{"id":25003,"date":"2025-08-05T10:09:14","date_gmt":"2025-08-05T09:09:14","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/?page_id=25003"},"modified":"2025-08-14T14:15:54","modified_gmt":"2025-08-14T13:15:54","slug":"tinnitus-paediatric","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/paediatrics\/paediatric-ent\/tinnitus-paediatric\/","title":{"rendered":"Tinnitus Paediatric"},"content":{"rendered":"\n<p><strong>Introduction<\/strong><\/p>\n\n\n\n<p>Tinnitus is a common experience in childhood:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>The majority of children and young people that do experience tinnitus do not feel distressed or affected by it and no treatment is required.<\/li>\n\n\n\n<li>Tinnitus is more common in children and young people with hearing loss and with otitis media.<\/li>\n\n\n\n<li>There is very little evidence base on managing tinnitus in children and thus this is modelled on treatment of adults.<\/li>\n\n\n\n<li>Treatment is offered by the audiology department.<\/li>\n<\/ul>\n\n\n\n<p>Children or young people with:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>physical red flags should be referred to both Audiology and <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/paediatric-ent\/\" target=\"_blank\" rel=\"noreferrer noopener\">ENT<\/a>;<\/li>\n\n\n\n<li>those with mental health red flags referred to both Audiology and <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/childandadolescentmentalhealthcamh\/\" target=\"_blank\" rel=\"noreferrer noopener\">CAMHS<\/a>.<\/li>\n<\/ul>\n\n\n\n<p>Please offer the <a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Tinnitus_in_young_people-PIL.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Tinnitus in Young People PILs<\/a> on the resources and links page.<\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h4 class=\"wp-block-heading\"><strong>Who to refer:<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Children with tinnitus<\/li>\n\n\n\n<li>Children with hearing loss and tinnitus.<\/li>\n<\/ul>\n\n\n\n<p><strong><u>Refer to Audiology <em>and<\/em> ENT<\/u><\/strong><strong>:<\/strong><\/p>\n\n\n\n<p>Children with other problems, including red flags eg vertigo or ear infections.<\/p>\n\n\n\n<p>Red flags requiring ENT referral include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ear discharge<\/li>\n\n\n\n<li>Persistent ear pain or headache<\/li>\n\n\n\n<li>Dizziness\/vertigo<\/li>\n\n\n\n<li>Unilateral or pulsatile tinnitus<\/li>\n\n\n\n<li>Head injury<\/li>\n\n\n\n<li>Abnormal findings on otoscopy<\/li>\n<\/ul>\n\n\n\n<p><strong><u>Refer to Audiology and CAMHS<\/u><\/strong><\/p>\n\n\n\n<p><strong>Red flags supporting concurrent referral to child mental health services<\/strong><\/p>\n\n\n\n<p>Significant family emotional issues, e.g. bereavement.<\/p>\n\n\n\n<p>Depression and significant anxiety<\/p>\n\n\n\n<p>Reports of self-harm or suicidal thoughts<\/p>\n\n\n\n<p>Reluctance to attend school or socialize with peers<\/p>\n\n\n\n<p>Reluctance to engage in normal activities<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>Bilateral non pulsatile tinnitus with no ENT Red flags (e.g. without discharging ears, pain or facial nerve palsy) does not require referral. Direct the parents\/carers to the British Tinnitus Society website:<\/p>\n\n\n\n<p><a href=\"http:\/\/tinnitus.org.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">http:\/\/tinnitus.org.uk\/<\/a><\/p>\n\n\n\n<p>If tinnitus significantly impacts on child\u2019s life, please refer to audiology marked for tinnitus counselling.<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><a href=\"http:\/\/tinnitus.org.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">http:\/\/tinnitus.org.uk\/<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Tinnitus_in_young_people-PIL.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Tinnitus in young people leaflet<\/a><\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Introduction Tinnitus is a common experience in childhood: Children or young people with: Please offer the Tinnitus in Young People PILs on the resources and links page.<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":4246,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[1305],"class_list":["post-25003","page","type-page","status-publish","hentry","category-https-apps-nhslothian-scot-refhelp-tinnitus-paediatric"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"heatherlevy","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/heatherlevy\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/entpaediatric\/https-apps-nhslothian-scot-refhelp-tinnitus-paediatric\/\" rel=\"tag\">Tinnitus (Paediatric)<\/a>","rttpg_excerpt":"Introduction Tinnitus is a common experience in childhood: Children or young people with: Please offer the Tinnitus in Young People PILs on the resources and links page.","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/25003","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=25003"}],"version-history":[{"count":1,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/25003\/revisions"}],"predecessor-version":[{"id":25004,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/25003\/revisions\/25004"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4246"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=25003"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=25003"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}