R.Ali Hosseini Master of Audiology (M.Sc.M.C.No:343) Central Audiology Clinic.

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Presentation transcript:

R.Ali Hosseini Master of Audiology (M.Sc.M.C.No:343) Central Audiology Clinic

Tinnitus

DiagnosticTreatmentPrevention

Defined of Tinnitus 1)Tinnitus (Organic & NonOrganic) 2)Tinnitus (Otologic & NonOtologic) 3)Tinnitus (Objective & Subjective) (Etiology & Epidemiology)

Evaluation of Tinnitus 1)Otologic Tests 2)Audiologic Tests 3)Radiologic Tests 4)Blood Laboratory Tests 5)Psychologic & Neurologic Tests

Audiologic Tests 1)PTA 2)Speech Tests (SRT – SDS – MCL – LDL) 3)IA (Tympanometry & Acoustic Reflex & ETF) 4)OAE (SOAE – DPOAE – TEOAE) 5)ERA (EcochG – ABR – MLR – LLR) 6)ENG/VNG Tests

Balance & Vestibular Tests 1)Vision : (Viso-Ocular Reflex) 2) Vestibule : (Vestibulo-Ocular Reflex) 3) Somatosensory : (Viso-Spinal Reflex)

Specials Audiologic TinnitusTests 1) PTA (250 Hz – 8000 Hz) 2) High Frequency Audiometry (125 Hz – Hz) 3) Tinnitus Evaluation

Audiologic Tinnitus Management (ATM) Method 1)(Pitch = Mel) : (Frequency = Hz) 2)(Loudness = Phone) : (Intensity = dB) 3)Location of Tinnitus 4)Minimum Masking Level (M.M.L) 5)Residual Inhibition (R.I)

Treatment of Tinnitus 1)Drug Therapy 2)Surgery Mthods 3) Re/Habilitation

Tinnitus Re/Habilitation a) Hearing Aids b) Tinnitus Masker c) Low Power (Soft) Laser d) Tinnitus Electrical Stimulation e) TRT Method (Tnnitus Retraining Therapy) f) Biofeedback g) Homiopaty h) Acupuncture

Normal Moderate Severe Profound Mild Moderate to Severe Pitch in Hertz (Hz) Loudness in Decibels (dB) Hearing Aid

Hearing Aids

Normal Moderate Severe Profound Mild Moderate to Severe Pitch in Hertz (Hz) Loudness in Decibels (dB)

Tinnitus Masker

Low Power (Soft) Laser

Tinnitus Electrical Stimulation

Prevention of Tinnitus 1)Noise Induced Hearing Loss (NIHL) 2)Acoustic Trauma 3)Accident 4)Drug Ototoxicity 5)Living Methods

Single Sided Deafness (SSD TM ) Sudden deafness Trauma Viral infections Meniere’s disease Acoustic neuroma Cholesteatoma

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