FESSDRRAJINI

TINNITUS (NOISE IN THE EAR)

TINNITUS IS RINGING SOUND OR NOISE IN THE EAR,USUALLY THE SOUND IS WITH IN THE PATIENT,USUALLY IT IS UNILATERAL MAY ALSO AFFECT BOTH THE EARS.IT IS DESCRIBED BY THE PATIENT AS HISSING,ROARING,RUSTLING,OR CLICKING TYPE OF NOISE.

TINNITUS IS MORE ANNOYING IN QUIET SURROUNDINGS ESPECIALLY AT NIGHT.

TYPES OF TINNITUS
A.SUBJECTIVE WHICH CAN ONLY BE HEARD BY THE PATIENT.
B.OBJECTIVE
CAN EVEN BE HEARD BY THE EXAMINER WITH STETHOSCOPE,
CAUSES OF TINNITUS
SUBJECTIVE TINNITUS USUALLY ORIGINATES FROM EXTERNAL EAR,8TH NERVE OR CENTRAL NERVOUS SYSTEM.
SYSTEMIC DISORDERS LIKE ANAEMIA,ATHEROSCLEROSIS,HYPERTENSION & FEW DRUGS MAY ACT THROUGH INNER EAR OR CENTRAL AUDITORY PATHWAY.

OBJECTIVE TINNITUS IS LESS COMMON MAINLY BECAUSE OF VASCULAR LEISION EG:GLOMUS TUMOR OR CAROTID ARTERY ANEURISM.
CONTRAACTION OF MIDDLE EAR MUSCLES(STAPEDIUS AND TENSOR TYMPANI MUSCLE MAY ALSO CAUSE TINNITUS.
TINNITUS IS ALSO PSYCHO GENEIC.
TREATMENT

IT IS A SYMPTOM NOT DISEASE SO THE CAUSE IS DISCOVERED AND TREATED WHEN NO CAUSE IS FOUND OUT,MANAGEMENT INCLUDES
1.REASSURANCE PSYCHOTHERAPY
2.TECHNIQUES OR RELAXATION AND BIOFEEDBACK
3 SEDATION AND TRANQUILLIZERS. ONLY IN INITIAL STAGES TILL PATIENT GETS ADJUSTED.
4.MASKING OF TINNITUS
TINNITUS IS MORE ANNOYING AT BED TIME DUE TO QUITE SURROUNDINGS SO USE OF FAN LOUD CLOCK OR MILD MUSIC USE OF HERAING AID IN PATIENTS WITH HEARING LOSS CAN BE USED.
TINNITUS MASKERS CAN BE USED IN PATIENTS WITH NO HEARING LOSS.

Labels: TINNITUS