Tinnitus and Neck Mass: When to Seek Further Medical Help - Otolaryngology

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Tinnitus and neck mass?


Doctor, I apologize for bothering you.
I would like to ask about my left ear, which has been experiencing tinnitus for a week.
I can clearly hear the ringing in noisy environments.
I visited a general clinic, and the doctor prescribed medication, but there has been no improvement.
Recently, I've even felt a tingling sensation in my ear.
Additionally, I found online that tinnitus may be related to a neck mass.
I previously went to the hospital for a mass on the left side of my neck, and the doctor said it was inflammation.
However, several months have passed, and the mass is still there without getting smaller, although it is not painful.
I would like to know if it is necessary to go to a larger hospital for further examination.
Thank you for your patient response, doctor.

Ivy, 10~19 year old female. Ask Date: 2020/09/18

Dr. Zheng Jueyi reply Otolaryngology


If tinnitus persists without improvement and is accompanied by a neck mass, it is recommended to visit a hospital for a thorough examination.
Wishing you safety and health.
Sincerely, Dr.
Cheng Jue-Yi, Director of the Department of Otolaryngology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2020/09/18

More Info


Tinnitus, commonly described as a ringing or buzzing in the ears, can be a distressing condition that affects many individuals. In your case, the persistence of tinnitus for a week, especially with the added sensation of numbness in the ear and the presence of a neck mass, warrants further medical evaluation.
Tinnitus can arise from various causes, including exposure to loud noises, ear infections, age-related hearing loss, and even certain medications. However, when tinnitus is accompanied by other symptoms, such as a neck mass, it raises the concern for potential underlying conditions that may need to be addressed. The neck mass you mentioned, which has been present for several months without significant change, could be related to several factors, including lymphadenopathy (swollen lymph nodes), cysts, or other inflammatory processes. While your doctor initially diagnosed it as inflammation, the fact that it has not resolved over time suggests that it may require further investigation.

Given your symptoms, it is advisable to seek a comprehensive evaluation at a larger medical facility, particularly an ENT (Ear, Nose, and Throat) specialist or a neurologist. They can perform a thorough examination, which may include imaging studies such as an ultrasound or CT scan of the neck to assess the mass and its characteristics. Additionally, they may conduct audiometric tests to evaluate the extent of your hearing and the nature of your tinnitus.

It is essential to monitor any changes in your symptoms. If you experience worsening tinnitus, increased size of the neck mass, or new symptoms such as difficulty swallowing, changes in voice, or unexplained weight loss, these could be signs of a more serious condition that requires immediate attention.
In summary, while tinnitus can sometimes resolve on its own, the combination of persistent symptoms and the presence of a neck mass suggests that further medical evaluation is necessary. Do not hesitate to seek a second opinion or request a referral to a specialist who can provide a more detailed assessment and appropriate management options. Early intervention can be crucial in addressing any underlying issues and improving your quality of life.

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