09-10, 08:00–08:30 (Europe/Istanbul), Otology 6
Tinnitus is one of the most frequent and challenging complaints encountered in daily otorhinolaryngology practice. Although commonly perceived as a subjective symptom without a definitive cure, tinnitus represents a heterogeneous condition with multiple etiological pathways, variable clinical presentations, and markedly different therapeutic implications. The otorhinolaryngologist plays a central role in identifying treatable causes, guiding appropriate diagnostic work-up, and implementing realistic, individualized management strategies.
This Instruction Course is designed to provide a structured, step-by-step clinical approach to tinnitus from the perspective of the ENT specialist. The course emphasizes practical diagnostic algorithms, differentiation between tinnitus as a symptom and tinnitus as a disorder, and recognition of distinct tinnitus phenotypes, including cochlear, somatosensory, vascular, and central forms. Evidence-based principles of audiological assessment, imaging indications, and multidisciplinary collaboration are integrated within an otology-focused framework.
Therapeutic strategies discussed in this course include etiological treatment when available, sound-based interventions, hearing rehabilitation, counseling principles applicable in ENT practice, and the rational use of pharmacological options. Particular attention is given to avoiding ineffective or unnecessary therapies and to improving physician–patient communication in order to reduce distress and enhance treatment adherence.
Upon completion of this course, participants will be able to apply a systematic diagnostic pathway for tinnitus patients, identify cases requiring further investigation or referral, formulate personalized treatment plans based on tinnitus phenotype, and communicate realistic expectations to patients.
Joe Manjaly is a Consultant Otologist, Auditory Implant and ENT Surgeon. He is Clinical Lead for Adult ENT at the Royal National ENT Hospital & University College London Hospitals. He graduated from Bristol University in 2008 and underwent ENT Higher surgical training on the London North Thames rotation followed by an advanced fellowship in Otology & Auditory Implants at University Hospitals Cambridge. He specialises in stapedectomy under sedation as well as cochlear, middle ear & bone conduction implantation for adults & children. He is the author of a number of popular trainee textbooks, including ‘ENT OSCES’ & 'Advanced ENT Training' both published by CRC press. He is a council member for the British Society of Otology. He creates a variety of educational social media content on various channels as @earsurgeonjoe
- Considerations for stapes surgery in the next generation
- Vestibular schwannoma and simultaneous cochlear implant: Indications and new prospectives
- Stress Hormones and Auditory Synaptic Plasticity: Sex-Specific Mechanisms at the Inner Hair Cell Synapse
- Active Bone Conduction & Middle Ear Implants: When, Which One & What’s Trending?
Ljiljana Čvorović, MD, PhD, is an Associate Professor of Otorhinolaryngology, Head of the Otology Department, and an otologic surgeon at the Faculty of Medicine, University of Belgrade, and the University Clinical Center of Serbia. Her clinical and academic work focuses on otology and neurotology, with particular expertise in tinnitus management and hearing disorders.