Will tinnitus cause hearing loss if it lasts for a long time?

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Tinnitus is the most common symptom. It always feels like there is noise in the ears. Everyone is familiar with tinnitus. This disease often appears in our lives, and the probability of it happening to the elderly is very high. We must deal with tinnitus. We need to take it seriously, can tinnitus cause hearing loss?


Can prolonged tinnitus really cause hearing loss? ?

Long-term tinnitus can lead to hearing loss. Neurological tinnitus is also divided into sensor lesions and auditory conduction pathway lesions. First, relevant examinations must be done to determine whether the nature of the lesions is reversible. Immediate correction can significantly alleviate the symptoms. If so, Caused by irreversible factors, not only is it extremely difficult to correct, but it will definitely have a significant impact on hearing over time. But if it is a unilateral lesion, it may not have much impact on overall hearing.


Otogenic tinnitus is often caused by diseases of the outer ear, middle ear and inner ear, and can be divided into low-pitched tinnitus and high-pitched tinnitus. Tinnitus is common. The former is like wind, train neighing and thunder; the latter is like cicadas, whistles and bird calls. Most of the tinnitus in the elderly is high-pitched tinnitus.

Non-otogenic tinnitus is often caused by mood swings, restlessness, and mental stress. It is often accompanied by symptoms such as forgetfulness, dreaminess, and palpitations. Circulatory system lesions are closely related to tinnitus. Diseases such as arteriosclerosis and high blood pressure that the elderly are prone to can cause tinnitus. Arteriosclerosis can easily cause rhythmic pulsatile tinnitus, while hypertension often causes tinnitus whose rhythm is consistent with the pulse, which is bilateral. Patients with neurasthenia are also often accompanied by tinnitus. The tinnitus in such patients often worsens at night and decreases or disappears in the morning. The root cause is due to fatigue and overthinking during the day.


According to the classification of causes, tinnitus is generally divided into objective tinnitus and subjective tinnitus. In our daily life, subjective tinnitus is the most common. Subjective tinnitus is an hallucination of auditory perception, in which objective sounds cannot be recognized, and only the patient himself can hear the tinnitus. It may be caused by the following reasons:

1. Caused by ear diseases
Cerumen embolism, mass or foreign body in the external auditory canal of the external ear.
Various otitis media and otosclerosis of the middle ear.
Inner ear Meniere's disease, sudden deafness, trauma, noise-induced deafness, presbycusis, etc.

2. Systemic diseases
Cardiovascular and cerebrovascular diseases, hypertension, hyperlipidemia, arteriosclerosis, hypotension, etc.
Autonomic nervous system dysfunction, mental stress, depression, etc.
Endocrine diseases: thyroid dysfunction, diabetes, etc.
Others: inflammation (viral infection), trauma, drug poisoning, cervical spondylosis, etc.

Quoted from "Otolaryngology-Head and Neck Surgery"

Currently, the more effective method in tinnitus treatment is: masking therapy. There are many people with tinnitusPatients find that tinnitus is reduced or disappears in noisy environments, such as using bells, running water, etc. to mask the tinnitus or distract from the tinnitus. When hearing loss and tinnitus are present, hearing aids can be used to help listen and reduce tinnitus. Nowadays, mid-to-high-end hearing aids come with a built-in "tinnitus masker" function. It is recommended that friends with tinnitus try it.