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All patients that were treated with temporomandibular steroids in our clinic between October 2016 and October 2018 for tinnitus that persisted for 1 month or longer were includedin this follow-up study. We included all patients that were treated with at least 1 dose of tinnitus medications in this study. We excluded patients that were receiving concomitant treatment with anticholinergic drugs at the time of the first tinnitus episode. The maximum duration of the history of tinnitus symptoms was 4 months, and the total number of medications administered was 5.9 ± 7.9 (range 4.6-10.0) medications. We used a validated visual analogue scale to classify patients of various groups and examined the correlation of patients’ symptoms with time. For patients treated with temporomandibular steroids for 2 months or longer, the primary outcome was the presence of tinnitus, which was recorded during the first month of treatment (the time during which patients heard the first tinnitus). Secondary outcomes included the frequency of onset of tinnitus, which was measured using the modified Beck’s Depression Inventory (BDI) [18] , the Hamilton Rating Scale for Depression (HRSD) [19] , the Beck Anxiety Inventory (BAI) [30] , the Montgomery Wurtz Beck Depression Rating Scale, the Montgomery Anxiety Scale, and the Hamilton Anxiety Rating Scale. For each patient, the duration of tinnitus was also recorded. For patients treated with the drug, the duration of tinnitus was recorded on the 2nd day of treatment. The second day data is recorded and used for analyses. Tinnitus symptoms were monitored throughout the study between 10.00 pm and 7.00 am on 2 consecutive days during the second week in each week of treatment at our department. At the same time, patients’ pain was evaluated with visual analogue scales and the Montgomery Anxiety and Depression Scales (MADRS). A visual analogue scale (VAS) was used to assess pain intensity. HRSD scores were calculated and used as the primary measure for the analyses. Patient was invited through our web site for inclusion into the study after having described her/his tinnitus in detail. Patients were asked to fill out a 3 minute questionnaire [18] , which included the details of the tinnitus, their TSI, and a history of tinnitus treatment since the onset of their tinnitus symptoms. The interview also included the number of tinnitus medications, which was determined using computerized data records and the use of medication records from electronic health records. The participants’ tinnitus was defined as having a diagnosis of

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