Types of tinnitus and their treatment

Tinnitus should be approached in a multidisciplinary way.

Often, the cause is not clear, and only specialised examinations and functional testing can help to direct towards a diagnosis and possible treatment. Both ENT surgeons and neurosurgeons have an important role in this process.

In selected cases where no causal treatment can be offered, tinnitus retraining therapy (TRT), psychological counselling or hyperbaric oxygen therapy may be of help.

Ear-Nose-Throat

Pulsatile tinnitus

Venous

  • Benign Intracranial Hypertension
  • Chiari Malformation
  • High Jugular Bulb

Arterial

  • Carotid Stenosis
  • Glomus Tumor
  • Vascular Lesions of Petrous Bone/ Skull Base
  • Arteriovenous Malformation
  • Aneurysm
  • Microvascular Compression

Non-pulsatile tinnitus

  • Vestibular Schwannoma (Acoustic Neuroma)
  • Other Cerebellopontine Angle Lesions
  • Arachnoid Cyst
  • Menière's Disease
  • Otosclerosis
  • Brain Tumour
  • Chiari Malformation
  • Microvascular Compression

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Peripheral cochlear lesion

  • Vasospasm
  • Inner ear barotrauma
  • Viral infection
  • Hemorrhage - Thrombosis

 

 

 

 

 

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