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Clinical Evaluation of Tinnitus
Ronna Hertzano1, Taylor B Teplitzky1, David J Eisenman1
1Department of Otorhinolaryngology-Head and Neck Surgery, University of Maryland School of Medicine, 16 South Eutaw Street, Suite 500, Baltimore, MD 21201, USA.
Neuroimaging Clinics of North America
|May 8, 2016
Summary
Clinical evaluation for tinnitus depends on whether it is subjective or objective. Subjective tinnitus often involves hearing loss, requiring otologic and audiology assessments, while objective tinnitus necessitates identifying abnormal sounds through history, examination, and imaging.
Area of Science:
- Otolaryngology
- Audiology
- Medical Diagnostics
Background:
- Tinnitus evaluation varies significantly based on its classification.
- Subjective tinnitus is frequently linked to hearing impairment.
- Objective tinnitus involves abnormal sound perception or generation.
Purpose of the Study:
- To delineate the distinct clinical evaluation pathways for subjective and objective tinnitus.
- To outline diagnostic approaches for identifying the underlying causes of different tinnitus types.
Main Methods:
- Review of clinical evaluation strategies for tinnitus.
- Emphasis on otologic and audiology assessments for subjective tinnitus.
- Utilizing patient history, physical examination, and audiometry for objective tinnitus diagnosis.
Main Results:
- Subjective tinnitus evaluation focuses on audiological assessment and related imaging.
- Objective tinnitus diagnosis relies on differentiating abnormal somatosound perception.
- Directed imaging is crucial for identifying the source of objective tinnitus.
Conclusions:
- A clear distinction in diagnostic approaches is essential for managing tinnitus effectively.
- Accurate classification guides appropriate investigations and interventions.
- Understanding the type of tinnitus (subjective vs. objective) is key to successful clinical management.
