Can the annoying tinnitus be cured?

  Tinnitus is the sensation of hearing a sound that does not exist in the outside world. Tinnitus may sound like the rustling of rain, the hissing of cicadas, the ticking of a stopwatch, the thumping of a heartbeat, the bursting of a siren, or the roar of thunder. Most tinnitus is physiological and can disappear on its own. Most tinnitus is physiological in nature and can disappear on its own. In the case of persistent tinnitus, the tinnitus may become a disease when the person feels it when he or she is quiet, but in the case of severe tinnitus, the person is disturbed and sleepless. According to foreign statistics, the prevalence of tinnitus is about 15%-20%, and the number of people who need treatment is about 3%-4%.  For a long time, tinnitus has been divided into two categories: subjective tinnitus and objective tinnitus. The former means that the sound of tinnitus can only be felt by the patient but not heard by the examiner; the latter means that both the patient and the examiner can hear the sound of tinnitus. In addition to different causes and pathological processes that can cause tinnitus, the psychological state of the patient also has a great influence on the perception of tinnitus.  Can the annoying tinnitus be cured? Before answering this question, it is important to explain what is meant by “cure”. In this context, cure means two things: the disappearance of tinnitus and the adaptation of tinnitus. Tinnitus adaptation means that the sound of tinnitus is still present, but the person has become accustomed to it and the tinnitus does not affect the person’s mood, sleep, work, study and life.  Before starting tinnitus treatment the doctor will generally take a careful history to assess the extent to which the tinnitus is affecting work, life, etc., followed by a series of related tests to try to understand the characteristics of the tinnitus. The first step in starting treatment is to try to determine the cause of the tinnitus. If the primary lesion can be found and specific treatment is given, a better result can be achieved regardless of whether the tinnitus is subjective or objective. For example, cerumen embolism, acute and chronic suppurative otitis media, diabetes mellitus, eustachian tube obstruction, tympanic body tumor, auditory neuroma, vascular malformation, etc. can be cured by removing the cause of tinnitus. If the cause of tinnitus cannot be determined, or if the cause can be determined but cannot be cured, patients should undergo individualized comprehensive treatment, including medication, psychotherapy and sound therapy.  Although no medication has been found to completely cure tinnitus, certain medications have short-term effects on tinnitus, such as vasodilators, drugs that improve energy metabolism in inner ear tissues, and lidocaine and other anticonvulsants. If there are obvious symptoms such as anxiety or depression, anti-anxiety and antidepressants can be used appropriately. Psychotherapy is one of the important tools in the comprehensive treatment of tinnitus. Combined with appropriate medication, it can eliminate patients’ anxiety symptoms and reduce the impact of tinnitus on their lives. Tinnitus retraining therapy (TRT), which includes guided counseling and sound therapy, is one of the more effective comprehensive treatment methods available.  Tinnitus is not terrible, and through individualized and comprehensive treatment of the cause or tinnitus, the vast majority of tinnitus can be cured so that it disappears or even if it exists but does not affect one’s work, study and life.