Tinnitus, defined as the perception of sound without an external source, can be particularly distressing when persistent.Among various treatment approaches, repetitive transcranial magnetic stimulation (rTMS) has gained attention as a non-invasive method for modulating maladaptive neuroplastic changes, specifically the hyperactivity and aberrant neural synchrony observed in the auditory cortex (AC) of patients with chronic tinnitus.This report outlines a practical rTMS protocol currently used in clinical settings for tinnitus management.The standard protocol consisted of 1 Hz stimulation at 100%-110% of the resting motor threshold (rMT), applied to the left or contralateral AC, delivering 1800-2000 pulses per session across 10 consecutive treatment days.In selected patients, adjunct excitatory stimulation was delivered to the left dorsolateral prefrontal cortex, especially in cases with comorbid affective symptoms.rTMS offers a safe, adaptable therapeutic option, particularly for patients with concurrent mood disturbances.
Ho Yun Lee (Wed,) studied this question.