Ep. 194 Tinnitus and Migraine: Expert Insight with Dr. Hamid Djalilian

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. --- This podcast is supported by: PearsonRavitz https://pearsonravitz.com/backtable --- SYNPOSIS 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. --- 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 --- RESOURCES BackTable ENT Episode 60 Otologic Manifestations of Migraine with Dr. Hamid Djalilian https://www.backtable.com/shows/ent/podcasts/60/otologic-manifestations-of-migraine Dr. Hamid Djalilian University of California, Irvine Profile: https://www.ent.uci.edu/faculty/hamid-djalilian-md.asp Dr. Hamid Djalilian’s Website: https://hamiddjalilianmd.com/ Fan-Gang Zeng (Hearing and Speech) Lab at UCI: https://faculty.sites.uci.edu/hesplab/ PearsonRavitz: https://pearsonravitz.com/