Tinnitus Treatment Blog

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Ear ringing or tinnitus has been divided into several groups such as vibratory and non-vibratory, pulsatile and non-pulsatile, objective and subjective, vascular and non-vascular etc just to name a few. In case of a pulsatile tinnitus the sound of the pulse can be heard in the ears. This type of tinnitus is also known as vascular tinnitus because of its vascular origin.

The following factors can lead to vascular tinnitus:

1. Infections of the middle ear or chronic inflammation are usually accompanied by an increased blood flow towards the inflamed tissue. Since this tissue is in the ear so some people can hear the increased blood flow.
2. Under normal conditions the middle ear is an air-filled space. However due to inflammations, infections or Eustachian tube dysfunction some fluid accumulates at the rear part of the middle ear and causes vascular tinnitus.
3. Vascular tumors of the middle ear such as the glomus tumors are benign, which implies that they are non-cancerous. However, because of their vigorous blood supply and location they can lead to vascular tinnitus.
4. Arteriovenous malformations or AVMs refer to large abnormal collections of veins and arteries that may sometimes occur inside the skull, close to the auditory nerve. These arteriovenous malformations beat against the auditory nerve and this leads to a vascular tinnitus.
5. The jugular vein traverses the ear while carrying the blood back to the heart from the brain. If there is turbulence in the blood flow anywhere along the course of the jugular vein then it is audible in the middle ear as a humming noise.
6. A carotid artery-cavernous sinus fistula, which is an abnormal link or passage between a very large vein and a very large artery within the skull, can also trigger vascular tinnitus.

If the root cause for vascular tinnitus is detected such as a high blood pressure or glue ear then the treatment is directed towards that particular condition. However, if the root cause cannot be understood, then certain coping strategies have to be used along with sound therapy, tinnitus retraining therapy or TRT and relaxation techniques.

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