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December 1940


Arch Otolaryngol. 1940;32(6):1054-1066. doi:10.1001/archotol.1940.00660021062006

Tinnitus aurium is a symptom which is most distressing to a patient and usually is subjective, in that the patient hears the noise. On rare occasions it may be objective, the symptom of which the patient complains being heard by the examiner. An example of this unusual form of tinnitus aurium, the objective type, recently came under my observation, and the problem of diagnosis and management presented unsurmountable difficulties. The purpose of this paper, therefore, is to review these studies in connection with the diagnosis and treatment of objective tinnitus aurium.

TYPES OF OBJECTIVE TINNITUS AURIUM  Objective tinnitus aurium may be of muscular or of vascular origin. The former type is characterized by a curious clicking sound aptly compared by Weil1 to the noise produced by the snapping together of two finger nails. Low pitched and occurring from 40 to 120 times per minute, it may be heard at a

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