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Tinnitus

Tinnitus. Tinnitus Eval and Rehab. http://www.youtube.com/watch?v=OE5fIoveLoM&feature=related. Tinnitus Eval and Rehab. What is Tinnitus? Ringing, hissing, buzzing May be intermittent or constant Can be slightly annoying to debilitating. Demographics

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Tinnitus

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  1. Tinnitus Vestibular and Tinnitus Rehabilitation

  2. Tinnitus Eval and Rehab • http://www.youtube.com/watch?v=OE5fIoveLoM&feature=related Vestibular and Tinnitus Rehabilitation

  3. Tinnitus Eval and Rehab • What is Tinnitus? • Ringing, hissing, buzzing • May be intermittent or constant • Can be slightly annoying to debilitating. • Demographics • 50 million in US. 2-3 million find it debilitating. Vestibular and Tinnitus Rehabilitation 3

  4. Tinnitus Eval and Rehab • Causes • Specific etiology is not clearly understood and will vary due to the specific auditory disorder. • Relationship w/ these disorders… • Cochlea (Meniere’s disease, presbycusis, NIHL) • VIII N. and CNS (acoustic neuroma & other lesions) • Metabolic changes and medications/drugs (rare) • Other (impacted cerumen, otitis media, TMJ, stress, fatigue, high blood pressure, high cholesterol, etc.) Vestibular and Tinnitus Rehabilitation

  5. Tinnitus Eval and Rehab • Evaluation • Full audiologic and medical examination • Quantification (e.g., perceived loudness, loudness discomfort, constant/intermittent, pitch matching) • Impact on individual • Questionaires (e.g., Tinnitus Severity Scale) • Sleep patterns, depression, stress, etc. Vestibular and Tinnitus Rehabilitation

  6. Tinnitus Eval and Rehab • Treatment (Medical and Non-Medical) • Medical • Metabolic and medication – tinnitus may be reversed. • Most types of tinnitus can not be cured, especially if related to cochlear or auditory pathways. • Auditory patch - direct stimulation of auditory cortex can inhibit tinnitus. Not currently FDA approved. Trials at MCW. Vestibular and Tinnitus Rehabilitation

  7. Tinnitus Eval and Rehab • Non-medical • Instrumentation • Hearing aids • Tinnitus maskers-- http://www.youtube.com/watch?v=H5WzGCrAsX8&feature=player_embedded • Combination hearing aids/tinnitus maskers • Neuromonics Vestibular and Tinnitus Rehabilitation

  8. Tinnitus Eval and Rehab • Non-medical (cont) • Tinnitus Retraining Therapy (TRT) • Most commonly administered by audiologists, although SLPs involved. • Habituation and counseling • Can also be used with • Misophonia • Phonophobia • Hyperacousis Vestibular and Tinnitus Rehabilitation 8

  9. Tinnitus Eval and Rehab • Non-medical (cont) • Cognitive-Behavioral Therapy (psychologists) • Education and counseling • Support (e.g., American Tinnitus Association) Vestibular and Tinnitus Rehabilitation 9

  10. Other ways to reduce tinnitus • Avoid loud noises - Exposure to loud noises can make tinnitus worse. i.e., TTS • Avoid total silence • Follow directions for medications, especially for high blood pressure & cholesterol. Vestibular and Tinnitus Rehabilitation

  11. Other ways to reduce tinnitus Lifestyle changes Reduce caffeine, alcohol, salt, aspirin, and nicotine. Reduce stress Get adequate sleep Keep mind & body with meaningful activities. Healthy diet Excercise

  12. Where to go for help Medical College of Wisconsin (Froedert Hospital) VA Hospital (Milwaukee, Madison, Tomah, N. Chicago, Chicago, Hines) Your local audiologist or otolaryngologist American Tinnitus Association (www.ata.org)

  13. Summary Vestibular and Tinnitus Rehabilitation

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