Carlo Govoni
Il Dott. Carlo Govoni vi dà il Benvenuto!
Welcome to Dr. Carlo Govoni website! We are glad you are visiting!
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La salute non è tutto, ma senza salute, tutto è niente. (Arthur Schopenhauer)
Health is not everything, but without health, everything is nothing. (Arthur Schopenhauer)
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Booking a check-up is a simple thing that could be very important
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E' possibile prenotare una visita in qualsiasi momento con una semplice telefonata al 3358040811
Communication difficulties often lead to social isolation
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Benvenuti
Welcome!
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Carlo Govoni MD
Otorhinolaryngologist head and neck surgeon - Master in vestibology
Phone (+39) 3358040811 NO SMS
ON THIS SITE NO COMMERCIAL ADVERTISEMENTS
He visits adults and children by appointment only at private clinic
Cochlear tinnitus is the subjective noise associated with sensorineural hearing loss that usually involves the high frequencies. This is not always true.
The most common diseases and injuries are listed in the table below.
Disease or trauma |
Typology |
Audiogram |
Vestibular testing |
Tinnitus | References | |
01 | Explosion acoustic trauma | Higth-pitched usually 3000 / 4000 Hz | Unilateral sensorineural hearing loss with steep downslope |
Normal or signs of peripheral vertigo | Tinnitus of variable frequency - higth-pitched 3000 / 4000 Hz |
werywellmind.com/ acoustic-trauma |
02 | Shotgun shot | Higth-pitched usually 4000 / 6000 Hz |
Asymmetric higt-frequency. |
Normal or signs of peripheral vertigo | Tinnitus of variable frequency is usualy present. Higth-pitched 4000 / 6000 Hz. |
|
03 | Cronic acoustic trauma after occupational noise exposure |
Higth-pitched usually 4000 / 6000 Hz |
Higth-frequency sensorineural loss |
Normal |
Tinnitus of variable frequency |
|
04 | Transverse temporal bone fracture |
Non-specific unilatéral damage | Unilatéral sensorineural hearing loss | Non-specific or paretic nystagmus |
Tinnitus of variable frequency is usualy present. Higth-pitched 2000 / 8000 Hz |
|
05 | Blunt Head Trauma with no fracture about the ear |
Non-specific or steep downslope | Unilateral or bilateral sensorineural hearing loss. The damage in often asymmetrical. Deafness |
Non-specific | Tinnitus of variable frequency is usualy present. |
|
06 | Acute acoustic trauma after occupational noise exposure |
Bilateral or Asymmetric Higth-pitched usually 4000 / 6000 Hz |
Bilatéral or asymmetric or unilateral sensorineural hearing loss |
Nonspecific | Tinnitus of variable frequency is usualy present. |
|
07 | Drugs and substances |
Bilateral hearing loss more evident for high frequencies |
Bilateral and symmetrical sensorineural |
Normal or nonspecific |
Tinnitus with higly variable characteristics. |
|
08 |
Vestibular schwannoma |
Unilatéral higt-pitched usually 4000 / 8000 Hz | Unilatéral sensorineural hearing loss. Slow and progressive hearing loss |
Unsteadiness in walking | Tinnitus of variable frequency is usualy present. Unilateral higth-pitched 4000 / 8000 Hz |
Nuttal AL et al. Peripheal process involved in tinnitus. In Snow JB: "Tinnitus: theory and management" Ontario, 2004. |
09 | Menière disease |
Sensorineural hearing loss on low-frequencies or high and low-frequencies combined |
Unilateral sensorineural hearing loss In advanced stages it can become bilateral. Positive recruitment |
Nonspecific | Tinnitus of variable frequency, often with a low-frequency tone 125 / 500 Hz |
|
10 |
Autoiimune Inner Ear Disease AIED |
No audiogram specificity | Sensorineural hearing loss often starts in one ear and then spreads to the other. |
Nonspecific | Tinnitus with higly variable characteristics. | |
11 | Emotional stress | No audiogram specificity | Normal or hearing loss | Nonspecific | Tinnitus with higly variable characteristics. |
|
12 | Presbycusis | No audiogram specificity | Sensorineural hearing loss; in rare case mixed hearing loss. |
Nonspecific | Tinnitus of variable frequency | |
13 | Otosclerosis | In most case, people with otosclerosis have conductive hearing loss in both ears. 10-15% hearing loss in one ear. | Conductive hearing loss | Vertigo is rare | Tinnitus present in the majority of cases | |
14 | Cochlear otosclerosis | Unilateral or asymmetric hearing loss | Sensorineural or mixed hearing loss |
Vertigo is rare | Unilateral tinnitus often present | |
15 | Sudden deafness | Non specific unilateral damage | Unilateral sensorineural hearing loss |
There is no vertigo | Unilateral tinnitus often present | |
16 | Sudden deafness and vestibular neuritis |
Non specific unilateral |
Unilateral sensorineural hearing loss |
Noticeable instability and dizziness | Unilateral tinnitus | |
17 | Tympanic glomus tumor | Unilateral hearing loss frequencies 250/1000 Hz |
Unilateral conductive hearing |
There is no vertigo | Unilateral pulsating tinnitus | |
18 | Neurovascular conflict in cerebello pontine angle |
Non specific unilateral damage | Unilateral sensorineural hearing loss |
Nonspecific or unsteadiness in walking | Unilateral tinntus, often pulsating | |
19 | Lyme disease | No audiogram specificity | Normal or sensorineural hearing loss |
Unsteadiness in walking |
Tinnitus with higly variable characteristics |
Any disease of the auditory system and auditory nerve pathway or any decrease in auditory perception has the potential to produce tinnitus.
In this table Drugs and Substances that can causes tinnitus
A | Analgesics |
Acetysalicylic acid |
B | Antibiotics | Aminoglycosides Chloramphenicol Erytromicin Vancomycine Tetracycline |
C | Chemotherapeutics | Bleomycin Cispaltin - Carboplatin Vincristine Methotrexate |
D | Loop diuretics | Furosemide Ethacrynic acid Bumetanide |
E | Antidepressants | Monoamine oxidase inhibitor (MAOIs) Norepinephrine and Dopamine reuptake inhibitors (NDRIs) Selective Serotonin reuptake inhibitors (SSRIs) Serotonin and Norepinephrine reuptake inhibitors (SNRIs) Serotonin antagonist and reuptake inhibitors (SARIs) Tricyclic antidepressants (TCAs) Tetracyclic antidpressants (TeCAs) |
F | Benzodiazepines | Alprazolam, Clonazepam, Diazepam, Lorazepam, Triazolam, Temazepam, Oxazepam |
G | Malaria drug | Hydroxychloroquine (Plaquenil) Quinine |
Milan - Columbus Clinic Center - via Buonarroti, 48 - City Life zone
Carlo Govoni MD Otolaryngologist
Columbus Clinic Center - new building
See also:
.
This study was published in Italy in 1986 (*) and the efficacy and side effects of Tocainide Hydrochloride on tinnitus were verified. In 1980 Emmett J.R. and Shea J.J. (**) studied the use of Tocainide HCl in patients with chronic tinnitus and sensitive to the Lidocaine test.
Five patients where studied in order to verify the effect of Tocainide Hydrochloride in chronic tinnitus. All cases uderwent several clinical tests to avoide every external, middle and inner ear deseases and tried a treatment by traditional drugs without success. The patients were selected by a test based on intravenous injection of Lydocaine. On the base of this preliminary report it is possible to grant the theraputic effect of Tocainide against tinnitus but further about collateral effects and efficacy will be needed.
Lidocaine and Tocainide Hydrochloride are drugs more effective on multisynaptic systems. The acoustic pathway, as can be seen from this image, is a multisynaptic sensory pathway.
___________
(*) Procaccini A, Govoni C, Cavalca V, Caroggio A. Dati preliminari sull'impiego della Tocainide Cloridrato nella terapia degli acufeni. La nuova audiométrie 2, 4-8, 1986.
(**) Emmett JR. Shea JJ. Treatment of Tinnitus with Tocainide Hydrochloride. Otolaryngol Head Neck Surg. Jul-Aug 1980;88(4):442-6.
Milan - Columbus Clinic Center - via Buonarroti, 48
Tinnitus - Buzzing - Ear Ringing
See also:
- Searching for the audiometric threshold, a fundamental examination of audiology
- Developing news strategies for therapeutic interventions in otorhinolaryngology
.
.
Having tinnitus means hearing an annoying sound that is not there, this definition is strange, but for many people it is real and is a serious problem. Tinnitus is a buzz, a hiss, a rustle that constantly or occasionally makes the lives of many people unhappy. It is not possible to establish exactly how many people are affected by this disorder. I believe it is reliable to think of 8% in the adult population and I believe that it reaches 15% if we consider the elderly population (over 65 years). There is no substantial difference between males and females.
The diseases that cause tinnitus or ringing
almost always affect the MIDDLE and INTERNAL EAR.
Very rarely the external ear.
Tinnitus often occurs in the cochlea (8) or in the cochlear nerve (10).
Vestibular neve (9) diseases can also generate tinnitus.
Acoustic neuroma is typical.
I am convinced that in most cases this symptom is a consequence of a disease of the hearing system. My approach is to evaluate the auditory function already in the first approach. Extraotological tinnitus is very rare.
At the Columbus Clinic Center in Milan I met several people affected by this problem and I believe that with the equipment I have it is possible to carry out a good evaluation. In many cases it is possible to hypothesize a precise clinical diagnosis. A correct diagnosis is not always able to identify a correct therapy.
Columbus Clinic Center entrance
The difficulties in eliminating tinnitus are mainly proportional to the time of onset. If the tinnitus has arisen recently and there are evident audiological signs, there are possibilities to achieve an attenuation or even disappearance.
Milan - Columbus Clinic Center - via Buonarroti, 48 - City Life - Phone +39 3358040811
Carlo Govoni MD - Otolaryngologist
See also:
- Ringing, tinnitus, whistling, buzzing are noise in the ear
- Tinnitus and sensorineural hearing loss.
- Searching for the audiometric threshold, a fundamental examination of audiology
- Tocainide Hydrochloride in the treatment of tinnitus
- Fondation Pormann - Course on ear surgery and temporal bone dissection
.
Roaring or ringing or tinnitus is a sound that does not exist in the environment, but is within us, it can be continuous or intermittent, it is always a noise that is difficult to accept. Tinnitus causes sleepless nights, mood swings, anxiety, depression, exhaustion and stress. The sound is in the head with no external source.
Tinnitus is not a disease. This concept is more important: Tinnitus is a symptom.
It means that it is a feature of a number of diseases. Many ear diseases present with tinnitus. It is a symptom of ear infections, sudden hearing loss, Meniére's syndrome, otosclerosis, ototoxic drugs, diseases of the inner ear, vestibular neuritis, glomus tumors and many other pathologies. Tinnitus is also a symptom of diseases that do not affect the ear such as hypertension, headache, diabetes, etc.
When dealing with a patient with tinnitus it is necessary to address both the physiological and psychological impact. Overall health, nutrition, emotional health and habits play an important role. These factors must always be acted upon if the negative effect of tinnitus is to be reduced. There is and will never be a one-size-fits-all method. It is essential to understand the disease that generated the ringing. It is almost always an ear disease. Only in a few cases the cause is extraotological (arterial hypertension, drugs, temporomandibular joint disorders, intracranial diseases, etc.).
Once the disease causing the tinnitus has been identified, then a therapy can be proposed for that disease and for that single patient.
Drawing of the afferent and efferent acoustic pathways.
In almost all cases, tinnitus is the expression of damage
to the cochlea and / or the acoustic pathways.
By Procaccini A, Govoni C, Cavalca V, Caroggio A.
Dati preliminari sull'impiego della Tocainide Cloridrato nella terapia degli acufeni.
(Preliminary data on the use of Tocainide Hydrochloride in the treatment of tinnitus.)
La nuova audiométrie 2, 4-8, 1986.
Milan - Columbus Clinic Center - via Buonarroti, 48
See also:
.
COLUMBUS CLINIC CENTER
48, Buonarroti street - MILAN
City Life
Neighborhood Three towers
Consultant Otolaryngologist,
Otovestibologist and Surgeon:
Carlo Govoni M.D.
By appointments Contact
Columbus Clinic Center
or directly on (+39) 3358040811
TINNITUS or RINGING
Tinnitus is a very common problem.
Carlo Govoni M.D. claim that it is essential to investigate to find the cause.
By appointments contact
Columbus Clinic Center - Milan
or directly on (+39) 3358040811
Nel corso del programma TV
Eccellenze italiane
la giornalista Nina Sicilia
ha intervistato il dott. Carlo Govoni
sulle
La trasmissione è andata in onda
giovedì 21 marzo 2024 alle 18:56
sul canale 163 del digitale terrestre Odeon TV
https://medicina365.it/2024/03/22/ dott-carlo-govoni-otiti-nei-bambini/