...is a complex and dynamic symptom of the auditory system. It is generated via at least one of five main pathways. (Shown in colour - explanation below). Inner ear (cochlea), auditory cortex and lower brain areas, somatic dysfunction of TMJ and vertebral column, endolymphatic pressure (Menière´s disease) or external influences from the environment create a dysbalance and/or hyperactivity in the auditory system, that is perceived as a ringing or hissing sound.
THE ENDOLYMPHATIC PATHWAY
THE ENVIRONMENTAL PATHWAY
THE CENTRAL PATHWAY
THE SOMATIC PATHWAY
THE OTIC PATHWAY
We describe acute (0-3 months), subacute (3-6 months) and chronic (> 6 months) forms of tinnitus. If secondary reactions to the perception of tinnitus causes emotional reactions with symptoms of the autonomic nerval system, a human beeing is challenged to compensate this influence in life. If the experience of every day life becomes miserable and it is difficult to work a job, we speak of decompensated forms of tinnitus. A decompensated situation represents a second disorder of psychic nature, that does require specific treatment.