Tags

Type your tag names separated by a space and hit enter

[Tinnitus--classification, causes, diagnosis, treatment and prognosis].
MMW Fortschr Med. 2004 Jan 15; 146(1-2):23-4, 26-8; quiz 29-30.MF

Abstract

Up to 45% of all adults in the industrialized countries are afflicted by noises in the ears--approximately one million people require treatment in Germany alone. Classification of tinnitus is oriented to the duration of symptoms and their severity, the latter taking into account the victim's distress both at work and during leisure time. Acute tinnitus is often caused by an ear condition or psychosocial stress. Chronic tinnitus can be caused by persistent exposure to noise, whiplash injuries or functional disorders of the cervical spine. The diagnosis is based on audiometric and otoneurologic investigations, possibly magnetic resonance tomography and serology when an infection is suspected. Acute tinnitus is treated with infusions--mostly with cortisone or pentoxifylline--or a short-term oral medication with these substances. Since no causal therapy is available for chronictinnitus, therapeutic counseling has a particular role to play with emphasis on informing the patient on the results of investigations and suggesting coping strategies. Following an appropriate diagnostic work-up, the patient should be advised of the harmless nature of the noises and encouraged to adopt a positively motivated approach to the symptoms. Tinnitus retraining therapy aims to permanently suppress conscious awareness of the noises in the ear. For this purpose, a noise generator, generally worn within the ear auricle, is employed among other things. The prognosis is dependent not only on the presence or otherwise of organic disease but also--almost always--on such aspects as perception and coping by the individual patient.

Authors+Show Affiliations

Abtei-lung für Hör-, Stimm- und Sprachstörungen, Universitätsklinik Innsbruck. Patrick.zorowka@uibk.ac.atNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
English Abstract
Journal Article
Review

Language

ger

PubMed ID

18437865

Citation

Koester, M, et al. "[Tinnitus--classification, Causes, Diagnosis, Treatment and Prognosis]." MMW Fortschritte Der Medizin, vol. 146, no. 1-2, 2004, pp. 23-4, 26-8; quiz 29-30.
Koester M, Storck C, Zorowka P. [Tinnitus--classification, causes, diagnosis, treatment and prognosis]. MMW Fortschr Med. 2004;146(1-2):23-4, 26-8; quiz 29-30.
Koester, M., Storck, C., & Zorowka, P. (2004). [Tinnitus--classification, causes, diagnosis, treatment and prognosis]. MMW Fortschritte Der Medizin, 146(1-2), 23-4, 26-8; quiz 29-30.
Koester M, Storck C, Zorowka P. [Tinnitus--classification, Causes, Diagnosis, Treatment and Prognosis]. MMW Fortschr Med. 2004 Jan 15;146(1-2):23-4, 26-8; quiz 29-30. PubMed PMID: 18437865.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Tinnitus--classification, causes, diagnosis, treatment and prognosis]. AU - Koester,M, AU - Storck,C, AU - Zorowka,P, PY - 2008/4/29/pubmed PY - 2008/5/16/medline PY - 2008/4/29/entrez SP - 23-4, 26-8; quiz 29-30 JF - MMW Fortschritte der Medizin JO - MMW Fortschr Med VL - 146 IS - 1-2 N2 - Up to 45% of all adults in the industrialized countries are afflicted by noises in the ears--approximately one million people require treatment in Germany alone. Classification of tinnitus is oriented to the duration of symptoms and their severity, the latter taking into account the victim's distress both at work and during leisure time. Acute tinnitus is often caused by an ear condition or psychosocial stress. Chronic tinnitus can be caused by persistent exposure to noise, whiplash injuries or functional disorders of the cervical spine. The diagnosis is based on audiometric and otoneurologic investigations, possibly magnetic resonance tomography and serology when an infection is suspected. Acute tinnitus is treated with infusions--mostly with cortisone or pentoxifylline--or a short-term oral medication with these substances. Since no causal therapy is available for chronictinnitus, therapeutic counseling has a particular role to play with emphasis on informing the patient on the results of investigations and suggesting coping strategies. Following an appropriate diagnostic work-up, the patient should be advised of the harmless nature of the noises and encouraged to adopt a positively motivated approach to the symptoms. Tinnitus retraining therapy aims to permanently suppress conscious awareness of the noises in the ear. For this purpose, a noise generator, generally worn within the ear auricle, is employed among other things. The prognosis is dependent not only on the presence or otherwise of organic disease but also--almost always--on such aspects as perception and coping by the individual patient. SN - 1438-3276 UR - https://www.unboundmedicine.com/medline/citation/18437865/[Tinnitus__classification_causes_diagnosis_treatment_and_prognosis]_ L2 - http://www.diseaseinfosearch.org/result/9653 DB - PRIME DP - Unbound Medicine ER -