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Ear, Nose, and Throat – Tinnitus: By Carol Bauer M.D. bsocially 8 Views • 5 years ago

medskl.com is a global, free open access medical education (FOAMEd) project covering the fundamentals of clinical medicine with animations, lectures and concise summaries. medskl.com is working with over 170 award-winning medical school professors to provide content in 200+ clinical presentations for use in the classroom and for physician CME.

Ear, Nose, and Throat – Tinnitus
Whiteboard Animation Transcript
with Carol Bauer, MD
https://medskl.com/Module/Index/tinnitus

Tinnitus is the awareness of sound without an obvious external source. New onset tinnitus can be very disturbing and cause significant distress and anxiety. Chronic tinnitus, defined as being present for longer than 6 months, is less intrusive and bothersome, primarily because most people with chronic tinnitus adapt through natural habituation.

The two most common causes of tinnitus are age-related hearing loss and hearing loss secondary to noise damage to the inner ear. Rarely does tinnitus signify a serious medical condition but this should be considered under specific conditions and clinical presentations.

Signs and symptoms of a possible serious medical condition causing tinnitus are:

unilateral tinnitus
pulsatile tinnitus
tinnitus temporally related to sudden hearing loss
tinnitus associated with vertigo or other neurological deficits

A thorough otoscopic examination is important to identify serious conditions causing unilateral tinnitus, such as chronic mastoiditis and cholesteatoma.

If there are no signs of acute or chronic ear infection, consider a retrocochlear cause, such as vestibular schwannoma, and vascular lesions such as glomus tumor, arterio-venous malformation, arteriovenous fistula causing tinnitus synchronous with the pulse, or asynchronous pulsatile tinnitus related to spasm of the tensor tympani or stapedius muscles.

Tinnitus almost universally occurs with sudden sensorineural hearing loss. This is a medical emergency since prompt treatment may reverse the hearing loss and eliminate the tinnitus.

Tinnitus that occurs as part of a symptom complex of neurologic deficits can require urgent or emergent evaluation. Episodic tinnitus occurring in conjunction with vertigo and fluctuating hearing loss may be the presenting symptoms of endolymphatic hydrops or Meniere’s disease, migraine vertigo, or perilymphatic fistula. These are uncommon conditions but should be referred for evaluation and management by an Otolaryngologist. More serious conditions requiring emergent evaluation would include tinnitus and prolonged vertigo with ataxia, dysphagia, and dysarthria suggesting central cerebrovascular events.

A hearing evaluation is the most important element in the tinnitus work-up, after the history and physical exam. Rarely is imaging a necessary or beneficial part of the evaluation, except in the case of suspected retrocochlear, neurologic, or infectious causes of tinnitus, which would be evident from the history and physical examination. - bsocially

Powerful Tinnitus Sound Therapy in 30 Minutes, Acoustic Neuromodulation CR bsocially 8 Views • 5 years ago

Powerful Tinnitus Sound Therapy in 30 Minutes, Acoustic Neuromodulation CR
A new form of sound therapy could eliminate the irritating symptoms of tinnitus, a study showed.
The treatment, now available, addresses the cause rather than masking the symptoms. Called Coordinated Acoustic Neuromodulation (CR), it provides tones through in-ear headphones that match the sounds perceived by a person with tinnitus to stop the brain from creating irritating noise.

NOTE: As with all videos, please make sure your volume on your device is turned down to a comfortable volume.???

TINNITUS - is a non-auditory, internal sound. But patients can use real, external noise to counteract their perception and reaction to tinnitus. Sound masking can cover the sound of tinnitus, while more advanced therapies may provide more robust relief.
https://youtube.com/playlist?l....ist=PL6LL6GscMEwfBgx

TINNITUS SOUNDS channel - that provide generic background noise — often white noise, brown noise, nature sounds, or other ambient, subtle sounds. The noise generated by sound machines can partially or fully mask a patient’s perception of tinnitus, providing relaxation and temporary respite from the condition.
https://youtube.com/playlist?l....ist=PL6LL6GscMEwe5SV

SOUND THERAPY - is a broad term that may be used in many ways, depending on the specific product, clinical setting, or individual clinician. In general, sound therapy means the use of external noise in order to alter a patient’s perception of, or reaction to, tinnitus. Like other tinnitus treatments, sound therapies do not cure the condition, but they may significantly lower the perceived burden and intensity of tinnitus.
https://youtube.com/playlist?l....ist=PL6LL6GscMEwfnRb

SOUND-BASED THERAPIES - function on four general mechanisms of action. (Mechanisms of action are the putative processes or reasons why a given intervention is effective.) Different products may emphasize a specific aspect, or include a combination of approaches:
https://youtube.com/playlist?l....ist=PL6LL6GscMEweTHo

MASKING: exposing the patient to external noise at a loud enough volume that it partially or completely covers the sound of their tinnitus.

DISTRACTION: using external sound to divert a patient’s attention from the sound of tinnitus.

HABITUATION: helping the patient’s brain reclassify tinnitus as an unimportant sound that should be consciously ignored.

NEUROMODULATION: the use of specialized sound to minimize the neural hyperactivity thought to be the underlying cause of tinnitus.

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Disclaimer:
All these videos are just for your entertainment.
If you have a serious injury with any kind of tinnitus, please consult a doctor.
#acousticneuromodulation
#tinnitussoundtherapy
#tinnitussounds - bsocially