Tinnitus: diagnosis and treatment

摘要: Few conditions are seen as commonly by the otologist and more poorly understood than subjective tinnitus. Tinnitus has been reported in high 80% of patients an otolaryngology practice. This symptom is especially marked with a hearing problem can be so severe that it becomes incapacitating. Careful diagnosis classification tinnitus important for understanding problem. Identification frequency intensity masking, using analyzer, useful selecting form treatment. Analysis history, physical findings use special electrocochleography brain stem evoked response audiometry help to identify site lesion, which may within cochlea, cochlear nerve, nucleus, stem, midbrain or auditory cortex. Specific disease entities should identified treated. Lesions end-organ nerve treated when necessary translabyrinthine middle cranial fossa section nerve. from cervical lesions rhizotomy. The aid introduction sound masker found 82% effective suppressing Maskers combined some cases. pathogenesis discussed, but method action relief stimulation still unclear. A thoughtful complete examination our new diagnostic tools judicious selection therapy now makes possible give majority suffering disturbing