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Tinnitus
"Huh? Can't hear you over the ringing noises in my ears. . ."
Many patients with hearing loss also complain they hear ringing, buzzing, hissing or roaring noises in their ears when no other noises are present. These noises are referred to as "Tinnitus." Most cases of tinnitus are considered subjective, meaning the noises are only heard by the patient. However, less commonly, objective tinnitus can actually be measured whan a microphone is placed in the ear canal.
Most everyone will experience tinnitus at some time. According to the American Tinnitus Association, millions of Americans have constant tinnitus but are not bothered by it. About 12 million will seek professional help for their tinnitus. For about 2 million, the constant bombardment of sound is seriously debilitating, interfering with work and everyday life.
Most cases of tinnitus are probably due to damage in the cochlea (organ of hearing) or auditory nerve pathology. Recent research suggests that some cases may occur at the auditory centers of the brain itself.
Some main causes of tinnitus are:
*Wax build-up or obstructions in the outer ear canal.
*Perforation in the eardrum or fluid accumulation behind the drum.
*Otosclerosis ~ the stirrup bone (stapes) becomes fixed and doesn't vibrate.
*Otitis media (ear infections).
*Sudden loud noises or repeated exposure to noise without adequate protection.
*Trauma to the head or neck as in a concussion or whiplash injury.
*Some medications induce tinnitus.
*High or low blood pressure or anemia.
Specific causes include hypertension, ototoxic drugs (including high doses of aspirin), noise exposure, physical trauma, Meniere's disease and acoustic neuroma.
People with hearing loss are more likely to experience tinnitus, and about 70% of those with tinnitus have hearing loss. Often the tinnitus is louder at night, when the surroundings are quiet.
Two of the most common treatments are the use of hearing aids and tinnitus maskers . A large percentage of hearing aid users report reduced tinnitus when wearing hearing aids. Maskers emit 'white noise' and can be used as a hearing aid or by bedside at night.
Countless treatments have been used to reduce the effects of tinnitus, many without substantial support. These include acupuncture, biofeedback, cognitive behavioral therapy, counseling, hypnotism, medication, and nutritional therapy. Tinnitus sufferers have been advised to avoid nervous tension, fatigue, and stimulants.
Clinical studies on certain herbs, minerals and vitamins are pointing to new treatment options. One such herb, Ginkgo biloba, can be found in Arches Tinnitus Relief Formula . Arches is recommended by more than 1000 Ear, Nose and Throat (ENT) physicians and can be purchased at our office. Please note: Ginkgo biloba increases circulation. It should not be used by individuals taking blood thinners (i.e. coumadin or persantine) without the advice of one's personal physician.
Whatever method is used, help IS available through evaluation, counseling and treatment.
Because tinnitus may be symptomatic of a more serious disorder, it is important to try and find the cause befor treating the head noises. For more information on tinnitus, contact the American Tinnitus Association, P.O. Box 5, Portland, Oregon, 97207 or www.ata.org
Custom sounds for achieving tinnitus relief. Henry, J, Rheinsurg, B and Zaugg, T. J Amer Acad Audiology (2005). 15 (8): 585-598.
Audiology HealthCare News, Fall 2005 Edition
Treating tinnitus. Keate, B. Advance for Audiologists (Mar/Apr 2006). 8 (2): 34-40.
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