Many people often feel that there is a ringing in the eardrum. It is possible that this is a precursor to tinnitus. This also includes ear injuries and ear canal infections. These are the main factors that cause the ear membrane to make sounds. Usually, you should first use medication to treat it, adjust for a period of time to see the recovery effect, and then go to the hospital for examination according to your physical condition. Treatment (I) Etiology treatment If the primary lesion can be found and special treatment can be taken, better results can be achieved regardless of whether the tinnitus is subjective or objective. In subjective tinnitus, for example, in secretory otitis media, the tinnitus often disappears immediately after blowing or tympanocentesis; and in early noise-induced hearing loss, the tinnitus usually gets relieved or disappears after leaving the noisy environment. For example, in many cases of tympanic cavity tumors or cerebellopontine angle tumors, tinnitus is relieved or disappears after the lesions are removed. Objective tinnitus also often disappears after the cause is corrected. For example, abnormal patency of the Eustachian tube can be relieved or disappear after conservative or surgical treatment to relieve its excessive patency. Arteriovenous fistula or malformation can also be relieved by surgical correction. Tinnitus caused by lesions of the vertebral artery communicating branches often disappears after the communicating branches and lesions are removed. 2. Drug treatment 1. Improve blood supply to the cochlea: Poor blood supply, such as vasospasm and vascular embolism, are common causes that affect cochlear function. The use of vasodilators can improve blood circulation in the inner ear, thereby treating inner ear diseases and eliminating or alleviating tinnitus. 2. Improve the energy metabolism or neurotrophy of inner ear tissue: Adenosine triphosphate and coenzyme A can activate tissue respiration and improve the circulatory system; both can enhance the oxygen supply to inner ear tissue; Mecobalamin is a coenzyme type B12 that can repair damaged nerve tissue. 3. Anticonvulsants: The effect of this type of drug may be to block the multi-axon system in the brainstem, especially the reticular formation. 3. Masking therapy The main purpose is to use external sounds to suppress the spontaneous excitation and enhanced activity of the cochlea or auditory nerve. The short-term effect of masking therapy is good, but the long-term effect still needs follow-up observation. However, tinnitus maskers can only relieve the symptoms of tinnitus to reduce the patient's pain, but cannot cure tinnitus. Masking therapy has an after-effect inhibition on some tinnitus patients, that is, the tinnitus disappears temporarily after the masking is stopped. 4. Biofeedback Therapy Biofeedback therapy uses different biofeedback signals to train patients to enter a state of relaxation. The principle of treatment is to teach patients to consciously control the sensations of various parts of the body, so that patients can change their body's reactions through learning. For example, by controlling muscle tension and blood flow, the patient can enter a relaxed state and restore relative balance in the body to achieve the purpose of treating tinnitus. |
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