Treatment Of Tinnitus
a. Treat associated medical cause: Given that tinnitus can occur in diseases such as hypertension, hypothyroidism, temporomandibular joint dysfunction, cardiovascular disease, is a necessary first step to have medical and pharmacological control of the underlying cause.
b. Control factors: Avoid or eliminate conditions or factors that trigger or worsen tinnitus. Stopping smoking, caffeine, alcohol. Using labor precautions, if there is constant exposure to noise.
c. Pharmacological Action: We have used some sedatives, antidepressants, and intravenous lidocaine or intratympanic so. The drawback is the short end, its dosage should be adjusted by the treating physician.
d. Masking maneuvers: Sometimes the tinnitus bothers, or alters the quality of life of patients, which resulted in difficulties at work, social life, etc. Many people benefit from the use of a headset device, similar to a headset that makes a sound more pleasant than the internal noise of tinnitus.
e. Therapy of Tinnitus Retraining (TRT) is based on the principle of how easy it is for the brain become accustomed or habituated to a signal filter and unconscious level to reach a conscious level and be perceived, ie , he downplays the auditory signal, causing no discomfort, no anxiety about his presence. TRT is a method consists of two components: individualized patient counseling and sound therapy, which in most cases is to use a sound generator that is emitted at a low range, guided by a protocol of habituation . The therapy lasts 12 to 24 months. Not mask the tinnitus, but it leads to a subconscious level so as not to transmit to the conscious, and trigger reflexes and bodily responses. For example: Similar to the fact of getting used to the noise produced by a fan, refrigerator, air conditioners, it is known that there is no pore attention
f. Cognitive Therapy: A form of counseling or psychotherapy that helps patients improve their reactions to the tinnitus.
g. Feedback: It’s a relaxation therapy that teaches how to manage stress and anxiety, managing change and lifestyle reactions arising from the tinnitus on the individual.
h. Surgery: The surgical procedure is indicated in the case of a tumor or vascular malformation near the ear, resulting in an objective tinnitus, which is one heard by the patient and examiner.
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