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Tinnitus is the medical term for the perception of sound in one or both
ears or in the head when no external sound is present. It is often
referred to as "ringing in the ears," although some people hear
hissing, roaring, whistling, chirping, or clicking. Tinnitus can be
intermittent or constant-with single or multiple tones-and its perceived
volume can range from subtle to shattering.
The exact physiological cause or causes of tinnitus are not known. There
are, however, several likely sources, all of which are known to trigger or
hearing loss - Exposure to loud noises can damage and even destroy
hair cells, called cilia, in the inner ear. Once damaged, these hair
cells cannot be renewed or replaced. Millions of Americans have
hearing loss due to noise exposure, and up to 90 percent of all
tinnitus patients have some level of noise-induced hearing loss.
build-up in the ear canal - The amount of wax ears produce varies by
individual. Sometimes, people produce enough wax that their hearing
can be compromised or their tinnitus can seem louder. If you produce a
lot of earwax, speak to your physician about having excess wax removed
manually-not with a cotton swab, but by an otolaryngologist
(also called an ear, nose, and throat doctor).
medications - Some medications are ototoxic-that is, the medications
are toxic to the ear. Other medications will produce tinnitus as a
side effect without damaging the inner ear. Effects, which can depend
on the dosage of the medication, can be temporary or permanent. Before
taking any medication, make sure that your prescribing physician is
aware of your tinnitus, and discuss alternative medications that may
or sinus infections - Many people, including children, experience
tinnitus along with an ear or sinus infection. Generally, the tinnitus
will lessen and gradually go away once the infection is healed.
misalignment - Some people have misaligned jaw joints or jaw muscles,
which can not only induce tinnitus, but also affect cranial muscles
and nerves and shock absorbers in the jaw joint. Many dentists
specialize in this temporomandibular jaw misalignment and can provide
assistance with treatment.
disease - Approximately 3 percent of tinnitus patients experience
pulsatile tinnitus; people with pulsatile tinnitus typically hear a
rhythmic pulsing, often in time with a heartbeat. Pulsatile tinnitus
can indicate the presence of a vascular condition-where the blood flow
through veins and arteries is compromised-like a heart murmur,
hypertension, or hardening of the arteries.
types of tumors - Very rarely, people have a benign and slow-growing
tumor on their auditory, vestibular, or facial nerves. These tumors
can cause tinnitus, deafness, facial paralysis, and loss of balance.
and neck trauma - Physical trauma to the head and neck can induce
tinnitus. Other symptoms include headaches, vertigo, and memory loss.
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