How to manage tinnitus patients: a practical guide for clinicians
09-09, 15:00–16:00 (Europe/Istanbul), Audiology 1

<p>Description:</p> <p>Tinnitus is a prevalent and often debilitating symptom that affects millions worldwide. Despite its frequency, clinicians frequently struggle with its management due to the heterogeneity of causes and responses to treatment. This Instruction Course is designed to provide a clear, concise, and practical guide for managing tinnitus patients in real-world clinical settings. It will focus on decision-making strategies, categorizing patients, and selecting appropriate interventions.</p> <p>The session is divided between three expert clinicians. The first speaker, Dr. Maryam Sadeghijam, will focus on patient profiling and clinical decision-making. Drawing on audiological, psychological, and subjective patient data, she will demonstrate how to formulate an individualized treatment strategy and determine the most appropriate therapeutic direction. The second speaker, Dr. Ahmad Reza Nazeri, will present an overview of current treatment modalities—including counseling, sound therapy, hearing aids, cognitive-behavioral therapy (CBT), and neuromodulation— and explain how to match each approach to specific patient profiles. The third speaker, Mevlüde Işık, will focus on neuromodulation in tinnitus, with an emphasis on transcranial direct current stimulation (tDCS). This section will briefly cover the clinical rationale for tDCS, patient selection criteria, and its role as an adjunctive tool within multimodal tinnitus management.</p> <p>Outcome objectives:</p> <p>By the end of this course, participants will be able to:</p> <p>- Integrate audiological, psychological, and subjective assessments to guide treatment planning<br>- Select personalized management strategies using a structured clinical algorithm<br>- Compare counseling, sound therapy, CBT, and neuromodulation based on patient profiles</p> <p>Structure of session:</p> <p>Part 1 – Clinical Decision-Making in Tinnitus Management</p> <p>Speaker: Dr. Maryam Sadeghijam</p> <p>- Quick overview of tinnitus subtypes (e.g., subjective vs. objective, chronic vs. acute, bothersome vs. non-bothersome)</p> <p>- The essential components of initial assessment: audiological, psychological, and subjective evaluations</p> <p>- Clinical decision-making models based on patient profiles</p> <p>- Simple checklists and red flags to guide early-stage planning</p> <p>Part 2 – Treatment Options and How to Match each approach to Specific Patient Profiles</p> <p>Speaker: Dr. Ahmad Reza Nazeri</p> <p>- Concise review of core management approaches:</p> <p>· Counseling and patient education</p> <p>· Sound therapy and hearing aids</p> <p>· Cognitive Behavioral Therapy (CBT)</p> <p>· Mindfulness-based interventions</p> <p>· Neuromodulation</p> <p>- Comparative table of approaches: strengths, limitations, ideal patient types</p> <p>- Common pitfalls in choosing or applying treatments</p> <p>- A brief, actionable algorithm for everyday clinical decision-making</p> <p>Part 3 – Neuromodulation in Tinnitus: Practical Use of tDCS</p> <p>Speaker: Mevlüde Işık</p> <p>-Neurophysiological basis of neuromodulation in tinnitus</p> <p>-tDCS in tinnitus management:</p> <p>. Core mechanisms and main cortical targets</p> <p>. Commonly used stimulation protocols and safety considerations</p> <p>-Patient selection and clinical integration:</p> <p>. Tinnitus profiles most suitable for tDCS</p> <p>. Influence of severity, chronicity, and treatment resistance</p> <p>Background:</p> <p>1- Shannon entropy measures for EEG signals in tinnitus</p> <p>2- An increase in the auditory steady-state response amplitudes after a period of listening to binaural beat stimuli in tinnitus patients: a pilot study</p> <p>3- Does tinnitus lead to chaos?</p> <p>4- The hypothetical relation between the degree of stress and auditory cortical evoked potentials in tinnitus sufferers</p> <p>5- Use of some relevant parameters for primary prediction of brain activity in idiopathic tinnitus based on a machine learning application</p> <p>6- Persian Version of the Hyperacusis Questionnaire: Psychometric Evaluation and Prevalence Determination</p> <p>7- A preliminary study on the reliability of the persian version of the tinnitus functional index in a military population</p>
<p>With a growing number of tinnitus sufferers worldwide and increasing demand for evidence-based, personalized care, this course offers a timely and practical contribution to the field. Participants will leave the session with tools and insights that can be implemented immediately in clinical practice.</p>
Moderator-Speaker Moderator-Speaker
Ahmadreza Nazeri
Speaker Speaker
Maryam Sadeghijam
Mevlude ISIK
Oguz Yilmaz
Gözde Bayramoğlu Çabuk
Ahmadreza Nazeri
<p>I am a faculty member of audiology department at School of Rehabilitation, University of medical sciences , Tehran, Iran. As an Associate professor of Audiology i work on different areas of audiology and related sciences, like Hearing Science, Electrophysiology, Hearing aid, Aging & Cognition.</p>
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Maryam Sadeghijam
<p>I am Maryam Sadeghi Jam, an Assistant Professor of Audiology from Iran University of Medical Sciences. I have over 15 years of experience in audiology, including teaching, clinical work, and research. My main areas of interest are hearing aids, tinnitus, and vestibular disorders, with a strong focus on hearing aids technologies.</p>
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Mevlude ISIK
<p>Mevlude ISIK completed her undergraduate education in audiology and is currently pursuing her doctoral studies in neuroscience. Her academic work focuses particularly on the neurobiological foundations of tinnitus and the clinical applications of neuromodulation techniques such as transcranial direct current stimulation (tDCS). In her clinical and experimental research, she investigates the relationship between auditory perception processes and brain plasticity, contributing to the development of personalized treatment approaches. Adopting a multidisciplinary perspective in her work, ISIK aims to better understand the neurophysiological mechanisms of auditory system disorders and to advance effective therapeutic strategies.</p>
Oguz Yilmaz
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Gözde Bayramoğlu Çabuk
<p>Doctor Audiologist Gözde Bayramoğlu Çabuk completed her undergraduate education in Physics Engineering at Ankara University in 2003. She obtained her master’s degree in Audiology from Gazi University in 2017 and completed her PhD at Başkent University in 2024 with a dissertation focusing on an intervention approach in subjective tinnitus. Since 2018, she has been working at Gazi University Faculty of Medicine, where she is currently employed as a Doctor Lecturer. Her academic and clinical work encompasses both pediatric and adult populations, with research interests including cochlear implants, hearing aids, tinnitus, and listening effort. Her work integrates patient-reported outcome measures, psychoacoustic assessments, speech-in-noise testing, and advanced audiological evaluation methods within an evidence-based and multidisciplinary framework.</p>
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