Download presentation
Presentation is loading. Please wait.
Published byJames Wade Modified over 9 years ago
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
Similar presentations
© 2025 SlidePlayer.com. Inc.
All rights reserved.