Tinnitus Assessment and Diagnosis
The Montreal Tinnitus Clinic provides a full range of diagnostic services and treatment for adult patients with tinnitus. Its multidisciplinary team made up of specialists such as audiologists, psychologists, ENT doctor, technicians and neuroscientists enables it to provide a highly versatile and experienced resource for patients who experience significant problems with tinnitus and have exhausted others. forms of treatment.
Multidimensional assessment is crucial in treatment. It helps to understand the etiology of tinnitus. Communicating and explaining these results to the patient is the first step in treatment.
We use an evaluation protocol similar to that approved by the Tinnitus Research Initiative ( TRI ). It is therefore necessary to allow approximately 3 hours for the initial evaluation.
The first step is a complete examination by an audiologist (ear specialist) who will test with state-of-the-art equipment to measure and find the possible cause(s) of the tinnitus. Following this assessment, the team will decide to propose a personalized treatment plan to the patient.
Before making an appointment, be sure to bring, if possible, hearing tests, lab reports, X-rays, pathology slides and your most recent diagnostic tests. Bring them with you to your first appointment. Remember to bring a list of all past and current medications.
Avoid exposing yourself to loud noises for a prolonged period of 16 hours prior to the appointment.
examination Ear examination by an ENT specialist
Neck examination (mobility, sensitivity, muscle tension, etc.)
High-frequency audiometry (at least up to 16 kHz)
Tympanometry and stapedial reflexes Discomfort threshold
(Loudness Discomfort Level)
Psychoacoustic measurement of tinnitus
Tone (Pitch match)
Loudness (Loudness match)
Masking threshold (Minimum Masking Level)
Interviews: History of the disease
Tinnitus assessment questionnaires
STSS (Severity), THQ (Handicap), TRQ ( Distress)
Evaluation of the severity of tinnitus with the THI
which is more frequently used internationally.
Evaluation of depressive disorders (Ex: BDI)
Evaluation of anxiety disorders (Ex: STAI)
Explanation of results and development of a treatment plan
Following the evaluations, the results are communicated to the patient and a personalized treatment plan is proposed.