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Tinnitus.

Divya A Chari1, Charles J Limb1

  • 1Department of Otolaryngology-Head and Neck Surgery, University of California San Francisco, 2233 Post Street, 3rd Floor, San Francisco, CA 94115, USA.

The Medical Clinics of North America
|October 22, 2018
PubMed
Summary
This summary is machine-generated.

Differentiating objective and subjective tinnitus involves history, physical exams, and audiograms. Treatment for tinnitus varies, including therapies, hearing aids, and medication, depending on the cause.

Keywords:
Abnormal perception of soundsAudiogramCognitive behavioral therapyHearing aidsObjective tinnitusPulsatile tinnitusSubjective tinnitus

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Area of Science:

  • Otolaryngology
  • Neurology

Background:

  • Tinnitus, a perception of sound without an external source, is broadly classified into objective and subjective types.
  • Objective tinnitus may stem from vascular issues, muscle spasms, or eustachian tube dysfunction.
  • Subjective tinnitus is frequently linked to sensorineural hearing loss.

Purpose of the Study:

  • To outline the diagnostic approaches for differentiating tinnitus types.
  • To review potential underlying causes and associated conditions.
  • To summarize current treatment strategies for tinnitus management.

Main Methods:

  • Comprehensive patient history and physical examination.
  • Audiological evaluation including audiogram.
  • Consideration of imaging and further testing for suspected underlying conditions.

Main Results:

  • Objective tinnitus can be identified through specific physical findings and sometimes audible to an examiner.
  • Subjective tinnitus is more common and often associated with hearing impairment.
  • Classification of tinnitus characteristics aids in diagnosis and treatment planning.

Conclusions:

  • Distinguishing between objective and subjective tinnitus is crucial for appropriate work-up.
  • Identifying underlying causes is essential when tinnitus is suspected to be secondary to another condition.
  • A multimodal treatment approach, tailored to the tinnitus type and cause, offers the best management outcomes.