Episode # 194 • 08 Oct 2024
Tinnitus & Migraine: Expert Insight
Tinnitus remains one of otology’s greatest, most challenging, and unsolved clinical problems. In this episode of the BackTable ENT Podcast, Dr. Hamid Djalilian, chair of otolaryngology at University of California Irvine (UCI), joins guest host and fellow otologist Dr. Walter Kutz (UT Southwestern) to discuss contemporary tinnitus therapy.
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Timestamps
00:00 - Introduction
02:34 - The Challenge of Treating Tinnitus
07:19 - Connecting Tinnitus & Migraine
15:59 - Atypical (Otologic) Migraine & Diagnostic Challenges
19:59 - Managing Tinnitus Triggers
26:27 - Dietary Triggers of Tinnitus
28:44 - The Role of Sleep Quality in Tinnitus
33:04 - Caring for Older Patients with Tinnitus
37:59 - New Therapies for Tinnitus: Sound & Cognitive Behavioral Therapy
44:08 - Neuromodulation: The Future of Tinnitus Therapy?
51:34 - Final Thoughts on Tinnitus Treatment
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More about this episode
First, Dr. Djalilian shares how he got interested in tinnitus. After observing how migraines and tinnitus share many similar triggers, he hypothesized that increased central sensitivity underlies both diseases. He successfully adopted migraine management strategies for his tinnitus patients and found great clinical success. After sharing pathophysiologic similarities between the two diseases, Dr. Djalilian expounds on how he evaluates and treats tinnitus. His discussion includes lifestyle modifications, medication, and emerging surgical therapies. Finally, he advises listeners to think of tinnitus as a manageable condition, rather than a poorly-understood phenomenon.
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