Nevertheless, knowing the possible origin of the tinnitus has not often been helpful in identifying its treatment. Ear specialists must always undertake a diagnosis. But, in the case of tinnitus, the diagnosis is more often than not one of exclusion. The specialist has to discard other pathologies in order to discern if the noises come from the ear itself or not.
On occasions, tinnituss appear accompanied by other manifestations that oblige the intervention of various medical specialists in order to contribute to relieving this symptom. This is why TRT treatment is applied in the most appropriate way in those medical centres equipped for all specialities; in this way, a multidisciplinary treatment of the patient is achieved.
Getting used to noise
With the application of the TRT neurophysiological model, what is important to know about the tinnitus is the manner in which the noise is made, from the peripheral organ (the ear) to the cerebral cortex. There is a series of structures in the central nervous system (CNS) that gives the tinnitus a magnified role.
This fact alerts the patient and turn triggers the perception of auditory discomfort, according to Ms Heitzmann. The limbic system, responsible for emotions and learning, is then activated and the autonomous nervous system, which causes the discomfort. It is at these levels that intervention can take place.
This is why the approach proposed by Jastreboff and which we apply at the University Hospital is based on getting the patient to become used to the noise to the point where the tinnitus ceases to be a nuisance.
In this sense, the specialist believes that the disappearance of the tinnitus in itself is not the important thing, given that, on many occasions, we cannot avoid the ear hearing a noise or the auditory canal transmitting it.
Dr Heitzmann points out that when we speak of getting accustomed to something, we mePage: 1 2 3 4 5 Related medicine news :1
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