CHAPTER
TWO
Causes of Tinnitus
Paul R.
Kileny, PhD
Tinnitus is a common
symptom, not a disease. Because tinnitus
is the perception of sound, it is closely
associated with the hearing system. Thus,
there is an anticipation that it is caused
by problems and disease processes affecting
one or more parts of the ear or the nerve
pathways associated with hearing. Indeed
various parts of the hearing system are
often responsible for the symptom of tinnitus.
There are cases where a direct link may
be established between some type of hearing
problem and the appearance and presence
of tinnitus. Other times, there may not
be a readily identifiable problem affecting
the different components of the hearing
system. In some situations, problems affecting
other parts of the human organism can
also result in tinnitus. This can be important
because in some cases when the other ailment
is treated, the tinnitus can disappear.
However, other times, the tinnitus may
persist after the most likely cause has
been treated or has resolved.
The Anatomy
of Tinnitus
Perhaps a better way
of thinking about tinnitus is by which
specific anatomical site of the hearing
system might cause this symptom. Thus,
we may want to consider sites such as
the ear canal, the middle ear, inner ear
and central auditory pathways. This way
of thinking about tinnitus parallels how
we think of diagnosing hearing loss. The
advantage of this approach to tinnitus
is that it may relate better to specific
causes and may ultimately relate better
to specific treatments.
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