Sensorineural Hearing Loss Syndromes
What is tinnitus?
Tinnitus can be described as "ringing" ears and other head noises that are perceived in the absence of any source of external noise. An estimated 1 in 5 people experience some degree of tinnitus. Tinnitus is classified into two forms: objective and subjective.
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Objective Tinnitus
Tthe rarer form, consists of head noises audible to other people besides the victim. The noises are usually caused by vascular anomalies, the repetitive muscle contractions, or inner ear structural defects. The sounds are heard by the sufferer and are generally outside the auditory system. This form of tinnitus means that the examiner can hear the sound heard by the patient using a stethoscope. Benign causes, such as noise from TMJ, openings of the fallopian tube, repetitive muscle contractions may be the cause of objective tinnitus. The victim can hear the pulsating flow carotid artery or the steady hum of normal venous flow through the jugular vein when in a quiet place. It can also be an early sign of intracranial pressure and is often overshadowed by other anomalies neurological. The sounds may arise from a turbulent flow through compressed venous structures at the base of the brain.
Subjective tinnitus
This form of tinnitus may occur anywhere in the auditory system and is much less understood, the causes being many and open to debate. Anything from the ear canal to brain may be involved. The sounds can range from a metallic ringing ringing, blowing, roaring, or sometimes like a claanging, pops, or playing no rhythm. It may be accompanied by audiometric evidence of deafness which occurs in association with both conductive hearing loss and sensorineural. Other conditions and syndromes which may have tinnitus in conjunction with the specific syndrome or condition, are otosclerosis, Menier's syndrome, and injuries the cochlear or auditory neve.
Hearing loss, hyperacusis, recruitment, FMS, and balance problems may or may not be present in relation to tinnitus.
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