Treatment for ringing sound (tinnitus in dead ear) - Transtympanic Gentamicin

An individual occasionally perceives sound within the human ear in the absence of corresponding external sound in the form of hissing, buzzing or tinkling which last for few minutes. But in tinnitus, there will be constant ringing in the ear. Ringing in ear cannot be considered as a disease, but it can result from a broad range of underlying causes. The most common cause of ringing sound in ear is the hearing with aging. Neurological damage (multiple sclerosis), abnormally loud sounds in the ear canal for even the briefest period, ear infections, and foreign objects in the ear, nasal allergies that prevent fluid drain, or wax build-up, dental problems can be considered as cause for tinnitus. Withdrawal from a benzodiazepine addiction may cause ear tinnitus as well. Hearing to loud music using headphones are common causes of tinnitus ringing. A rapid change in environmental pressure, severe weight loss from malnutrition, thyroid disease can also cause ringing noise in ear. Tinnitus is most common in people older than age 40.

There are two main types of tinnitus.

Pulsatile tinnitus: The muscle movements near the ear, changes in the ear canal, or blood flow (vascular) problems in the face or neck cause ear ringing in this type of tinnitus. In rare cases Pulsatile tinnitus may be a symptom of life-threatening conditions such as carotid artery aneurysm or carotid artery dissection or idiopathic intracranial hypertension.

Unilateral Pulsatile Tinnitus: The individual experiences ringing in one ear. The ringing in one ear symptoms can be categorized to objective Tinnitus and subjective Tinnitus. In objective tinnitus, the physician can actually feel the sound, whereas in subjective tinnitus, the patient alone only hears the ringing sounds. Objective tinnitus can arise from muscle spasms that cause clicks or crackling around the middle ear. Subjective tinnitus most commonly results from otologic disorders that cause hearing loss. Subjective tinnitus either secondary to hearing loss or without hearing loss are caused by ototoxic drugs and may worsen the damage done by exposure to loud noise. Neurologic disorders, psychiatric disorders and metabolic disorders acan also cause subjective tinnitus.

Nonpulsatile tinnitus: The problems in the nerves involved with hearing cause tinnitus in this type. The person experiences ringing sound in one or both ears.

Tinnitus Symptoms: Tinnitus may be an accompaniment of sensorineural hearing loss or congenital hearing loss. Buzzing or ringing sound in one or both the ears, sometimes accompanied by hearing loss and dizziness, have difficulty sleeping or concentrating, feel depressed or anxious.

Tinnitus and treatment:
Most tinnitus that comes and goes does not require medical treatment. Tinnitus therapy depends on the underlying cause of the problem. The traditional belief was that the use of castor oil or drop of onion juice in each offending ear, or by including spinach and other vegetables rich in zinc in the diet can stop ringing in ears. A strange treatment method called hyperbaric oxygen therapy that is believed to show relief from tinnitus. Tinnitus support often makes uses hearing aids for those who have hearing loss along with tinnitus. Acoustic neural stimulation, cochlear implants are sometimes used in people with severe hearing loss, ant anxiety or antidepressant medication, relaxation techniques, behavioral and cognitive therapies can be useful in the treatment of ear ringing. Avoid aspirin or aspirin products in large quantities.

Gamma knife radio surgery, Teflon implant for shielding of cochlea, ear canal clearing for earwax plug, neurostimulator or Botulinum toxin are specifically used to objective tinnitus. Electrical stimulation, surgery to repair of the perilymph fistula, use of low-pitched sound treatment and medications such as Melatonin, Lidocaine injection, older benzodiazepines are used for the treatment of subjective tinnitus. Caffeine, nicotine, or salt can reduce symptoms but, tinnitus have found to be induced by reducing caffeine and/or smoking, alcohol has shown to increase and decrease the severity of tinnitus and so is not recommended to treat tinnitus, Zinc supplementation, anticonvulsants, vitamin combinations are also shown to be effective in tinnitus.
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