Tinnitus in the ear like a drum may be related to jugular vein bulboma, head and neck arteriovenous fistula, tympanic membrane tensor muscle myoclonus and other diseases, according to the cause and the degree of disease, choose drug treatment and surgical treatment.
1. Jugular vein bulboma: one side of pulsatile tinnitus, rhythm and heart rhythm; finger pressure on the same side of the internal jugular vein when tinnitus disappeared, pressure stops, tinnitus resurfaces. Surgical resection is the main treatment.
2. Head and neck arteriovenous fistula: dural arteriovenous fistula may be secondary to dural venous sinus thrombosis or sinus cavity closure, the fistula tract is formed by the sinus wall of the rich network of small arteries and venous sinus or small veins between the formation of many tiny traffic branches. As the diseased venous sinus receives blood flow directly from the artery, retrograde blood flow is easily formed, and pulsatile tinnitus is caused.
Vascular rerouting, ligation, molding, etc., or selective arterial embolization, endovascular stenting, etc. can be done according to the situation.
3. Tympanic membrane tensor muscle myoclonus: this kind of pulsatile tinnitus is often paroxysmal, can be due to acoustic stimulation or blinking, auricular skin stimulation when the onset of the auricle, can also be spontaneous. Tinnitus episodes are synchronized with myoclonic episodes, and the rhythm is consistent. Carbamazepine can be given orally, and when medication is ineffective, the relevant muscles can be cut off for treatment.
When you feel like drumming in the ears, you need to actively seek medical attention, systematic examination, a clear diagnosis, and standardized treatment in accordance with the doctor’s instructions.