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 of the bony labyrinth (small bony cavity system)).
- Unilateral decrease in hearing (hearing loss), especially high-frequency hearing loss + possibly also hearing loss (sudden onset, unilateral, almost complete hearing loss) → think of:acoustic neuroma (AKN; benign (benign) tumor arising from the Schwann’s cells of the vestibular portion of the VIII. Cranial nerve, the auditory and vestibular nerves (vestibulocochlear nerve, acustic nerve; octaval nerve), and is located in the internal auditory canal (intrameatal), or in the cerebellopontine angle (extrameatal) if more extensive); the disease is usually noticed after the age of 30; the peak incidence is in the 5th and 6th decades of life.
