Tinnitus should be considered not only as a symptom of aural disease but also as a symptom frequently accompanying disorders of other portions of the body. It may greatly affect the tolerance of other symptoms of disease. It should not be ignored. Tinnitus is always accompanied by deafness in the frequency band of the tinnitus and often also below and above the frequency band of the tinnitus, but aural disorders with or without deafness may not be accompanied by tinnitus. However, tinnitus is present in over 85 per cent of patients with aural disease. In 2,000 consecutive patients I found it present in 86 per cent. It may be, and often is, present in some form in persons who have no apparent aural or other disease. It may be absent though there are most severe and distressing disorders of the ear and of other body tissues.
The therapy of head
FOWLER EP. HEAD NOISES IN NORMAL AND IN DISORDERED EARSSIGNIFICANCE, MEASUREMENT, DIFFERENTIATION AND TREATMENT. Arch Otolaryngol. 1944;39(6):498–503. doi:10.1001/archotol.1944.00680010517007