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Author: admin | 31.03.2015 | Category: Relieve Tinnitus

Otitis media (also referred to as OME or otitis media with effusion) is about a blockage of the Eustachian tube causing a backing up of fluid (mucus) in the inner ear.
The Eustachian tube is positioned on both sides of the head running from the ear to the back of the nose. When this happens, it can cause an assortment of problems from pressure in the ear(s), tinnitus (ringing in the ears), and hearing loss. This blockage tenses up the ear drums and causes them to not vibrate fully causing a loss of hearing range and even severe dullness of sound. Since the sounds can’t properly vibrate the inner ear and the balance is off in the ear drums (pressure caused), nothing comes in clearly. One reason kids who swim in a pool can easily contract earaches is the build up of fluid in the Eustachian tubes happens quite easily reacting to the chlorine in pool water. Many who suffer (adult and children) from recurring otitis media often have enlarged adenoids. What’s alarming is if the otitis media isn’t infected it won’t cause any noticeable pain or irritation.
Your doctor can figure out if you have fluid build up in the inner ear or if the Eustachian tubes are blocked. During diving and flight elevation or landing, the pressure is changing To adapt to it, pressure of middle ear should be changed accordingly by opening up the eustachian tube. Pure tone audiogram is necessary as it usually shows conductive hearing loss.  However if inner ear is involved, sensorineural hearing loss may be seen. For blood or fluid in the middle ear, observation is suggested.  But it can be drained by myringotomy if it is not subsided after a period of time. If there is inner ear injury, conservative management such as bed rest and drugs is recommended.  But if hearing deteriorates progressively, surgical exploration and operation would be suggested.
Acute otitis media is acute infection of the middle ear which is either due to viral or bacterial infection. After AOM, some fluid may accumulate in the middle ear resulting in conductive hearing loss. While the majority of eardrum perforation heals spontaneously, some perforations persist due to unresolved infection or Eustachian tube dysfunction. Normally the middle ear and external ear canal is separated by the thin membrane called tympanic membrane or ear drum. It is different from the usual CSOM (chronic suppurative otitis media) that skin "grows" inside the middle ear and mastoid process and forms a "tumour-like" plague. It is usually presented as sudden onset of sustained vertigo and dys-equilibrium accompanied by a spontaneous wobbling of eyeballs lasting from 3 to 7 days followed by gradual resolution. Basically it only needs supportive treatment with relief of dizziness during the acute episode.
The patient with BPPV (Benign Paroxysmal Positional Vertigo) experiences severe spinning associated with a change of head position. A test called Dix-Hallipike maneuver is done for eliciting nystamus (wobbling of eyeballs) and vertigo caused by posterior canal BPPV.


In general, the theory of canalithiasis, which is well accepted as the explanation of BPPV (Benign Paroxysmal Positional Vertigo)?
It is a condition where a benign tumor is arising from the eighth cranial nerve which is called vestibulocochlear nerve (mostly involves the vestibular nerve rather than the cochlear nerve).
The classic presentation of acoustic neuroma would be unilateral progressive sensorineural hearing loss. We can either treat it with hearing aids or operative treatment which is called stapedectomy. Systemic steroid is the evidence based treatment of choice as it can suppress the inflammation caused by the viral infection.
Tinnitus is the perception of an insistent, unpleasant ringing, buzzing or other consistent noise, located in or near the skull but without a definable external source.
Tinnitus is often perceived as a ringing or persistent high tone very close to or within the ear.
Tinnitus is often regarded as a symptom of auditory conditions, such as damage to the tissues in the ear that control the perception of tones and frequencies.
An increasing number of researchers argue that tinnitus is a disorder of the connections between the inner ear and certain areas of the brain.
Some scientists had developed a theory that tinnitus was associated with deficiencies in vitamin B12. Chronic inflammation of the middle ear (otitis media) may also be associated with some cases of tinnitus. Tinnitus related to otitis media may be improved by surgery to correct damage caused by this inflammation. With the fluid captive in the middle ear, the tympanic membrane (ear drums) can’t move the way they need to to create and interpret vibrations from ambient sounds.
Worse, it can create severe tinnitus forming, ringing, noise, and scratchy sounds to form from ambient sounds. Often when left unchecked it can lead to a series of problems including painful infections (fluid build up causes this too), vomiting, and fever (from the infection). Some things that help alleviate Otitis Media symptoms in the meantime are decongestants, nasal sprays for and anti-histamine therapy. For otitis externa (ear canal infection), ear toilet, topical antibiotic eardrops with or without oral antibiotic is the standard treatment.
Except paediatric cases with bilateral OME and hearing impairment, we may observe for any resolution of OME with time.
The most frequently cited occurrence of this symptom follows rolling over in bed or getting into bed and assuming a lying-on-back position.
When we turn or move our head or change our positions, the stone-like substances in the ampulla ( the organ for sense of balance)moves and irritate the said organ. Normally, the lesions are removed by excision and the specimen is then checked by pathologist. It is not considered to be a condition in its own right, but a syndrome or symptom related to many forms of auditory damage or disorder.


Age-related hearing impairments, or disorders of the circulatory system around the ear, may also be related to this complaint.
Some scientists conclude that tinnitus is in fact related to damage of the nervous tissue in or around the auditory cortex of the brain. A recent study including 100 patients with tinnitus found that 63 of these had low vitamin B12 levels.
As the natural molecule histamine is associated with the regulation of both inflammation and some auditory nervous tissue, drugs that block its receptors in the brain are currently proposed as treatments for tinnitus. Darius Kohan is renowned for his otology expertise and has been highlighted on several outlets such as a CBS spotlight on tinnitus and is often cited in WEB MD and other medical outlets. They’ve discovered that children who’ve been breast fed don’t tend to get this affliction easily.
The noticeable symptoms in older kids are a numbness in hearing, feeling pressure (like ears full of water), in the infected ear(s). Inactive would be watching stress and strain levels, remaining calm as to not agitate the condition. Other cases may be related to exposure to very loud or destructive levels of noise, such as from an explosion, industrial equipment or farming equipment. Others have found associations between increased activity in further brain regions, age of tinnitus onset and distress caused by the syndrome. However, treating this deficiency had no significant effects on the complaint in these patients. Other new and emerging treatments for tinnitus focus on the potential indicated by the studies into its links with abnormal brain activity, as mentioned earlier. Tinnitus may have a significant negative impact on the life quality of those affected by it. Different research groups have concluded that chronic tinnitus may be associated with an impaired connection between the cerebral cortex, which controls advanced functions such as memory, perception of the environment and cognition, and the thalamus, which supplies the cortex with sensory information. A recent study, including 974 patients, indicated that hearing aids were preferable and more effective in treating blast-related tinnitus compared to noise generators. Presuming further research confirms the findings of these studies, deep brain stimulation (a form of implant placed in the brain to correct this activity) may be a viable option for severe treatment-resistant tinnitus. This is when you’re cleaning your ears in frustration trying to make the sound stop (that won’t work by the way).
This syndrome may also have deleterious effects on the emotional, psychological and functional status of the patient.



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