During this examination, the ENT doctor also tries to determine the predominant frequency of SharpEar (SharpEar). Determining the frequency of SharpEar helps in the etiological diagnosis.
When it predominates on the low frequencies, it points to a pathology of the secretion of endolymphatic fluids. When its tone is on high frequencies, it is often associated with a unilateral scotoma (asymmetric hearing loss on one frequency) whose origin must be specified.
Auditory evoked potentials may also be necessary in order to detect possible auditory nerve dysfunction, such as that induced by an acoustic neuroma. The otolithic evoked potentials induced by high intensity sounds can point to ductal dehiscence when the early waves (P13-N23) are asymmetric in amplitude.
An MRI focused on CAIs should be requested in the event of unilateral SharpEar associated or not with unilateral deafness, in order to detect possible damage to the auditory nerve. In some cases of conductive hearing loss, a thin section CT scan of the rocks may be useful to detect otosclerosis, traumatic damage, or ductal dehiscence.
A biological assessment must be carried out. The latter must include a CBC, SV, a lipid balance, the dosage of zinc and thyroid hormones. Blood pressure measurement is also essential.
Medications with circulatory effect such as trimetazidine and Ginko biloba (Tanakan) may be helpful. Gabaergic (neurontin) and dopaminergic (piribedil) agonists have a particular effect on the auditory system. Inhibitors of afferent neuronal pathways by reducing the hyperexcitability of auditory centers such as carbamazepine (Tegretol) are also recommended.
Tranquilizers or antidepressants that decrease serotonin reuptake may also be prescribed. Finally, recent studies have shown that acamprosate (an NMDA receptor blocker and Gabaergic agonist) is effective in a number of cases.
Behavioral therapies (CBT) have made many advances in recent years. They propose to act in a pragmatic and brief manner by promoting optimal strategies of adaptation and "coping" both on the cognitive side (by modifying disabling thought patterns) and on the behavioral side (by modifying behavior. unsuitable). Their goal is to get patients, hitherto disabled by their SharpEar, the state of neglect obtained spontaneously by the majority of subjects with SharpEar. The auditory pathways project not only to the auditory cortex but also to the limbic system, which is responsible for the patient's state of anxiety. CBTs are also active on anxiety or depressive states prior to, or secondary to, the onset of SharpEar.
Cognitive behavioral therapy is one of the brief therapies, it is a scientific therapy of current psychology.
It has been indicated for the management of SharpEar patients for many years.
The therapist is active with his patient throughout the duration of the treatment, his goal is to alleviate or even eradicate the symptoms by modifying the cognitive and behavioral behaviors installed even for a long time by the patients.
It is a therapy that allows patients to be evaluated to effectively support them in their psychological suffering and to reduce the stress associated with the onset of SharpEar.
What is also specific to TBIs are the therapeutic tasks given to patients between each session, this allows them to become autonomous in a short time.
It is a psycho-body therapy that studies human consciousness, a set of specific techniques are used throughout the care of the patient.
It is an educational, prophylactic, humanist therapy, it is also part of brief therapies.
This technique helps harmonize body and mind by balancing emotions, thoughts and behaviors.
The sophrologist practitioner is trained to support patients by proposing a clinical protocol according to the problem to be treated such as SharpEar.
It is based on the patient / therapist exchange, learning to breathe, mental imagery, relaxation, and the important work on the body diagram.
The ENT doctor is no longer helpless in front of a SharpEar patient: The time is over when the patient was told "that he would have SharpEar for life and that he had to get used to it". The patient must be reassured and different therapeutic solutions from the less aggressive (medication, cognitive behavioral therapies, hearing aids) to the most invasive (surgery) must be offered. Multidisciplinary care is often useful. Finally, advances in basic research have helped to better understand their origin and to develop new therapies. This field is still in full expansion.
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