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Tinnitus is a ringing or hissing sound/ noise in the ear. The source of this sound is within the patient. It is mostly unilateral, but may be bilateral on some occasions.
The most common causes of subjective tinnitus are:-
Most of these causes can be ruled out by eliciting a good history, a thorough clinical examination and basic investigations like pure tone audiometry and impedance audiometry.
This may be caused by :-
Tinnitus is not a disease but may be a symptom of some underlying pathology. The patient may complain of a high pitched whistling sound in the ear which may get more severe in the night or in very quiet surroundings.
The treatment of tinnitus is based upon treating the underlying cause. Sometimes, no definite cause of tinnitus is identifiable. In such cases, the treatment of tinnitus includes:
Described by Jastreboff from University of Maryland. It consists of two major components:
Tinnitus Retraining Therapy works in approximately 80 percent of patients.