Claussen Claus F
Department of Neurootology, University Head Center, Würzburg, Germany.
Int Tinnitus J. 2005;11(2):126-36.
Tinnitus is an important complaint or disease or a combination, especially within our aging population. Neurootologists clinically deal with many different disorders of the human cranial senses, of which tinnitus is a very frequent type. With respect to neurootological clinical work, we delineate at least three groups of tinnitus. In bruits, patients complain of noise within the head (e.g., bubbling, hissing, pulsating); the bruit can be recorded as a physically existing sound in the human skull and is heard by patients. Endogenous tinnitus can be treated by external masking to suppress noise within the ears, whereas in exogenous tinnitus, patients seek to avoid any outside noise or sounds; they report that tinnitus decreases as soon as they go, for instance, into the cellar of a house or other soundproof place.
耳鸣是一种重要的主诉、疾病或两者兼而有之，在老年人群中尤为常见。神经耳科医生临床上会处理人类颅部感觉的许多不同疾病，耳鸣是其中非常常见的一种类型。就神经耳科临床工作而言，我们至少划分出三组耳鸣。在血管杂音性耳鸣中，患者会抱怨头部有噪音（如冒泡声、嘶嘶声、搏动声）；这种杂音可以记录为人类颅骨中实际存在的声音，患者也能听到。内源性耳鸣可以通过外部掩蔽来治疗，以抑制耳内噪音，而在外源性耳鸣中，患者会试图避免任何外界噪音或声音；他们报告说，一旦进入房屋地下室或其他隔音场所，耳鸣就会减轻。
