TINNITUS

TINNITUS is a noise in the ear or head .TINNITUS  may occur with a benign disease , or it may be a warning signal of a serious disorder  which needs to be diagnosed by through investigations. TINNITUS is one of the most difficult symptoms to treat,it may be persists even after the aliments causing it has been cured. TINNITUS may be  unilateral or bilateral ,it may be classified as 

SUBJECTIVE TINNITUS :

When a sound like ringing ,whistling or roaring is heard by the patients without  The existence of such a sound it is called TINNITUS.This is an auditory hallucination ,is reserved for those conditions where an individual hears voices and sentences due to functional disturbances

OBJECTIVE TINNITUS:

is heard not only by the patients, but also by the examiner 

INTERMITTENT :tinnitus may be continous or intermittent ,with long or short irregular intervals of  Absence of tinnitus

CONTINUOUS tinnitus is present all the time

FLUCTUANT tinnitus may vary in intensity .it is more marked when the patients is emotionally protruded or when he is in a quiet atmosphere ,as at night

PITCH of tinnitus may be high or low ,sometimes the pitch may vary

SUBJECTIVE TINNITUS 

TINNITUS WITH DEAFNESS

LOCAL :any disease of theear which can cause deafness may also produce tinnitus 

GENERAL :all the general causes of deafness may also be responsible for tinnitus

TINNITUS WITHOUT DEAFNESS

TINNITUS may occur without deafness in conditions  llike anaemia,hypertension ,hypotension and carious teeth or impacted wisdom tooth.

FUNCTIONAL :Emotional factors may cause tinnitus,but tinnitus itself may lead to anxiety and depression

OBJECVTIVE TINNITUS 

Clicking temporomandibular joint,aneurysm  and arteriovenous shunt around the ear,intracranial vascular tumours,live insects in the ear,clonic contractions of the palatal or tympanic muscles and patulous Eustachian tube.