Tinnitus

Tinnitus is a condition in one or both ears where the person affected perceives sounds ranging from ringing to roaring, that can be fleeting or persistent and not attributed to anything physical in their environment. It can be a frustrating companion, potentially affecting your concentration, peace of mind, and overall quality of life.

Common Tinnitus Sounds Include:

• Ringing
• Buzzing
• Roaring
• Clicking
• Hissing
• Humming

While the nature of the sound may vary, the discomfort and distress it can cause are often similar.

Understanding the root cause of tinnitus can be a crucial part of managing tinnitus effectively. Common causes include:

• Exposure to loud noises
• Middle ear issues (e.g. infections, vascular tumors)
• Ear canal blockages
• Ototoxic medications
• Head or neck injuries

Tinnitus is generally classified into two main categories:

• Subjective Tinnitus: The most common type is when you hear a wide range of sounds within your ear not associated with the environment. This type of tinnitus typically sounds like buzzing or clicking in the ears.

• Objective Tinnitus: Far less common, this type of tinnitus can sound like a whooshing or pulsing and can sometimes be heard by our ENT specialists when examining your ear.

Diagnosis of tinnitus typically involves a thorough evaluation of your symptoms and can include various tests to determine its cause. At Pinnacle ENT, we provide a comprehensive approach to diagnosis that can include:

• Symptom assessment
• Hearing examinations
• Movement tests
• Advanced imaging tests (CT or MRI scans)
• Lab tests

We may also use questionnaires like the Tinnitus Functional Index, Tinnitus Handicap Inventory, or Tinnitus and Hearing Survey to better understand the impact on your daily life.

If testing is able to identify the underlying condition contributing to tinnitus, addressing that condition can often lead to better management of symptoms.

Management Options for Tinnitus:

• Hearing Aids: Many tinnitus patients also experience some form of hearing loss. Hearing aids can help by amplifying environmental sounds, making tinnitus less noticeable while improving their ability to hear sounds clearly.

• Acoustic Therapy: This involves using external noise to mask the internal sounds associated with tinnitus. It can include white noise, nature sounds, or even gentle music.

• Counseling: For some, Cognitive Behavioral Therapy (CBT) and other counseling methods can help to reduce the stress, anxiety, and sleeplessness often associated with tinnitus.

• Tinnitus Retraining Therapy (TRT): This therapy consists of a combination of sound therapy and counseling to retrain the brain to ignore the sounds associated with tinnitus.

Acoustic therapy can play a vital role in tinnitus management. The goal is to use external sounds to cover or mask the perception of tinnitus. These sounds can come from a variety of sources, depending on the patient’s preference and needs.

Options for Acoustic Therapy:

• Wearable devices: Small devices worn behind the ear can emit white noise or other calming sounds.
• Smartphone apps: Many smartphone applications exist that offer customizable soundscapes to help mask tinnitus.

• Sound Generators: Small devices that produce white noise, nature sounds, or soft music to help reduce the impact of tinnitus.

Counseling can offer valuable emotional support and coping strategies for dealing with tinnitus. Techniques such as CBT focus on changing negative thoughts and reactions related to tinnitus, helping to reduce its psychological impact.

Benefits of Counseling:

• Reduce Anxiety and Stress: Understanding and managing your emotional responses to tinnitus can make the condition less distressing to live with.

• Improving Sleep: Strategies to manage anxiety can also help to improve the quality of your sleep.

• Enhancing Coping Skills: Counseling provides practical techniques to help manage the day-to-day challenges of living with tinnitus.

By working to shift the focus away from tinnitus, these techniques can help individuals lead more normal lives.

Tinnitus Retraining Therapy (TRT) works by combining acoustic therapy with counseling to help patients with their tinnitus. The goal of this combined therapy is to help the brain become less aware of tinnitus, reducing its impact over time.

Key Elements of TRT:

• Personalized Evaluation: An assessment of your daily habits and history with tinnitus.

• Sound Therapy: Fitting a noise-generating device that can help mask tinnitus.

• Counseling: Sessions to teach patients strategies for ignoring tinnitus and changing the perception of sound.

The goal of TRT is to minimize the emotional response to tinnitus, helping patients find long-term relief.

Managing tinnitus effectively requires understanding the condition and exploring the best treatment options available. At Pinnacle ENT, we offer a comprehensive range of diagnostic and therapeutic services that can be tailored to your specific needs.

Whether you’re looking for acoustic therapy, counseling, or advanced treatment techniques, our team is committed to helping you find relief. Contact us today to schedule your consultation and take the first step toward effective tinnitus management.