Tinnitus is a prevalent experience and, for those who are troubled by it, it can be debilitating.
Risk factors include hearing loss, ototoxic medication, head injury and depression, and at presentation
the possibility of otologic disease and of anxiety/depression should be considered. Effective drug
treatments have proven elusive, though this is a vibrant theme in tinnitus research. Surgical
intervention for any otological pathology associated with tinnitus may be effective for that condition,
but the tinnitus may persist. Presently available treatments include the provision of hearing aids when
a hearing loss is identified (even when mild or unilateral), wide band sound therapy and counselling. In
some patients, cognitive behavioural therapy (CBT) is indicated though availability of tinnitus specific
CBT is limited in the UK. Of these treatments the evidence base is strongest for a combination of sound
therapy and CBT based counselling, though clinical trials are constrained by the heterogeneity of the
tinnitus patient population. Research into mechanisms of tinnitus and effective treatments now
abounds, and progress is keenly anticipated.


Baguley, D., McFerran, D., & Hall, D. (2013). Tinnitus. Lancet, 382,

Journal Article Type Article
Publication Date Nov 9, 2013
Deposit Date Jul 23, 2014
Publicly Available Date Jul 23, 2014
Journal Lancet
Print ISSN 0140-6736
Electronic ISSN 0140-6736
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 382
Public URL
Publisher URL
Additional Information Open Access funded by Department of Health UK


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