Epistemis

Tinnitus

Specialty: Otolaryngology.

  • tinnitus
  • ringing in the ears
  • beep

Why it occurs

  • Presbycusis / exposure to noise
  • Earwax plug
  • Ototoxic drugs
  • Ménière's disease
  • Anxiety

Initial workup

Otoscopy and acumetry; audiometry. If pulsatile or unilateral, image (MRI/angio).

red flags

Pulsatile or unilateral tinnitus with hearing loss (rule out vascular/tumor cause).

Standard management

  • Treat the cause — remove ototoxics, extract earwax
  • Sound therapy / CBT — management of chronic tinnitus

Educational guidance for study. It is NOT a prescription recommendation. The actual choice depends on the cause, the patient, and current guidelines.

Area
Otolaryngology
Listed causes
5
Treatment options
2
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