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29.03.2015

Tinnitus surgery risk, loud ringing in ears for a few seconds - How to DIY

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Tinnitus (tin-i-tus) is the perception of a sound in your ear when there is no noise in the environment. Our Tinnitus Treatment Center works to find custom solutions to each patient’s specific needs.
Our center focuses on a program of habituation, or retraining of the brain to reduce the perception of your tinnitus. Although there is no cure for tinnitus, scientists and doctors have discovered several treatments that may give you some relief. If it is hard for you to hear over your tinnitus, ask your friends and family to face you when they talk so you can see their faces. We believe, based on pharmacokinetic considerations, that protocols where the gentamicin is administered gradually, on a once-per-week schedule (or less frequently), are less risky to hearing than protocols where a large amount of medication is administered over a week or less.
Although 95% of patients are satisfied with the procedure immediately after their surgery, there are substantial risk of a serious complication in all of the described surgical procedures. As protocols evolve, the percentage of treatments associated with hearing reduction continues to gradually be reduced; however, there is still some risk of hearing loss.


All available procedures — retrolabyrinthine, retrosigmoid, and middle-fossa have significant risks. The most common medicines that cause tinnitus include aspirin, ibuprofen, naprosyn, among others. These medicines are generally given to reduce the anxiety or depression associated with tinnitus.
If you are a construction worker, an airport worker, or a hunter, or if you are regularly exposed to loud noise at home or at work, wear ear plugs or special earmuffs to protect your hearing and keep your tinnitus from getting worse. Gentamicin injections are also intrinsically of very low risk, especially compared to nerve section.
Currently, there is risk of approximately 30% that a patient will develop a mild reduction in hearing (Blakeley et al., 2009). Tinnitus is also generally unaffected but some recent studies report reduction in tinnitus. Historically 20% of patients eventually have had surgery done (Silverstein and Rosenberg, 1992), but with the advent of transtympanic gentamicin treatment, operative treatments are being replaced by outpatient procedures.


Neurosurgical procedures intrinsically have considerably more risk than those where the brain is not exposed. The better you hear other people talking or the music you like, the less you notice your tinnitus. Occasionally destructive treatments are advocated for tinnitus, but these are not discussed here. Compared to labyrinthectomy, the lowest risk surgical procedure, gentamicin injections are also lower in risk because there is no need for general anesthesia. Our view is that middle fossa nerve sections are rarely indicated, as gentamicin injection treatment has similar effectiveness with much less risk. Several authors have reported that tinnitus or the sensation of fullness may improve substantially after TTG (for example, Herraiz et al., 2010).



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