Pulsatile Tinnius: A Case Study

The patient stated suffering several ear infections during her childhood. As a result, she states she has developed occasional ringing in her ears, but she reports that it does not distract her hearing.

Client able to hear loud and soft spoken words; able to hear ticking of watch in both ears.

Fourth, I will question him about his impairment findings regarding binaural as well as the 3% pain-add on for tinnitus. I believe the binaural impairment was given in connection with the applicant’s left ear problem. Also, pain add-on is inappropriate to increase an impairment on a body part with zero impairment. If we could change Dr. Minor’s opinion on the base impairment for the applicant’s ear problem, we may be able to wash out the 3% pain-add on all together.

The patient has to go through a hearing test and initially it will show a sensory pattern and or later on show the typical conductive hearing loss pattern. There are four treatment options for otosclerosis. First option is to do nothing; might sound insanely crazy but otosclerosis does not have to be treated. It is highly recommended to have a hearing test repeated once a year or earlier if hearing worsens. Amplification is the second option for treatment. For conductive hearing loss it is usually effective to get hearing aids. Medical treatment is the second last option. Sodium fluoride is the only proposed medical treatment that is up to date. It is widely not accepted and also has not been proven to yet to be effective. Surgical treatment is then the last option. It is a procedure of stapedectomy which lead to excellent hearing results and that remain good for many years after the surgery. This was invented by Dr. John Shea in

Tinnitus is the conscious perception of a phantom sound by an individual in the absence of an external acoustic source. Many people experience transient tinnitus following exposure to loud sound, and for most people, this unpleasant experience is usually temporary and subsides gradually over a few seconds, minutes or a few days. However, chronic or persistent tinnitus that occurs in a subset of the population is unremitting, leading to sleep disturbances, cognitive problems, work impairment, depression and even suicide (Jakes et al., 1985; Hallam et al., 2004; Heller, 2003; Dobie, 2003). A recent survey conducted among 69,976 people in New Zealand revealed that the prevalence of tinnitus was 6% for the total population and 13.5% for older adults aged 65 and over (Wu et al., 2015). The prevalence of chronic tinnitus increased with increasing age; therefore, the incidence of tinnitus is expected to rise in the future with the increasing ageing population. To date, there are no effective treatment options for tinnitus, mostly because the underlying pathophysiological mechanism of tinnitus is unclear.

As mentioned by McFadden, (1982) “tinnitus is a ‘conscious experience of a sound that originates in the head of its owner’” (Champlin, Muller, Mitchell, 1990, 816). This means that the individual hears sounds such ringing, buzzing, static, roaring as other sounds. Tinnitus can be classified by either two ways objective or sensorineural. Objective tinnitus is when the sound is able to be heard by the person experiencing it as well by the examiner (Champlin, Muller, Mitchell, 1990, 816). The purpose of the research was to measure the acoustics of objective tinnitus and identify a method for bruits to be reduced or eliminated (Champlin, Muller, Mitchell, 1990,

While certain drugs have shown some successes in certain tinnitus patients, overall the pharmaceutical approach to treating tinnitus has been a failure. Researchers at the University at Buffalo explain the lack of effective drug therapies for tinnitus is due to “a limited understanding of the biological basis of tinnitus, the lack of an accepted tinnitus nosology, the heterogeneity of the tinnitus population, the wide range of medical conditions that appear to cause tinnitus and the huge cost associated with developing drugs to specifically treat tinnitus” (Salvi, Lobarinas, & Sun, 2009, p. 384). As they point out, severely depressed patients have shown improvement in their tinnitus with antidepressants. However, when treating all patients with antidepressants, the results were “disappointing” (Salvi et al., 2009, p. 399). Furthermore, a pharmaceutical approach to treating tinnitus is necessarily accompanied by side-effects. While patients would undoubtedly prefer to take a pill to get rid of their tinnitus, no such drug has been

About 10% of people with the disease develop noncancerous tumors in the ear which can lead to loss of hearing in the ear as well as ringing in the ears (tinnitus) and loss of balance. (Genetics Home Ref. Von Hippel-Lindau syndrome)

As tinnitus is associated with hearing loss, seniors may feel frustrated with hearing a constant noise that interferes with understanding what people are saying. The frustration may lead to stress, anger, depression, or loneliness.

2). It can be a result of overstimulation of high intensity sounds over a prolonged period or can occur after a single incident, both of which can cause inner ear damage. Acoustic trauma is hearing loss caused by extremely intense sounds such as those related to gunshots or explosions and can affect the middle ear and/or the cochlear structures. (Department of the Army, 2015). Tinnitus is an abnormal perception of a ringing or buzzing in the ear that does not relate to an external stimulus (Schow & Nerbonne, 2103).

In some cases, patients feel quite anxious in response to their ears ringing. Conversely, the anxiety can actually make the tinnitus seem to worsen. Their physician will prescribe a medication for anxiety. Unfortunately, the medications typically prescribed for anxiety, the SSRIs, can actually cause tinnitus. https://www.audiology.org/news/ssri-and-tinnitus Other anti-anxiety drugs, such as Xanax, have a risk of dependence and short-term memory loss with extended use. Physicians recommend against them for the elderly, as they can cause falling.

Once the doctor has ruled out problems like allergies or medications as the cause, sufferers are still left with the constant ringing which can make life extremely difficult. There are some treatments that have provided relief to tinnitus sufferers with extended

Therefore, the most common symptom of tinnitus is the ringing in the ear, but there are three ways to distinguish the patient’s

Instrumental noise interfere with these simulated tinnitus sounds which are presented to the patient for diagnosing, which makes it difficult to properly diagnose the disease. So diagnosis will be easier if we can make use of the original

Now and days those in the medical profession recommend to the modern generation to lower how loud we listen to music: in order to preserve our hearing. While we currently lack the cure for all sources of Tinnitus strives in the medical field are being made every day. Certain doctors are conducting experimental treatments that shoot electromagnetic waves into a patient's brain. Thereby attempting to cure an individual's Tinnitus if something neurological is responsible for the Tinnitus. Thus there is hope for those struggling with Tinnitus today, unlike those so long ago who once had Tinnitus and held no hope for a possible