Understanding Tinnitus

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      Tinnitus is the perception of noise or ringing in the ears without an external sound source. It is a common condition, affecting millions of people worldwide, and can vary from a mild annoyance to a debilitating issue. Tinnitus is often a symptom of an underlying condition, rather than a disease itself.  

      Several vestibular disorders can cause or exacerbate tinnitus. Understanding these connections is crucial for accurate diagnosis and effective management.

1.    Ménière’s Disease:

• This disorder involves abnormal fluid buildup in the inner ear, affecting both hearing and balance. It is characterized by episodes of vertigo, hearing loss, aural fullness, and tinnitus. The exact cause of Ménière’s disease is not fully understood, but it is believed to involve a combination of genetic and environmental factors.

2.    Vestibular Schwannoma (Acoustic Neuroma):

• A benign tumor on the vestibular nerve can cause tinnitus, hearing loss, and balance problems. As the tumor grows, it can press on the auditory and vestibular nerves, leading to these symptoms.

3.    Labyrinthitis and Vestibular Neuritis:

• Infections or inflammations of the inner ear or the vestibular nerve can lead to tinnitus, vertigo, and hearing loss. These conditions are often caused by viral infections, but bacterial infections can also be responsible.

4.    Superior Semicircular Canal Dehiscence (SSCD):

• This is a rare condition where there is a thinning or absence of part of the temporal bone overlying the superior semicircular canal. It can cause vertigo, dizziness, and auditory symptoms like tinnitus and autophony (hearing one's own voice loudly).

Diagnosis of tinnitus, especially when associated with vestibular symptoms, involves a comprehensive approach to identify the underlying cause.

1.     Medical History and Symptom Evaluation:

• A detailed medical history and description of symptoms are essential. This includes the nature of the tinnitus (e.g., ringing, buzzing, hissing), its duration, and associated symptoms like vertigo or hearing loss.

2.    Audiological Tests:

• Pure-tone audiometry, speech audiometry, and tympanometry help assess hearing function and detect any hearing loss or middle ear issues.

3.    Vestibular Testing:

• Tests such as Videonystagmography (VNG), Rotary Chair Testing, and Vestibular Evoked Myogenic Potentials (VEMP) evaluate the function of the vestibular system.

4.    Imaging Studies:

• Magnetic Resonance Imaging (MRI) or Computed Tomography (CT) scans may be used to visualize the inner ear structures and detect abnormalities like tumors or SSCD.

5.    Blood Tests:

• These may be conducted to rule out underlying conditions like infections or autoimmune diseases that could be contributing to the symptoms.

     At the Balance and Dizziness Center, we are committed to helping you achieve optimal health and well-being.

     If you are experiencing balance or dizziness issues, don't wait any longer. Contact us today to schedule an appointment and start your journey towards a healthier, more balanced life.