What Are the Treatment Options?
There is no universal cure for tinnitus, but there are treatments that make it less of a distraction. Because tinnitus is a side effect of an underlying condition, identifying the problem may lead to a medical or surgical solution. The cure rates for pulsatile tinnitus are quite high once the problem has been identified.
Unfortunately, in many cases the exact cause of tinnitus can’t be identified, or treatment is not possible. However, symptoms can often be managed successfully through a number of different strategies.
Acoustic Therapy
Sounds are used to cover up, or mask, the tinnitus. This distracts your brain and helps you “tune out” the ringing in your ears. Electronic devices that produce white noise, air conditioners, fans, soft music, etc. can all be employed.
Steroid Injections
Meniere’s disease (also known as endolympatic hydrops) has a triad of symptoms (hearing loss, tinnitus, vertigo) that fluctuate due to increased fluid pressures in the ear organs. Fluctuation of hearing and resulting tinnitus can be treated with a series of injections of Dexamethasone (a potent steroid) with an 85 percent chance of reduction in tinnitus symptoms.
Surgery
If you have an acoustic neuroma and suffer from tinnitus, the tinnitus may be resolved through a surgical removal of the acoustic neuroma. In a 1981 research study of more than 400 patients, 45 percent improved their tinnitus with the surgical removal of the acoustic neuroma.
Hearing Aids
Hearing loss causes maladaptive neuroplastic changes in the brain. Hearing aids are used to stimulate the auditory pathways received by the brain. Background sounds can mask tinnitus. Hearing aids can also help the patient better distinguish one sound from another, improving communication and helping with focus and concentration difficulties. Many devices also come packaged with noise generators to replace ambient sounds if amplification alone does not reduce tinnitus.
Counseling
Counseling, sleep and cognitive behavioral or relaxation methods can be practical in helping you manage your tinnitus symptoms by reducing the stress, anxiety and sleeplessness that are often associated with tinnitus. San Diego ENT providers teach methods to help you manage your tinnitus symptoms.
Do you experience a ringing in your ears? If so, you are not alone. Tinnitus affects an estimated 50 million Americans—about 20 percent of the population. It can range from a mild annoyance to a full-fledged problem that severely impacts your quality of life.
When you are evaluated for tinnitus, the first thing the doctor will do is obtain a complete history and perform a thorough, targeted physical examination. If your tinnitus is one-sided (unilateral), associated with hearing loss, or persistent, a hearing test, or audiogram, should be ordered. There is typically no need for radiologic testing (X-ray, CT scan or MRI scan) unless your tinnitus is pulsatile or associated with uneven, asymmetric hearing loss or neurological abnormalities. Your doctor will determine how bothersome your tinnitus is by asking you certain questions or having you complete a self-assessment questionnaire.
Although there is no one “cure” for tinnitus, there are several options available that can help patients with tinnitus. Because tinnitus is relatively common and not always worrisome, not all patients need an evaluation. If your ENT specialist finds a specific cause for your tinnitus, they may be able to offer specific treatment to eliminate the noise. This may include removing wax or hair from your ear canal, treating middle ear fluid, treating arthritis in the jaw joint, etc. For many patients who have experienced tinnitus for less than six months, its natural course is to improve over time, and most people do not go on to have persistent, bothersome tinnitus.
Some patients with hearing loss and tinnitus have improvement with the use of hearing aids, with or without built-in ear-level maskers. Sound therapies that involve simple things like background music or noise or specialized ear-level maskers may be a reasonable treatment option. The effects of tinnitus on quality of life may also be improved by cognitive behavioral therapy (CBT) counseling, which usually involves a series of weekly sessions led by a trained professional.
Tinnitus can be so bothersome in some patients that it causes depression or anxiety; additionally, in a patient with depression and/or anxiety, it may be very difficult to tolerate tinnitus. Consultation with a psychiatrist or psychologist with treatment directed to the underlying condition can be beneficial.
Routine prescription of medications including antidepressants, anticonvulsants, anxiolytics, or intratympanic injection of medications is not recommended for treating tinnitus without an underlying or associated medical problem that may benefit from such treatment.
Dietary supplements for tinnitus treatment are frequently advertised on the internet, television, and radio, but there is no evidence that supplements such as ginkgo biloba, melatonin, zinc, Lipoflavonoid, and vitamin supplements are beneficial for tinnitus.
Acupuncture may or may not be help your tinnitus; there are not enough quality studies of this type of treatment to make a recommendation. Transcranial magnetic stimulation is a new modality, or therapeutic agent, but its long-term benefits are unproven and cannot be recommended for treating tinnitus at this time.
Call Rocky Top ENT & Allergy at 931-219-9990 or 865-383-0737 for more information and to schedule an appointment.