Signs of hearing damage vary, but one of the most common and persistent symptoms is noise. Its appearance is associated with significant inconvenience for the patient. The ability to concentrate is lost, irritability and headache appear. At the same time, noise is just a sign, which is not always the only one, but indicates the presence of pathology. It is not necessary to talk about a specific disease, even having described in detail the sound that disturbs the patient - ringing noise is not a specific sign of any disease, it can be detected with a large number of variants of damage to the organ of hearing. What if my ear is ringing? How to get rid of ringing in your ears? Every patient needs to know this.
Choice of therapy method
The occurrence of noise cannot go unnoticed. It is difficult for the patient to be in silence - ringing in the ears interferes. What to do in this case? It is necessary to understand that sound itself is not a disease, but its manifestation, and not always the only one. Acting only on noise will not achieve satisfactory results. Therefore, the first step in choosing a treatment option should be to establish the correct diagnosis.
Among the conditions that provoke the appearance of a ringing "noise background" should be highlighted sensorineural hearing loss (sensorineural) type. In this case, there are violations on the part of the sound-perceiving system, due to the defeat of the parts of the auditory analyzer - both peripheral and central.
It is worth emphasizing that sensorineural hearing loss is a manifestation of many diseases.
Treatment for tinnitus with sensorineural hearing loss should be started as early as possible. Violations identified at a late stage in the development of pathology are irreversible or only partially reversible.
Sensorineural hearing loss is divided as:
- sudden;
- sharp;
- chronic.
Sudden hearing loss is said with a sudden weakening of hearing acuity, often inexplicable and occurring without "precursors" in a period from several minutes to 12 hours (in some recommendations, you can find a period of time up to 24 hours). If symptoms persist for more than a day, the hearing loss is considered acute. The long-term observed decrease in hearing acuity is considered as chronic hearing loss.
Drug therapy
Among the options for hearing loss, the most favorable in prognostic terms are considered sudden and acute, but only in the case of immediate hospitalization of the patient in a hospital and initiation of therapy. How to cure tinnitus if the patient noticed sudden signs of hearing loss? In order to correct violations, glucocorticosteroids (Prednisolone) are used - while there is a concept of "loading dose" for the initial administration. Detoxification therapy is also indicated.
Treatment for tinnitus in acute sensorineural hearing loss involves several steps. First of all, detoxification therapy is carried out, agents that improve cerebral circulation are used. Since the diagnosis is not always clear at the time the patient is admitted to the department, it is necessary to prevent irreversible changes and stabilize the condition until the next tactic of therapy is determined. For the purpose of providing emergency care, drugs such as:
- Correctors of cerebral circulation disorders (Vinpocetine).
- Antihypoxants and antioxidants (Mexidol).
- Angioprotectors and microcirculation correctors (Pentoxifylline).
- Nootropics (Cerebrolysin).
B vitamins (Thiamin, Pyridoxine, Cyanocobalamin), preparations containing Ginkgo biloba leaf extract are also used.
The course of treatment in a hospital lasts at least several weeks.
Medicines can be administered intravenously, intramuscularly, administered in the form of tablets, capsules. It is necessary to strictly follow the doctor's recommendations, to strictly adhere to the dosages. Probably the use of phonoelectrophoresis for the administration of drugs.
After the end of therapy with the help of parenteral administration of drugs and the establishment of the diagnosis, additional outpatient treatment is necessary. What to do if your ears are ringing? Complaints about the "sound background" that persists even after a course of drug treatment are 
an unfavorable sign. It is imperative to inform your doctor about them.
How to treat tinnitus in chronic sensorineural hearing loss? The main goal of treatment is to slow the progression of neuropathy and hearing loss. Stabilization of the auditory function is achieved through a planned course of therapy. Shown are pharmacological drugs that affect metabolic processes (in particular, B vitamins) and other drugs listed earlier when discussing the treatment of acute sensorineural hearing loss.
Non-drug therapy
Hearing loss, which is irreversible, significantly impairs the patient's quality of life. The “background noise” that accompanies hearing loss can be very painful. If your ears ring, what to do? How to get rid of ringing in the ear? The patient has to constantly look for answers to these questions, and the result of the measures used is not always successful. Experts can recommend such techniques as:
- endaural phonoelectrophoresis;
- systemic helium-neon blood irradiation;
- electrical stimulation of the inner ear structures;
- hyperbaric oxygenation, etc.
All of these treatments do not directly target ringing in the ear. What if the patient's noise does not disappear with the start of therapy? It is necessary to discuss with the attending physician how long the effect can be, and what results should be expected. Even with partial restoration of hearing function, it takes time for the condition to stabilize, and signs of improvement appear.
Hearing aids are used to remove ringing in the ears as soon as possible. The hearing aid makes it possible to distinguish surrounding sounds, and the significance of the "background noise" decreases, sometimes the patient ceases to notice it altogether. It is impossible to talk about one hundred percent effectiveness of the method, however, many patients note a decrease in noise intensity after the selection of the device by an otolaryngologist.
Binaural (bilateral) hearing aids or prosthetics are performed on one ear, which is usually better hearing.
Surgery
Sometimes even a decrease in hearing acuity bothers patients less than a pronounced ringing in the ears. How to get rid of an unpleasant symptom? With an exhausting noise that cannot be stopped by any conservative methods, surgery can be performed:
- The tympanic plexus is resected.
- The cervicothoracic node of the sympathetic trunk (also called the stellate) is removed.
- The upper cervical ganglion of the sympathetic trunk is removed.
The operation is performed only in case of severe hearing loss or complete hearing loss.
The described treatment option is suitable only for patients in whom it is impossible to restore or sufficiently correct hearing, and the purpose of treatment is to eliminate discomfort - in particular, manifestations of ear noise.
