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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Ringing sound in left ear, might be due to bend in nose, improper breathing. Hearing test normal. Cure?

Hi Sir, My name is XXXXX and 32/M years old and working in IT industry. I m having a ringing sound in my left ear since last week and consulted ENT doctor here and he has given some antibotics and told me this is happening due mu inner nose is slightly bend and might be due to improper breathing .I did both hearing test and Brain MRI and looks everything is fine. PLease suggets me how to cure from it as i can not concentrate on my work.
Wed, 26 Dec 2012
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ENT Specialist 's  Response
Hi,



Thank you for your query.



1. There is no cause for worry. Tinnitus is not associated with serious disorders in over 99% cases. Your hearing and balance tests are normal. Tinnitus has a tremendous nuisance value. Almost all people at some point in their lives experience tinnitus.



2. You may also get middle ear pressure checked (Impedance Audiometry or Tympanometry). Also can you share your audiogram here? It is good to hear that your MRI is normal.



3. What is your exposure to occupational noise and loud music / earphones / mobile phones? Exposure to loud noise is also a leading cause for tinnitus.



4. Does your Tinnitus change when you clench your teeth? If so, a dental reference is needed.



5. Common tinnitus therapy includes ginkgo biloba, multivitamins and antioxidants. You may try Transtympanic steroids or Caroverine (Tinnex) injectable or capsules under the supervision of an ENT Specialist.



6. Ideally Caroverine (Tinnex) is for treatment of a type of Tinnitus known as Cochlear Synaptic Tinnitus. In this the middle ear should be normal.



7. A DNS causes nasal turbinate hypertrophy on the lateral walls of the nose and this in turn blocks the sinuses. Blocked sinuses are poorly ventilated and along with stasis of secretions, continuing infection and inflammation is common. This causes Eustachian Tube Dysfunction which may worsen Tinnitus.



8. Regular steam inhalation is one of the best and simplest ways to keep the Eustachian Tubes healthy and functioning. If steam inhalation makes you uncomfortable, then your septal deviation and nasal obstruction is significant. A plain CT PNS (Para Nasal Sinuses) will definitely help understand your problem. The scan should be on a new generation multi-slice scanner with 1 mm coronal, axial and sagittal cuts.



9. Kindly let me know the results of your investigations. This will help in suggesting further treatment. I must emphasize that in a vast majority of patients of tinnitus, the cause is never found. However there are further treatment options depending on the type of tinnitus.



Regards.
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