Tinnitus: A stepwise workup to quiet the noise within

Author(s): Amede, F., Lechtenberg, C., Astor, F.

Journal/Book: Geriatrics. 1995; 50: 7500 Old Oak Blvd, Cleveland, OH 44130. Advanstar Communications. 18-25.

Abstract: Patients with tinnitus-ringing in the ears or head-frequently present initially to their primary care physician. Tinnitus may be subjective (audible only by the patiient) or objective (audible to the examiner). Subjective tinnitus more common and may be due to peripheral or central auditory pathology, a metabolic abnormality, or anxiety/depression. Objective tinnitus is rare and is frequently due to a vascular or neuromuscular condition, intracranial or head/neck tumor, or some specific structural defect of the ear, cochlea, or retrocochlear area. The stepwise workup of tinnitus includes a comprehensive history and physical exam, audiologic evaluation, blood profile analysis, and referral when necessary. Treatments include hearing aids, masking devices drugs, and biofeedback.

Note: Article JO Ciocon, Cleveland Clin Florida, Dept Internal Med, FT Lauderdale, FL 33308 USA

Keyword(s): INTRAVENOUS LIDOCAINE; RANDOMIZED TRIAL

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