title: [Tinnitus diagnosis and treatment on the basis of our experiences].
abstract: BACKGROUND
  The aim of the study was to analise tinnitus diagnosis and treatment on the basis of our experiences.
  
  
  METHODS
  137 patients hospitalizated in Otolaryngology and Laryngological Oncology Clinic because of tinnitus (88 women - 64% and 49 men - 35,8%) were included to the study. The diagnostic procedures were unified that enabled put forward correct diagnosis. After history and otoscopy, detailed audiologic diagnostic procedures (pure tone audiometry, suprathreshold audiometry, speech audiometry, acoustic immittance measures, auditory brainstem responses) were taken. Electronystagmography and videonystagmography, tinnitus loudness match, head and neck radiologic examinations supplemented diagnostic procedures. Alternative tinnitus treatment options were applied.
  
  
  RESULTS
  Study confirmed that tinnitus is the most frequent in patients above 50 years old (67,8% of participants). Tinnitus frequently coexist with bilateral sensorineural hearing impairment (69,1% of participants). 40,1% from asalysed group of patients complained of tinnitus of medium frequencies and 30,6% of patients complained of high frequency tinnitus. 42,3% of participants suffered from vertigo.
  
  
  CONCLUSIONS
  The risk of tinnitus increases in patients above 55 years old that suffer from metabolic conditions and cervical spondylosis. Tinnitus frequently coexist with bilateral sensorineural hearing impairment and are bilateral or they are noticeable in better hearing ear. The most beneficial to tinnitus is causal and symptomatic treatment with several methods application.
authors.affiliation: Klinika Otolaryngologii i Onkologii Laryngologicznej II Katedry Otolaryngologii UM w Łodzi. jolszewski@poczta.onet.pl
authors.forename: Jurek
authors.initials: J
authors.lastname: Olszewski
authors.forename: Sylwia
authors.initials: S
authors.lastname: Kowalska
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Kuśmierczyk
mesh_terms: D000328:Adult; D017677:Age Distribution; D000368:Aged; D000369:Aged, 80 and over; D015984:Causality; D015897:Comorbidity; D005260:Female; D006319:Hearing Loss, Sensorineural / Q000453:epidemiology; D006801:Humans; D008297:Male; D008875:Middle Aged; D018570:Risk Assessment; D017678:Sex Distribution; D013128:Spinal Osteophytosis / Q000453:epidemiology; D014012:Tinnitus / Q000175:diagnosis* / Q000453:epidemiology / Q000628:therapy*; D014717:Vertigo / Q000453:epidemiology