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

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Presentation on theme: "R.Ali Hosseini Master of Audiology (M.Sc.M.C.No:343) Central Audiology Clinic."— Presentation transcript:

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

3 Tinnitus

4 DiagnosticTreatmentPrevention

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

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

7 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

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

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14 Specials Audiologic TinnitusTests 1) PTA (250 Hz – 8000 Hz) 2) High Frequency Audiometry (125 Hz – 20000 Hz) 3) Tinnitus Evaluation

15 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)

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

17 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

18 Normal Moderate Severe Profound Mild Moderate to Severe Pitch in Hertz (Hz) 1252505001000200040008000 Loudness in Decibels (dB) 0 20 40 60 80 100 120 Hearing Aid

19 Hearing Aids

20 Normal Moderate Severe Profound Mild Moderate to Severe Pitch in Hertz (Hz) 1252505001000200040008000 Loudness in Decibels (dB) 0 20 40 60 80 100 120

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22 Tinnitus Masker

23 Low Power (Soft) Laser

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25 Tinnitus Electrical Stimulation

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

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

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31 با سپاس فراوان


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