Auricular acupuncture for tinnitus
Reviewed by Yovina Khiroya-Morjaria

Acupuncture has long been suggested as a complementary option for tinnitus, but its effectiveness remains uncertain. This systematic review analysed 57 studies published between 1975 and 2023, drawn from an initial 167 identified. The studies were highly variable, ranging from single case reports to small experimental trials with just over 100 participants. Treatment protocols also differed widely, with between one and 30 sessions delivered, often combining auricular and somatic points, and sometimes incorporating electroacupuncture. The overall findings were mixed. There was little consistent evidence that acupuncture alters the loudness or pitch of tinnitus, but several studies reported improvements in sleep, stress levels and quality of life. The pretragal area and auricular concha were highlighted as potentially useful stimulation points, possibly acting through vagal nerve pathways. Interestingly, most studies reported no side effects at all, even in patients who received repeated or prolonged courses of treatment. The authors acknowledge that the evidence base is weak: small sample sizes, lack of controls and inconsistent methodologies limit the strength of any conclusions. Yet the treatment appears safe and, in some patients, may offer subjective benefit, particularly in reducing distress. For clinicians, the review underlines a familiar reality: acupuncture cannot be considered a primary treatment for tinnitus, but it may be offered as an adjunct to conventional management in selected patients, with the caveat that outcomes are unpredictable.

Auricular acupuncture for treating tinnitus: A systematic review.
Brotto D, Galoforo N, Benvegnù F, et al.
HEAR BAL COMMUN
2025;23(2):43–51.