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R.Ali Hosseini Master of Audiology (M.Sc.M.C.No:343) Central Audiology Clinic
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Tinnitus
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DiagnosticTreatmentPrevention
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Defined of Tinnitus 1)Tinnitus (Organic & NonOrganic) 2)Tinnitus (Otologic & NonOtologic) 3)Tinnitus (Objective & Subjective) (Etiology & Epidemiology)
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Evaluation of Tinnitus 1)Otologic Tests 2)Audiologic Tests 3)Radiologic Tests 4)Blood Laboratory Tests 5)Psychologic & Neurologic Tests
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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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Balance & Vestibular Tests 1)Vision : (Viso-Ocular Reflex) 2) Vestibule : (Vestibulo-Ocular Reflex) 3) Somatosensory : (Viso-Spinal Reflex)
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Specials Audiologic TinnitusTests 1) PTA (250 Hz – 8000 Hz) 2) High Frequency Audiometry (125 Hz – 20000 Hz) 3) Tinnitus Evaluation
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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)
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Treatment of Tinnitus 1)Drug Therapy 2)Surgery Mthods 3) Re/Habilitation
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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
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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
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Hearing Aids
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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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Tinnitus Masker
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Low Power (Soft) Laser
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Tinnitus Electrical Stimulation
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Prevention of Tinnitus 1)Noise Induced Hearing Loss (NIHL) 2)Acoustic Trauma 3)Accident 4)Drug Ototoxicity 5)Living Methods
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Single Sided Deafness (SSD TM ) Sudden deafness Trauma Viral infections Meniere’s disease Acoustic neuroma Cholesteatoma
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