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Author: admin, 08.02.2015
Tinnitus is the perception of sound within the ear or head, without a corresponding external stimulus for that sound. Tinnitus may be described as a buzzing, ringing, roaring, clicking, booming, hissing, whistling or cicada-like noise. Objective tinnitus is generated by musculoskeletal and vascular structures that are in close proximity to the cochlea. Consider a review of medicines - have there been any new medicines started, including any over-the-counter medicines? A live insect in the ear canal may produce noises that are described in a similar way to tinnitus.
Hit the tuning fork lightly on your knee, elbow or firm surface and hold the base on the patient's forehead. A normal result is when the sound is heard again - air conduction is greater than bone conduction.

If the cause of tinnitus is found to be an underlying condition that is treatable in primary care, e.g.
Tinnitus often disturbs sleep and the tiredness that results may then compound the problem. Many people with tinnitus seek quietness in an attempt to gain relief from the noise of their tinnitus. Distraction with day to day activities (leisure or work) and regular exercise can be effective. The evidence to support the use of pharmacological treatments for tinnitus is inconclusive. Thank you to Dr Ron Goodey, Otolaryngologist, Auckland for expert guidance in developing this article. It is a common, but frustrating problem for both patients and clinicians, as in many cases the cause cannot be identified and there is no single effective treatment.

In some cases, referral for further investigations such as MRI is required to make a specific diagnosis.
Proceedings of ‘Tinnitus Discovery': Asia-Pacific Tinnitus Symposium, 11-12 Sept 2009, Auckland, New Zealand. It is important to identify people who are hearing genuine sounds generated within the body (objective tinnitus) or have some other underlying treatable condition.

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