About the doctor
Tinnitus & Audiological Management
TINNITUS: Sensation of sound without external stimulation. It is the perception of sound that results from activity within the cochlea and not related to external stimulation of any kind.
Tinnitus & Audiological Management combines specialized expertise to address tinnitus and hearing concerns. Our integrated approach ensures comprehensive evaluation and tailored treatments for optimal outcomes, fostering better hearing and improved quality of life.
When dealing with tinnitus, it’s important to seek professional help from the best tinnitus clinic and specialists. A tinnitus specialist, often a doctor with expertise in audiology or otolaryngology, can provide accurate diagnosis and effective management strategies tailored to each individual. At the best tinnitus clinic, these specialists employ advanced diagnostic tools and personalized treatment approaches to alleviate symptoms and improve the overall quality of life for those affected by tinnitus.
Tinnitus - Evaluation & Management
EVALUATION:
- Audiological Evaluation
- Psycho Acoustical Evaluation (pitch & loudness matching)
- Medical Evaluation
MANAGEMENT:
- Tinnitus Retraining Therapy (TRT)
- Masking
- Medication
- Psychological treatments
- Electric stimulation
- Biofeedback training
- Surgical technique
MEDICATIONS:
- Vasodilators
- Local anaesthetics
- Sedatives & tranquilizers
- Antidepressants
- Antiallergic
SURGICAL TECHNIQUE: Micro Vascular Decompression (MVD), surgery of the VIII cranial nerve for the relief of vertigo & disequilibrium also reduces tinnitus.
TINNITUS RETRAINING THERAPY (TRT)
TRT techniques are based on neurophysiological model.
Neurophysiological Model: A novel sound induces a new pattern of activity with the auditory pathways & subcortical centres allowing it to reach the cortex.
This process is habituation of reaction with repetitive appearance of a sound. The sub cortical pathway will block it and the individual will be unaware that the sound is present. This is the process of habituation of perception.
Tinnitus Habituation Therapy: Based on brain plasticity and its ability to habituate to a variety of stimuli. Change in the synaptic connections between neurons throughout the life facilitates learning. The auditory system and its connection with limbic system can be retrained. By proper retraining procedures, tinnitus can be blocked, thereby preventing the activation of systems.
Therefore, habituation of tinnitus is achieved by filtering out and blocking tinnitus related neuronal activity from reaching the brain.
Achieving habituation consists of:
- Counselling
- TRT
COUNSELLING
Aims of counselling:
- Tinnitus does not reflect medical problems.
- Tinnitus as a problem arises due to enhanced activation of emotional and ANS centres in brain.
- Utilize normal functions of the brain to attenuate these abnormal activation, thus inhibition.
- Explaining why tinnitus & hyperacusis create problems.
- Discussion about proposed treatment.
- Avoidance of silence.
- Enriching the background sound.
- Masking prevents habituation.
- Stress can worsen tinnitus.
TRT
- Introductory contact
- Initial visit
- Tracking between tinnitus
- Sound tolerance
- Hearing loss
- Audiological evaluation
- Medical evaluation
- Assessing the category for treatment
- Counselling, introduction to sound therapy
- Fitting of instruments
- Follow up visits.
- Closing treatment
Classifying Tinnitus
Category 0:
- Low level of tinnitus severity
- One session of simplified general counselling
Category 2:
- Sever tinnitus co existing with subjective hearing loss.
- Appropriate counselling & sound therapy
- Fitting of appropriate hearing aids
Category 4:
- Significant hyperacusis with tinnitus as secondary complaint or absent
- Result of noise exposure
- Treatment approach to remove hyperacusis.
- Difficult to treat with sound therapy in normal way and requires a protocol based on very slow desensitization.
Category 1:
- High severity but do not have hyperacusis, subjective hearing loss.
- Detailed counselling focused on tinnitus.
Category 3:
- Tinnitus of high severity with hyperacusis, subjective hearing loss
- This is not enhanced by prolonged period of time as a result of sound exposure
- Sound generators are necessary to help to desensitize hyperacusis
- Appropriate counselling & sound therapy
- Appropriate hearing aid
Frequently Asked Questiones
How do I clean my ears?
I tend to sneeze whenever I wake up in the morning or on leaving an air-conditioned room. What can I do for that?
Doctor, I get a constant irritation in my throat. What can I do for that?
ENT Delhi
Our Doctors Achievements
Best ENT Specialist Delhi, Asia Healthcare Summit Awards, 2020
Top Three Rated ENT Specialist of Delhi since many years – an independent global rating agency
Distinguished Doctor’s Award – 2017
Healthcare Ambassador award for disseminating information to the public during Covid times- 2022
Testimonial
What our Patients say
Address
D 3/14, Ground Floor
Vasant Vihar
New Delhi 110 057
Mobile: 9205558295
Hour of Operation
Monday To Saturday
Morning Timing
09:30 AM to 11:30 AM
Evening Timings
4:30 PM to 7:00 PM
Thursday Morning Clinic Is Closed
Thursday Evening
4:30 PM to 7:00 PM
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