R.Ali Hosseini

Master of Audiology (M.Sc.M.C.No:343)

Central Audiology Clinic

Tinnitus

Tinnitus

Diagnostic Treatment Prevention

Defined of Tinnitus

1)Tinnitus (Organic & NonOrganic)

2)Tinnitus (Otologic & NonOtologic)

3)Tinnitus (Objective & Subjective)

(Etiology & Epidemiology)

Evaluation of Tinnitus1)Otologic Tests

2)Audiologic Tests

3)Radiologic Tests

4)Blood Laboratory Tests

5)Psychologic & Neurologic Tests

Audiologic Tests1)PTA

2)Speech Tests (SRT – SDS – MCL – LDL)

3)IA (Tympanometry & Acoustic Reflex & ETF)

4)OAE (SOAE – DPOAE – TEOAE)

5)ERA (EcochG – ABR – MLR – LLR)

6)ENG/VNG Tests

Balance & Vestibular Tests

1) Vision : (Viso-Ocular Reflex)

2) Vestibule : (Vestibulo-Ocular Reflex)

3) Somatosensory : (Viso-Spinal Reflex)

Specials Audiologic TinnitusTests

1) PTA (250 Hz – 8000 Hz)

2) High Frequency Audiometry (125 Hz – 20000 Hz)

3) Tinnitus Evaluation

Audiologic Tinnitus Management (ATM) Method

1)(Pitch = Mel) : (Frequency = Hz)

2)(Loudness = Phone) : (Intensity = dB)

3)Location of Tinnitus

4)Minimum Masking Level (M.M.L)

5)Residual Inhibition (R.I)

Treatment of Tinnitus

1) Drug Therapy

2) Surgery Mthods

3) Re/Habilitation

Tinnitus Re/Habilitationa) Hearing Aids

b) Tinnitus Masker c) Low Power (Soft) Laser

d) Tinnitus Electrical Stimulation

e) TRT Method (Tnnitus Retraining Therapy)

f) Biofeedback

g) Homiopaty

h) Acupuncture

Normal

Moderate

Severe

Profound

Mild

Moderateto Severe

Pitch in Hertz (Hz)

125 250 500 1000 2000 4000 8000Lo

udne

ss in

Dec

ibel

s (d

B)

0

20

40

60

80

100

120

Hearing Aid

Hearing Aids

Normal

Moderate

Severe

Profound

Mild

Moderateto Severe

Pitch in Hertz (Hz)

125 250 500 1000 2000 4000 8000Lo

udne

ss in

Dec

ibel

s (d

B)

0

20

40

60

80

100

120

Tinnitus Masker

Low Power (Soft) Laser

Tinnitus Electrical Stimulation

Prevention of Tinnitus

1)Noise Induced Hearing Loss (NIHL)

2)Acoustic Trauma

3)Accident

4)Drug Ototoxicity

5)Living Methods

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