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Tinnitus Samar Mahmood (aka SummerM/Sam/Aston) ST1.

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Presentation on theme: "Tinnitus Samar Mahmood (aka SummerM/Sam/Aston) ST1."— Presentation transcript:

1 Tinnitus Samar Mahmood (aka SummerM/Sam/Aston) ST1

2 Definition Ringing or buzzing heard in the ears or head Can be occasional or severe Can be unilateral or bilateral May lead to depression

3 Causes Unknown Associated with hearing loss Noise exposure Head injury Menieres Anaemia Hypertension Drugs (loop diuretics, tricyclics, aspirin, NSAIDS) Acoustic neuroma Vascular malformations TMJ problems

4 History Onset Character Localisation Otological history Occupational history

5 Examination Examine ears – wax, foreign body, perforation, infection Cranial nerves (particularly V and VII) Auscultation – neck, periauricular area, mastoid, orbits Audiometry

6 Management REASSURANCE Treat depression, if present (may be cause or result) Treat infection, if present Refer audiology if associated hearing loss Low dose tricyclics Mask with background noise/music Tinnitus masker (‘white noise’ aid)s Psychological support Sectioning of cochlear nerve  deafness

7 When to refer to ENT If unilateral, particularly if deafness also present (?acoustic neuroma) If can be heard by the examiner (?vascular tumours) Associated with non-ENT problems, e.g. MS, endocrine, cardiovascular


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