Tinnitus Flashcards
1
Q
What is tinnitus?
A
sensation of non-verbal sound not due to stimuli outside the body
2
Q
What is peak age of onset?
A
50-60
3
Q
What features suggest an inner ear or central cause of tinnitus?
A
ringing
hissing
buzzing
4
Q
What features suggest an external or middle ear cause of tinnitus?
A
popping or clicking
5
Q
What are causes of tinnitus?
A
- Menieres disease
- Otosclerosis
- Acoustic neuroma
- Hearing loss
- Drugs - aspirin, aminoglycosides, loop diuretics, quinine
- impacted ear wax
- CSOM
6
Q
What are options for treatment ?
A
hearing aid
psychological therapy - tinnitus retraining therapy
Music, massage
Drugs - melatonin, betahistine (menieres), baclofen
Intratympanic dexamethasone + oral alprazolam
