of tinnitus including the role of 耳鸣包括作用概述ppt课件.pptVIP

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of tinnitus including the role of 耳鸣包括作用概述ppt课件.ppt

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of tinnitus including the role of 耳鸣包括作用概述ppt课件

Overview of tinnitus – including the role of hearing aids in tinnitus management A presentation for ENT specialists PIP_Tinnitus_Presentation V1.00/2014-03/XPl © Phonak AG / uncontrolled copy Objectives To describe the key features of tinnitus To show how tinnitus is a substantial health burden To reveal the role of hearing loss in tinnitus To present the options for management, including the central role of hearing aids What is tinnitus? Perception of sound but no external source Usually experienced as buzzing, hissing or ringing Not fully-formed sounds e.g. speech or music Not sound hallucinations experienced during bouts of mental illness Occurs in one or both ears, or arising within the head It can have a profound effect on the sufferer “… perceived severity of tinnitus correlates closer to psychological and general health factors, such as pain or insomnia, than to audiometrical parameters …” (Zoger et al, 2006) Langguth B, et al. (2013) Lancet Neurol.12:920-930; Zöger S et al. (2006) Psychosomatics. 47:282-288. Sound features of tinnitus NOISE CRITERIA POSSIBLE FEATURES Onset Sudden, gradual Pattern Pulsatile, intermittent, constant, fluctuating Site Right or left ear, both ears, within head Loudness Wide range, varying over time Quality Pure tone, noise, polyphonic Pitch Very high, high, medium, low Sounds experienced in tinnitus can vary according to several criteria: Langguth B, et al. (2013) Lancet Neurol.12:920-930. Evaluating tinnitus severity At the other extreme, some patients suffer so much that daily living is difficult and they are unable to work. Others suffer a level of impairment between these two levels. Tinnitus is highly variable. Some patients are able to cope with the noise and their lives continue as normal. Langguth B, et al. (2013) Lancet Neurol.12:920-930. The burden of tinnitus SCALE OF PROBLEM IMPACT TINNITUS RISK FACTORS A GROWING PROBLEM Tinnitus affects 10%–15% of the general population worldwide This is an estimated 280 mil