Tinnitus. ALI KALAN Consultant ENT Surgeon Hillingdon, Mount Vernon, Central Middlesex & Northwick Park Hospitals North West London Hospitals NHS Trusts. Tinnitus.
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Consultant ENT Surgeon
Hillingdon, Mount Vernon, Central Middlesex & Northwick Park Hospitals
North West London Hospitals NHS Trusts
Tinnitus is defined as the “perception of a sound” that is generated involuntarily within the head of an individual
in the adult population of around 10%.
severe in 1 % -- affecting daily life routine
78 % of adult population will experience tinnitus at least once during their lifetime
The majority of patients with tinnitus do not have any identifiable underlying pathology except for age-related sensorineural hearing loss
Conductive hearing loss Clinical examination and audiology
Middle ear effusion/patulous ET
Vestibular schwannoma MRI with DTPA-Gadolinium
Glomus jugulare Clinical examination and imaging
Meniere’s disease History, audiology, electrocochleography
Carotid artery stenosis Clinical examination and duplex ultrasound scan
Venous sinus stenosis Angiography
IAM vascular loop MRI+ ⁄ - angiography
Stapedius History, clinical examination, tympanometry
Other : Benign intracranial hypertension History, clinical examination, MRI, lumbar puncture
type : clicking,pulsatile,whirring etc