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Tinnitus.

A Sismanis1

  • 1Department of Otolaryngology-Head and Neck Surgery, Medical College of Virginia/Virginia Commonwealth University, 1201 E. Marshall Street, Suite 401, Richmond, VA 23298, USA. Asismanis@aol.com

Current Neurology and Neuroscience Reports
|March 20, 2002
PubMed
Summary

Tinnitus, an ear ringing symptom, has many causes. Compassionate care and various treatments, including hearing aids and addressing underlying conditions, can significantly help most patients experiencing tinnitus.

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Area of Science:

  • Otolaryngology
  • Neurology

Background:

  • Tinnitus is a prevalent otologic symptom with diverse origins.
  • Common causes include noise exposure, infections, Meniere's disease, otosclerosis, trauma, medications, and age-related hearing loss (presbycusis).
  • Less common but critical etiologies necessitate thorough evaluation, such as acoustic neuromas, glomus tumors, carotid artery atherosclerosis, arteriovenous fistulae (AVFs), arteriovenous malformations (AVMs), and intracranial hypertension.

Purpose of the Study:

  • To emphasize the importance of a comprehensive diagnostic approach for tinnitus.
  • To advocate for a compassionate physician attitude towards tinnitus patients.
  • To outline effective management strategies for tinnitus.

Main Methods:

  • Review of common and rare etiologies of tinnitus.
  • Discussion of diagnostic evaluation protocols.
  • Compilation of therapeutic interventions for tinnitus management.

Main Results:

  • A wide spectrum of conditions can cause tinnitus, ranging from common age-related changes to rare vascular and neurological disorders.
  • Effective management involves identifying and treating underlying pathologies when possible.
  • A combination of symptomatic relief and etiological treatment offers significant benefits.

Conclusions:

  • Tinnitus management requires a detailed evaluation to exclude serious underlying conditions.
  • Physician empathy and reassurance are crucial components of patient care.
  • A multimodal treatment approach, including hearing aids, masking devices, behavioral therapies, and medical management of comorbidities, improves outcomes for most tinnitus sufferers.

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