TRI Flowchart For Patient Management

Tinnitus management is a challenge. One reason is, that tinnitus can be a symptom of a wide range of different underlying pathologies and can be accompanied by many different comorbidities. This is clearly indicating the need for comprehensive multidisciplinary diagnostic assessment.

In this context the TRI Tinnitus Clinic Network* has developed the "TRI Flowchart for Patient Management" based on careful literature research, performed in August 2008 and further updated since then.
(* TRI Tinnitus Clinic Network - in alphabetical order: Biesinger E, Del Bo L, De Ridder D, Goodey R, Herraiz C, Kleinjung T, Lainez JM, Landgrebe M, Langguth B, Londero A, Paolino M, Questier B, Sanchez T, Searchfield G)

First presented in 2009 during the 3rd TRI Meeting in Stresa, the Flowchart now is openly available for everybody: DOWNLOAD NOW.

This flowchart is an interactive PDF-document.  You find detailed information by clicking the boxes of the main flowchart slide. Links to explanatory slides are always marked by an arrow. By clicking on the "home" symbol in the bottom right corner you get easily back to the main slide.

This flowchart should not be considered as a "final version" but rather as "work in progress". It is intended to be a "living document" and thus the quality and actuality of the flowchart will depend on your feedback. Please send your comments and suggestions to the following e-mail address: This email address is being protected from spambots. You need JavaScript enabled to view it.. The authors will be very grateful for all kinds of feedback.

We hope that the TRI Flowchart for Patient Management will contribute to a better diagnosis and treatment of the many tinnitus patients worldwide who seek help.