Published on

  • Be the first to comment

  • Be the first to like this

No Downloads
Total views
On SlideShare
From Embeds
Number of Embeds
Embeds 0
No embeds

No notes for slide


  1. 1.
  2. 2. TINNITUS<br />Tinnitus is not a disease in itself…<br />is a ringing, swishing, or other type of noise that seems to originate in the ear or head.<br />Most of us will experience tinnitus or sounds in the ears at some time or another. (15 %)<br />12 percent of men who are 65 to 74 years of age are affected by tinnitus<br />identified more frequently in white individuals<br />
  3. 3. Tinnitus can arise in any of the four sections of the hearing system: <br />the outer ear, <br />the middle ear, <br />the inner ear, <br />and the brain. <br />
  4. 4. Causes and risk factors <br />It’s particularly related to ageing (presbyacusis).<br />Exposure to noise<br />Presence of earwax<br />Head injury<br />Stress<br />Ear Infections<br />Ménière's disease<br />Some medication, such as aspirin<br />Overactive thyroid gland or anaemia<br />
  5. 5. Tinnitus that occurs in only one ear should be taken more seriously as it may be caused by an acoustic neuroma<br />The symptoms of tinnitus can affect different people in different ways, and the severity of the noises that are heard can range from mild to severe.<br />
  6. 6. TYPES(symptoms)<br />a sound of crickets or roaring, buzzing, hissing, whistling, and high-pitched ringing.<br />clicking or pulsatile tinnitus (the noise accompanies your heartbeat).<br />subjective tinnitus, meaning that you hear a sound but it cannot be heard by others. <br />objective tinnitus, meaning your doctor may sometimes actually hear a sound when he or she is carefully listening for it.<br />
  7. 7. TREATMENT<br />Since tinnitus can be caused by a wide variety of different health conditions, the treatment that is recommended will depend on the underlying cause<br />For example, if caused by a severe or long-term ear infection, antibiotics may be prescribed. If by a build up of earwax, then eardrops or ear irrigation is recommended<br />
  8. 8. However, in most cases of tinnitus, there is no cure and so treatment is aimed at managing the symptom on a day-to-day basis.<br />
  9. 9. Objective tinnitus:<br />Gamma knife radiosurgery(glomusjugulare)<br />Shielding of cochlea by teflon implant<br />Botulinum toxin (palatal tremor)<br />Propranolol and clonazepam(arterial anatomic variation)<br />Clearing ear canal (in the case of earwax plug)<br />Using aNeurostimulator<br />
  10. 10. Subjective tinnitus:<br />Drugs and nutrients<br /><ul><li>Lidocaine, niacin,Benzodiazepines (lorazepam, clonazepam) </li></ul>Electrical stimulation <br /><ul><li>Transcranial magnetic stimulation
  11. 11. Transcutaneous electrical nerve stimulation</li></ul>Surgery <br /><ul><li>Repair of perilymph fistula</li></ul>External sound <br /><ul><li>Tinnitus masker</li></ul>Psychological <br /><ul><li>Cognitive-Behavioral Therapy</li></li></ul><li>(Tens)Transcutaneous electrical nerve stimulation<br />
  12. 12. Repetitive_transcranial_magnetic_stimulation<br />
  13. 13. <ul><li>Tinnitus masker</li></li></ul><li>Self Help remedies<br />Relaxation- Stress can make your tinnitus worse. Regular exercise, such as yoga, may help you relax. Listening to music- Calming music and sounds may also help you to relax and fall sleep at bedtime. <br />Sound generators- These are also known as white noise generators or tinnitus maskers. They may be useful for drowning out the sound of tinnitus (see Sound therapy above). <br />Hearing aids- If you have hearing loss, using a hearing aid may help with your tinnitus. This is because hearing sounds that you would not otherwise be able to hear may help override the tinnitus noise. <br />Support groups-Sharing your experiences<br />
  14. 14. Comprehensive Laser Rehabilitation Therapy of Tinnitus<br />Irradiation points:<br />• procesusmastoideus aiming in the direction of contra-lateral orbit<br />• meatusacusticusexternus in the direction of the acoustic duct.<br />2 – 3 times a week<br />• 8 - 10 applications in total<br />• 4 – 6 weeks break<br />
  15. 15. Picture 3 – Irradiation of MeatusAcusticusExternus<br />
  16. 16. Picture 4 – Irradiation of MeatusAcusticusExternus -detail<br />
  17. 17. Picture 5 – Irradiation of ProcesusMastoideus<br />
  18. 18. Picture 6 – Irradiation of ProcesusMastoideus<br />
  19. 19. techniques of LLLT application<br />1. application on meatusacusticusexternus - in the direction of the axis of the auditory duct - continuous beam 50J/cm2 followed by 25 J/cm2, frequency modulation of 5 Hz,<br />2. irradiation of processusmastoideus - directed on the center, the vector of the beam in the direction of counterlateral orbit, continuous beam 90 J/cm2 , followed by 45 J/cm2 with 5 Hz pulse frequency.<br />