In this case, the tinnitus can be intermittent and at times, the examiner can also hear the patient’s sounds. Another cause of tinnitus from the middle ear may be muscle spasms of one of the two tiny muscles attached to middle ear bones. Middle ear problems can also cause tinnitus, such as a middle ear infection or the buildup of new bony tissue around one of the middle ear bones which stiffens the middle ear transmission system (otosclerosis). Other times, loose hair from the ear canal may come in contact with the ear drum and cause tinnitus. At times, for instance, it may be caused by excessive ear wax, especially if the wax touches the ear drum, causing pressure and changing how the ear drum vibrates. Tinnitus may be caused by different parts of the hearing system. Occasionally, tinnitus is “objective,” meaning that the examiner can actually listen in with a stethoscope or an ear tube and hear the sounds the patient hears. Most of the time, the tinnitus is subjective-that is, the internal sounds can be heard only by the individual. At times, it is relatively easy to associate the symptom of tinnitus with specific problems affecting the hearing system at other times, the connection is less clear. In fact, various parts of the hearing system, including the inner ear, are often responsible for this symptom. Tinnitus is not a disease in itself but a common symptom, and because it involves the perception of sound or sounds, it is commonly associated with the hearing system. Tinnitus is commonly defined as the subjective perception of sound by an individual, in the absence of external sounds. An essential part of the treatment will be your understanding of tinnitus and its causes. Prior to any treatment, it is important to undergo a thorough examination and evaluation by your otolaryngologist and audiologist. Its pitch can go from a low roar to a high squeal or whine. It may be an intermittent sound or an annoying continuous sound in one or both ears. Nearly 36 million Americans suffer from tinnitus or head noises. Insight into causes and treatments for tinnitus
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