Optional medical device diagnostics – depending on the results of the history, physical examination, laboratory diagnostics, and obligatory medical device diagnostics – for differential diagnostic clarification. Recruitment measurement – representation of objective hearing for different sounds. Otoacoustic emissions – objective representation of the response of the inner ear to various stimuli. ERA (Electric Response Audiometry) … Tinnitus: Diagnostic Tests
An at-risk group indicates the possibility that the condition may be associated with the risk of vital nutrient deficiency. The complaint of tinnitus indicates a vital nutrient deficiency for: Vitamin B12 Zinc Within the framework of micronutrient medicine (vital substances), the following vital substances (micronutrients) are used for supportive therapy: Zinc The above vital substance … Tinnitus: Micronutrient Therapy
1st order Stapesplasty (middle ear surgery with insertion of an ossicular prosthesis) – for middle ear disorders such as hearing loss. Cochlear implantation (cochlear implant) – hearing prosthesis for people with severe to profound hearing loss (complete deafness) or even when inner ear function is no longer adequate; electronic medical device that takes over the … Tinnitus: Surgical Therapy
To prevent tinnitus, attention must be paid to reducing individual risk factors. Behavioral risk factors Psychosocial situation Psychological stress Chronic stress Other risk factors Chronic noise exposure incl. recreational noise, e.g. portable music players (→ hearing loss). Reduced noise intolerance at a young age. Prevention factors (protective factors) High caffeine consumption (600 mg caffeine ≈ … Tinnitus: Prevention
The following symptoms and complaints may indicate tinnitus (ringing in the ears): Pathognomonic (characteristic of a disease). A buzzing, hissing, or ringing in one or both ears. Warning signs (red flags) Patients aged 15-40 years + conductive disorder (onset usually unilateral) → think of: Otosclerosis (progressive disease of the ears associated with excessive bone formation … Tinnitus: Symptoms, Complaints, Signs
Pathogenesis (development of disease) Subjective tinnitus is often a symptom of a wide variety of diseases. Objective tinnitus is often triggered by vascular changes and vascular malformations. The exact pathogenesis remains unclear, and various models are discussed. According to these models, the disturbance can be located in all sections of the central auditory pathway (auditory … Tinnitus: Causes
General measures Nicotine restriction (refraining from tobacco use). Limited alcohol consumption (men: max. 25 g alcohol per day; women: max. 12 g alcohol per day). Aim for normal weight! Determination of BMI (body mass index, body mass index) or body composition by means of electrical impedance analysis and, if necessary, participation in a medically supervised … Tinnitus: Therapy
The medical history (case history) represents an important component in the diagnosis of tinnitus (ringing in the ears). Family history Does your family have frequent tinnitus (buzzing, hissing, or ringing in one or both ears)? Social history What is your profession? Is there any evidence of psychosocial stress or strain due to your family situation? … Tinnitus: Medical History
The following differential diagnoses refer to the causative diseases, not to the symptom of tinnitus. Blood, blood-forming organs – immune system (D50-D90). Anemia (anemia) Endocrine, nutritional, and metabolic diseases (E00-E90). Thyrotoxicosis – hyperthyroidism with excessive hormone production. Cardiovascular system (I00-I99) Vascular diseases such as abnormalities of cerebral vessels: aneurysms, AV shunts, dural arteriovenous malformations (DAVF; … Tinnitus: Or something else? Differential Diagnosis
The following are the most important diseases or complications that may be contributed to by tinnitus (ringing in the ears): External causes of morbidity and mortality (V01-Y84). Suicidality (suicidal tendency) or suicide (suicide). Suicides: highest prevalence of suicides (one-third) occurred in 1st year of tinnitus: 85% had additional hearing loss, About two-thirds had a “major … Tinnitus: Secondary Diseases
Clinical classification of tinnitus severity according to Biesinger et al.: Grade Description of tinnitus severity I well compensated, no suffering II Occurs mainly in silence and is disruptive under stress and strain III Leads to permanent impairment in the private and professional spheres; disturbances occur in the emotional, cognitive and physical spheres IV Leads to … Tinnitus: Classification
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing) and palpation (palpation) of the thyroid gland. Inspection and mobility testing of the spine [due todifferential diagnosis: cervical syndrome – diseases of the cervical spine]. Auscultation (listening) of the … Tinnitus: Examination
