Acoustic neuroma, Otolaryngology FAQ

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Do You Need an MRI for Unilateral Tinnitus? Understanding the Risks

Is an MRI necessary for unilateral tinnitus? Hello Doctor, I called because I have been experiencing unilateral tinnitus for the past five years (high frequency, lasting 24 hours, non-pulsatile, and I cannot hear the tinnitus in outdoor traffic environments). I often have neck an...


Dr. Ji Zhaoyun Reply:
In Taiwan, there are specific criteria for using health insurance to obtain an MRI to rule out vestibular schwannoma in cases of unilateral hearing loss or tinnitus. If these criteria are not met, the likelihood of having a vestibular schwannoma is generally low. However, if ther...

[Read More] Do You Need an MRI for Unilateral Tinnitus? Understanding the Risks


Understanding Low-Frequency Sounds in the Right Ear: Causes and Solutions

There is a low-frequency rumbling sound in the right ear when hearing? Hello Doctor: I am experiencing metallic sounds, the crinkling of plastic bags, and the clanging of pots and pans in my right ear. Occasionally, I can even hear other people talking, and there is a loud "...


Dr. Ji Zhaoyun Reply:
Hello, if it has been confirmed that "I have returned to the ENT department for a follow-up after four months, and the hearing test was normal (conducted last month), with tympanometry, neuroma, and nasopharyngeal cancer ruled out," it indicates that relevant ENT examin...

[Read More] Understanding Low-Frequency Sounds in the Right Ear: Causes and Solutions


Understanding Ear Congestion: Causes, Tests, and Relief Options

Ear fullness sensation Hello Doctor, I started experiencing a feeling of fullness in my right ear at the end of last year. I went to the hospital for an examination, and the doctor said to monitor it. However, it felt more blocked, so I went to a clinic. The doctor prescribed me ...


Dr. Li Jiaxuan Reply:
Eustachian tube obstruction or inner ear lymphatic issues can be diagnosed through hearing tests, and auditory brainstem response (ABR) tests or imaging studies can be performed to check for conditions such as acoustic neuroma. These potential diagnoses need to be established bef...

[Read More] Understanding Ear Congestion: Causes, Tests, and Relief Options


Understanding Tinnitus: Causes, Symptoms, and Treatment Options

Sudden tinnitus, with no history of ear injury, accompanied by a persistent buzzing sound? Hello Doctor, I am currently abroad and feel quite helpless, so I hope you can provide some advice. Thank you. On April 7th, I started experiencing tinnitus in my left ear. I initially th...


Dr. Ji Zhaoyun Reply:
The issues you mentioned could be due to: 1) Eustachian tube dysfunction: This is the most common cause and can occur not only during flying, mountain climbing, or diving, but also when forcefully blowing your nose or bending over. 2) Sudden sensorineural hearing loss: The primar...

[Read More] Understanding Tinnitus: Causes, Symptoms, and Treatment Options


Understanding Ear Pain: When to Seek Advanced Medical Evaluation

Ear problems Hello Doctor: I have been experiencing sharp pain in my left ear for over four months now. During this time, I have visited both clinics and large hospitals five times, and the doctors have confirmed that it is not otitis media. Some doctors suggested that it might b...


Dr. Zheng Jueyi Reply:
Hello, if you are experiencing persistent ear pain and discomfort, and have already been examined by an otolaryngologist with no obvious signs of otitis media or ear diseases, it is common for this to be related to neuralgia. It is recommended that you consult a neurologist for f...

[Read More] Understanding Ear Pain: When to Seek Advanced Medical Evaluation


Understanding High-Frequency Hearing Loss in the Right Ear

High-frequency hearing loss in the right ear? Hello Doctor, Symptoms: I have high-frequency hearing loss in my right ear, with hearing thresholds at 2000 Hz (40 dB), 4000 Hz (60 dB), and 8000 Hz (80 dB). Recently, during weight training while holding my breath and squatting with...


Dr. Li Jiaxuan Reply:
The hearing in the right ear is 2000 Hz (40 dB), 4000 Hz (60 dB), and 8000 Hz (80 dB), while other frequencies are normal, indicating sensorineural hearing loss, which is unlikely to recover. It is recommended to maintain a regular lifestyle and avoid further deterioration of hea...

[Read More] Understanding High-Frequency Hearing Loss in the Right Ear


Understanding Tinnitus: When to Seek Further Medical Evaluation

Tinnitus distress? Hello doctor, I have been troubled by tinnitus for two years since I can remember. I am not sure why I have a high-pitched ringing sound 24 hours a day, which is especially noticeable in very quiet places, and I can't distinguish which ear it is coming fro...


Dr. Ji Zhaoyun Reply:
Hello, the issues you mentioned could be due to: 1) Eustachian tube dysfunction: This is the most common cause and can occur not only during flights, mountain climbing, or diving, but also when forcefully blowing your nose or bending over. 2) Sudden sensorineural hearing loss. 3)...

[Read More] Understanding Tinnitus: When to Seek Further Medical Evaluation


Rare Inner Ear Disorders: Understanding Symptoms and Treatment Options

Inner ear diseases Hello, doctor. I would like to inquire about rare diseases of the inner ear. The doctor has determined that there is an issue with my inner ear, but the cause has not been identified for a long time. This condition has severely impacted my daily life, and I hop...


Dr. Ji Zhaoyun Reply:
Hello, there are numerous inner ear-related diseases such as Acoustic Neuroma, Age-related Dizziness and Imbalance, Autoimmune Inner Ear Disease, Benign Paroxysmal Positional Vertigo (BPPV), Bilateral Vestibular Hypofunction, CANVAS Syndrome, Cervicogenic Dizziness, Cholesteatoma...

[Read More] Rare Inner Ear Disorders: Understanding Symptoms and Treatment Options


Understanding Persistent Low-Frequency Tinnitus in the Left Ear

Low-frequency buzzing in the left ear? Hello, about a month and a half ago, I experienced a feeling of fullness and low-frequency tinnitus in my left ear, which sounded like a low rumbling noise. This sensation resolved after about a week. However, I have since developed persiste...


Dr. Zheng Jueyi Reply:
Hello, general hearing and speech recognition are normal, which rules out the possibilities of otosclerosis and acoustic neuroma. Currently, the exact cause of the tinnitus cannot be determined. If discomfort persists, you may visit a medical center for further evaluation. Wishin...

[Read More] Understanding Persistent Low-Frequency Tinnitus in the Left Ear


Persistent Ear Congestion: Causes, Concerns, and Next Steps

My ear has been blocked for two weeks? Hello Doctor, I have been experiencing a feeling of fullness in my ear for two weeks. When it was blocked for a week, I went to an otolaryngologist for an examination, but they couldn't find anything wrong. They advised me to observe th...


Dr. Zheng Jueyi Reply:
Hello: The most common reason is Eustachian tube dysfunction, which typically takes several days to weeks to recover. If there is no improvement, it is advisable to visit a hospital for further examination. Wishing you safety and health. Director of the Department of Otolaryngolo...

[Read More] Persistent Ear Congestion: Causes, Concerns, and Next Steps


Understanding Tinnitus and Hearing Loss: Causes, Diagnosis, and Treatments

Tinnitus & Hearing Loss What are the main causes of initial hearing loss in the ear? How can it be determined whether the hearing threshold is at a certain level? Is a lower threshold indicative of a problem or a higher one? 1. Tinnitus? 2. Deafness? If an MRI has confirme...


Dr. Xu Jiazhen Reply:
Hearing loss is generally indicated by the degree of loss in decibels, such as a 30-decibel hearing loss, with higher values indicating more severe loss, which is less favorable. If a diagnosis of vestibular schwannoma has been made, treatment options currently include Gamma Knif...

[Read More] Understanding Tinnitus and Hearing Loss: Causes, Diagnosis, and Treatments


Understanding Tinnitus: Insights from ENT Specialists in Taiwan

Reply to the doctor's question - Thank you for your assistance? Your question: Since elementary school, I have experienced a crackling sound in my left ear when exposed to loud noises (similar to the sound of a radio without a signal), but I didn't think much of it. Rec...


Dr. Chen Jianzhi Reply:
Dear Inquirer, Tinnitus is indeed a challenging issue to address. Most patients worry about the possibility of an undetected serious underlying condition, and the diagnosis and treatment often test the physician's capabilities. Here, we must honestly and humbly inform you t...

[Read More] Understanding Tinnitus: Insights from ENT Specialists in Taiwan


Understanding Tinnitus: Causes, Symptoms, and Treatment Options

Tinnitus issues? I have been experiencing tinnitus for the past 11 years, and sometimes I even have ear pain. I have undergone examinations before, and they all indicated that there were no issues. However, when the doctor used a stethoscope, they could indeed hear the same sound...


Dr. Ye Dawei Reply:
Subject: Q: Is there a way to treat tinnitus? A: Not necessarily treatable. ● Classification of Tinnitus The phrases "tinnitus is the gradual onset of deafness" and "if tinnitus persists, it will lead to deafness" highlight the potential severity of tinnitus...

[Read More] Understanding Tinnitus: Causes, Symptoms, and Treatment Options


Causes of Hearing Impairment: Key Factors and Their Percentages

Causes of Hearing Impairment What are the causes of hearing impairment and what are their respective percentages?


Dr. Ye Dawei Reply:
Dear Sir/Madam, I received a sudden phone call from a senior colleague in the medical field whom I have always admired. During the call, he mentioned that a friend of his complained about experiencing a subjective decline in hearing on one side while listening to music. I casual...

[Read More] Causes of Hearing Impairment: Key Factors and Their Percentages


Understanding Persistent Tinnitus: Causes and Solutions for Better Sleep

Continuous tinnitus..? I have been experiencing continuous tinnitus, described as the sound of insects and birds, for the past two months. Could this be related to aging and degeneration? It has been a constant source of distress for me, often preventing me from sleeping. Could y...


Dr. Ye Dawei Reply:
Dear Sir/Madam, Please visit the outpatient clinic for examination. **Inner Ear Tinnitus** As the name suggests, inner ear tinnitus is caused by lesions in the inner ear. The most well-known conditions associated with this are Meniere's disease and the increasingly comm...

[Read More] Understanding Persistent Tinnitus: Causes and Solutions for Better Sleep


Understanding Tinnitus: Causes and Solutions for Ear Ringing

Tinnitus In the past week, I suddenly experienced persistent tinnitus in my left ear. It is continuous and not very noticeable during the day, but at night, when it's quiet and there are no external noises, it becomes particularly pronounced while I'm trying to sleep.


Dr. Ye Dawei Reply:
● Classification of Tinnitus "Tinnitus is a gradual onset of deafness," and "If tinnitus persists, it may lead to deafness." These ancient phrases highlight the serious possibility that tinnitus can cause significant hearing loss. The English term for tinnitus...

[Read More] Understanding Tinnitus: Causes and Solutions for Ear Ringing


Understanding Acoustic Neuroma: Treatment Options and Insurance Coverage

Acoustic neuroma Thank you, Dr. Hu, for your blessings. Is there a chance for recovery? Additionally, does this condition require private payment at the medical center, or is it covered by public health insurance? Wishing you a pleasant weekend.


Dr. Hu Kexin Reply:
Hello: You should go to a medical center such as National Taiwan University Hospital or Chang Gung Memorial Hospital for diagnosis and treatment. The physician will conduct examinations or treatments based on your symptoms. Some conditions cannot be accurately communicated throug...

[Read More] Understanding Acoustic Neuroma: Treatment Options and Insurance Coverage


Understanding Acoustic Neuroma: Symptoms, Causes, and Treatment Options

Acoustic neuroma Hello Dr. Hu, thank you for your quick response amidst your busy schedule. It’s very heartwarming. Yes, I am currently quite confused and overwhelmed. What is the English medical term for this condition? Is the incidence rate high, and who are the most affected i...


Dr. Hu Kexin Reply:
Hello: It is recommended that you seek treatment at a medical center, where your attending physician will provide detailed explanations. Wishing you good health.

[Read More] Understanding Acoustic Neuroma: Symptoms, Causes, and Treatment Options


Understanding Acoustic Neuroma: Symptoms, Treatment, and Recovery Insights

Acoustic neuroma Dear Dr. Hu, Thank you for your prompt response; I am truly touched. ^_^ After undergoing imaging, I have yet to have a follow-up appointment and still do not know what kind of disease I have. I reached out to you in hopes of gaining some medical knowledge and ...


Dr. Hu Kexin Reply:
Hello: I suggest that you avoid making many hypothetical assumptions that may scare you. Please ask your physician to explain your diagnosis in detail during your follow-up appointment. Best regards, Hook Sin.

[Read More] Understanding Acoustic Neuroma: Symptoms, Treatment, and Recovery Insights


Understanding Dizziness: Causes and Solutions for Eye Movement Issues

Dizziness Director Yeh, I apologize for the interruption. Recently, I have been experiencing dizziness whenever my eyes move rapidly, or when I shift my focus from near to far and vice versa. I am unsure how to address this issue and would greatly appreciate your guidance. Thank ...


Dr. Ye Dawei Reply:
Sir, I recommend that you avoid that type of exercise. Additionally, using medication may lead to improvement. Attached is an article for your reference: **A Discussion on Dizziness: A Voice from a Dizziness Specialist** I often treat patients with dizziness in my clinic. From...

[Read More] Understanding Dizziness: Causes and Solutions for Eye Movement Issues


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