Tinnitus

Described as a Ringing, Buzzing, Hissing, or Humming noise. Red flags of it are Unilateral, Pulsatile, Asymmetrical HL, Vertigo, Neurological symptoms. It's classified into:

• Primary - No identifiable cause and often occurs with SNHL

• Secondary tinnitus - Identifiable cause, which includes:

  • Noise exposure

  • Medications

  • Acoustic neuroma

  • MS

Investigations:

• Bloods – FBC, Glucose, TSH, Lipids

• Examination – Otoscopy, Audiometry, BP, CNs

Management - Sound enrichment, Relaxation/Stress reduction techniques, Hearing therapy and aids