Humming / Tinnitus at Head

Humming or tinnitus in the head is a common and disturbing condition. Intermittent or temporary, mild
It can take different forms, from a hum to a loud high-pitched sound. audible to other people
and inaudible types. It may or may not be accompanied by hearing loss.

Tinnitus should always be considered a ‘complaint’, not the name ‘disease’. Same leg or
like a pain in the arm. Just as pain is not a disease, it is a symptom of the disease. It is considered a disease by itself.
not allowed. Since the function of the auditory nerve is to carry sound, if the nerve is stimulated from any part, the person will be at first.
feels noise. Pain is like nerve fibers, when we pinch our arm, this nerve is stimulated from that place.
wakes up.

Just as there are many causes of pain, there are numerous causes of tinnitus.

Hearing Mechanism

To understand how tinnitus is produced, it is necessary to know the mechanism of hearing.

This mechanism consists of five main parts:

Outer ear, middle ear, inner ear, nerve pathways and brain.

External ear: Consists of the auricle and external ear canal. These structures collect sound and send it to the eardrum.
Middle ear: Located between the membrane and the inner ear. It contains the membrane and three ear ossicles (anvil, hammer, stirrup).
The vibrations in the eardrum are transmitted to the inner ear through these three ossicles in the middle ear cavity.
They cause fluctuations in the inner ear fluid.

In the middle ear, just like the nose, there are glands and vessels. called the Eustachian tube
The tube ensures that the air pressure in the middle ear is equalized to the atmospheric pressure, and in high places,
When we yawn, it causes that ear fullness that we feel.

Inner ear: The inner ear consists of a bone capsule filled with fluid and fine nerve endings.
It is covered with a membrane and is vascularized by microscopic vessels. The liquid in this bone capsule,
activated by the ossicles, thereby stimulating the nerve endings.

Nerve pathways: Nerves fired in the inner ear carry the impulse to the brain. The nerve is in a thin bony canal.
In the same canal, there is also the balance nerve and the facial nerve that moves the facial muscles.
It is fed by very small blood vessels in the canal.

Brain: Once the auditory nerve pathways enter the brain, they are much more numerous than the most complex telephone networks.
they leave the road. Nerve impulses are then transported to the brain region, where they are recognized and evaluated.

External Tinnitus
The external ear canal may be closed due to discharge, foreign body, swelling. These create pressure in the membrane.
they can create tinnitus. The blood vessels in the ear canal or membrane are enlarged or narrowed,
They can cause auditory nerve impulses that cause ringing in the form of tinnitus.

Middle Ear Tinnitus
Any disturbance in the functions of the middle ear can create a ‘buzzing’ feeling at first. middle ear
The lining tissue swells due to allergies, infections, blows, and vascular disorders. Allergy, inflammation or eustachian
The fluid accumulated in the middle ear cavity due to the obstruction of the inner ear and nerve pathways.
causing discomfort. The accumulated liquid may form scar tissue while being absorbed from here.

Scar tissue can cause tinnitus by stimulating nerve endings.
It can also cause tinnitus in the form of a pulse by shrinking the vascular tissues.
Inflammation, blows, rheumatism and calcification, restricting the movement of the ossicular chain,
disrupt their arousal.

At high levels, everyone perceives a feeling of fullness in their ear. This feeling is temporary
happens due to clogging. The end of the Eustachian tube located on the nasal side, such as inflammation, allergy, etc.
The same feeling occurs when it is blocked for reasons. This pressure irregularity in the middle ear
may be reflected as an adverse stimulus.

Inner Ear Tinnitus
Events that affect the pressure of the inner ear fluid can also cause tinnitus. ‘Allergy, circulatory disorders, inflammation’
Conditions such as these cause both pressure changes and changes in the membranes around the liquid.

Nerve pathways tinnitus: Neural pathways are the most sensitive structures of the hearing mechanism. Very few of these tissues
A swelling or disorder is immediately stimulating and affects hearing. Local inflammations, allergic swelling,
Toxic effect of systemic patients, very loud explosion sounds, long-term loud noise in sensitive people.
Exposure, some drugs and disorders in vascular structures affect the nerve pathways.

We said that the auditory nerve passes through a very narrow bony canal between the inner ear and the brain. For this reason, in the nervous
The slightest swelling that may occur creates pressure. Since the facial nerve and the balance nerve pass through the same channel, the balance
disorders and facial muscle disorders can also be seen.

Rupture or spasm of any of the vessels on the auditory path, circulatory disorder
leads to Therefore, there may be a sudden tinnitus, with or without hearing loss. If a blood clot
if it is small, it may heal without leaving any damage. The event is only on one side as it is due to pressure
It happens, being on the same side does not mean it will repeat on the same or the opposite side.

Brain Tinnitus
We have explained that the neural pathways enter the brain, move through it and gather in certain centers. from here
If any of them develop swelling, circulatory disorder, humming may be felt at first. mostly on one side
They are felt and accompanied by other disease symptoms that will help the physician locate the disease.
they do.

Hearing Impairment
Tinnitus may or may not be associated with hearing impairment. When you consider the causes of tinnitus,
It will be easier for you to understand why hearing and hearing can be impaired at the same time. Deafness with tinnitus
it will be easier for you to understand why it can deteriorate at the same time. If tinnitus and deafness are present at the same time, this is
It does not mean that the disease is more serious or more difficult to recover from. Many with tinnitus
No one is afraid of becoming deaf in the future. This is an unnecessary fear. Most people with hearing impairment
there is no ringing.

Treatment: If a disease is diagnosed as a result of examinations and tests, treatment is applied for it.
The following suggestions are helpful for people who don’t have a cause:

1) Do your best to be free from tension and anxiety, because stress is still aroused.
affects more nerves.
2) Do not tire yourself and take time to rest.
3) Nerve stimulants should be avoided. Excessive amounts of tea, coffee and cigarettes should be avoided.
4) As soon as possible, find out the fact that the initial hum is an annoying complaint and
Try to ignore it completely.
5) Your tinnitus will not cause deafness, loss of mind, or death. Therefore, immediately
Let go of these scary thoughts.
6) Tinnitus is often more noticeable when the person is retired and the surrounding is quiet. sound in the room
an hour or a radio that automatically turns off after a while, suppressing the ringing,
It can help you sleep.
7) If you lie on a few pillows with your head up, the pooling of blood will be less, so you will have less tinnitus.
may decrease.

Conclusion : Hearing is the most sensitive and easy to stimulate mechanism of the human body. with the nervous system
Because it is directly related, it is closely related to emotions such as tension and anxiety.

For successful treatment of tinnitus or head humming, the patient must identify the mechanism of this ailment.
must fully understand.

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