Permanent or intermittent ringing in the ears can have a significant impact on daily life. The constant whistling, buzzing or hissing can make it difficult to fall asleep and lead to restless sleep. This often leads to general tiredness and exhaustion during the day. Tinnitus can also cause concentration problems, as the constant background noise can make it difficult to focus on tasks. In addition, tinnitus often increases stress and anxiety, as those affected do not know how to deal with the noise. Social interactions also often suffer, as hearing and understanding conversations, especially in noisy environments, is complicated. Many sufferers withdraw and participate less in social activities.
The constant presence of tinnitus can lead to emotional stress such as frustration, irritability and even depression. The feeling of helplessness in the face of uncontrollable noise takes a heavy toll on emotional health. But you don't necessarily have to live with ringing in your ears - in many cases, something can be done about it. In our ENT clinic in Frankfurt we are very experienced with ringing in the ears and tinnitus therapy. We have already been able to help numerous patients achieve more peace and quiet.
The diagnosis of tinnitus involves several steps. We determine the causes and the extent of the symptoms.
We start with a detailed anamnesis interview. We record your medical history and discuss the type, duration, possible triggers, accompanying symptoms and intensity of your ringing in the ears.
This is followed by a physical examination, during which we inspect your ears, nose and throat.
We use audiometry to determine your hearing threshold and check your speech comprehension. Specialised tinnitus tests determine the frequency and volume of your tinnitus. You can find out more here: Hearing and dizziness diagnostics Frankfurt
If the results are unclear, we can arrange for further examinations such as MRI or CT. The aim here is to rule out structural changes. Blood tests allow us to recognise inflammation or metabolic disorders, for example.
Treatment with anti-inflammatory substances (Cortisone) is used here as oral tablet therapy and less frequently as infusion therapy. The active ingredient is intended to restore microcirculation in the inner ear. The therapy is possible on an outpatient basis in our ENT practice clinic in Frankfurt.
If, despite all the measures taken, you still have permanent hearing loss and/or hearing noise, we will of course be happy to provide you with further advice.
Alternatively, there is tinnitus retraining therapy (TRT), for example, which can help you get used to chronic tinnitus. We will also be happy to advise you on relaxation and wellness therapy as well as pain and sports therapy.
You've probably experienced it before: your ear whistles, buzzes or hisses for a few seconds or minutes - then the noise disappears again. This is perfectly normal. However, if the ringing in the ears is permanent or occurs repeatedly over a longer period of time, we speak of tinnitus. The sounds that are perceived are not triggered by the environment, but arise in the patient's own body.
Physical factors
The causes of tinnitus can lie in underlying physical illnesses: for example, cardiovascular disease, arteriosclerosis, cardiac arrhythmia or high blood pressure or the metabolic disease diabetes can lead to impaired blood flow to the ear.
In addition, inflammation in the body, autoimmune diseases or diseases of the ears can affect the normal processes in the body, resulting in tinnitus. Other common causes are the condition following a sudden loss of hearing, trauma from a bang or explosion, injuries to the eardrum or an earwax plug.
Nowadays, many people sit at the computer and don't move enough. This results in tension in the neck, cervical spine and back. These complaints can also cause tinnitus. Another possible cause is craniomandibular dysfunction (CMD), a functional disorder in the interaction between the temporomandibular joints, chewing muscles and teeth.
Possible, albeit rare, triggers for tinnitus are a traumatic brain injury, a benign tumour of the auditory nerve (so-called acoustic neuroma), poisoning of the inner ear (e.g. by antibiotics), multiple sclerosis or Menière's disease, a rare unilateral disease of the inner ear with severe rotary vertigo.
Psychological factors
Tinnitus can also be a reaction to stress caused by overwork at work, conflicts in a relationship or other situations that trigger pressure, for example. During prolonged stress, the body releases more of the hormone cortisol. This leads to poorer blood circulation in the inner ear.
Factors of unknown origin
In some cases, we cannot recognise any clear physical or psychological causes in the patient that could have triggered the tinnitus. If this form of ringing in the ears is present, it can be compared to "phantom pain". In this case, after a limb has been amputated, the patient feels pain exactly where the leg or arm was removed. In the case of tinnitus with no recognisable cause, spontaneous activity of brain cells seems to take place when the "correct" nerve information is no longer available or is too weak.
Ear noises can be categorised into different groups:
The same applies to tinnitus and sudden hearing loss: stay calm if your hearing suddenly changes and noises occur.
Tinnitus is not a medical emergency. In around half of all cases, hearing normalises by itself after a few minutes, hours or one to two days.
If the ringing, buzzing or humming persists beyond this period, you should come to our practice for clarification.
Even if the clinical pictures are similar and overlap in some aspects, tinnitus is not the same as sudden hearing loss.
In the case of sudden hearing loss, the patient's hearing performance is reduced: they hear worse, quieter, more blurred, in some cases even (almost) nothing at all. Tinnitus, on the other hand, is a ringing, whistling, humming or buzzing noise in the ear. The patient's hearing performance is usually not impaired.
However, tinnitus can be a symptom that occurs during a sudden hearing loss or as a result of a sudden hearing loss.
You should be aware that tinnitus is not a disease, but a symptom. The ear noises themselves do not cause hearing loss and therefore do not lead to deafness. However, hearing loss can cause tinnitus.
Both are possible - ringing in one ear as well as in both ears. Many patients have the feeling that the whistling is coming directly from their head. This phenomenon is caused by the fact that the tinnitus does not form in the ear itself, but is a noise or phantom noise that originates in the brain.
Sudden hearing loss can change your life from one moment to the next - especially if it occurs frequently. Recurrent hearing loss is more than just a temporary impairment. What measures help to minimise the risk in the long term?
Hearing loss is a common health problem that can affect people of all ages. In this article, we will inform you about the various causes of hearing loss. We will also show you how we can help you at our ENT clinic in Frankfurt.
At first glance, unilateral hearing loss may seem less serious than the loss of hearing in both ears. Nevertheless, it has a profound impact on the lives of those affected. In this article, we will inform you about how hearing loss in one ear can occur and what we can do about it.
In the hectic symphony of modern life, there is a special melody that not everyone can hear - that of tinnitus. If the noises in your ears are particularly loud, they can certainly restrict your quality of life. But what is it like - can tinnitus be cured? Is there a chance that the ringing and buzzing in the ear can be silenced again?
Did you know that your blood sugar levels can affect your hearing? For example, low blood sugar levels can damage the nerves in your ear canal in the long term. Diabetes mellitus is also a risk factor for hearing loss. Hearing problems can be a typical consequence of diabetes.
Ear noises that sound like whistling, ringing, humming or buzzing, crackling, hissing or hissing are known as tinnitus. As you can see: The ways in which sounds manifest themselves are extremely varied. The causes of tinnitus are just as varied as its manifestations.
In this article, we inform you about what makes a specialist in the field of otology and why Dr Thomas Fischer is your ideal contact in Frankfurt, for example for the diagnosis and treatment of ringing in the ears.
Botulinum toxin - you probably know this active ingredient from wrinkle treatment. However, botulinum originally comes from medicine and was and still is used to treat certain medical conditions. An indication is also emerging: Botox for tinnitus therapy.
Numbness in the ear gives the impression that part of the ear or even the entire ear is anaesthetised and as if cotton wool has been inserted into it. Numbness in the ear can be a warning sign. In this article, we explain how they can occur and when you should visit our ENT practice in Frankfurt.
As the clinical pictures of sudden deafness and ringing in the ears have some parallels, many patients think that they are one and the same disease. In addition, the causes of these two hearing disorders are different. We explain the differences in this article.
The ears are complex sensory organs that enable us to hear. However, their complicated anatomical structure also makes them susceptible to various diseases. We explain the most common ear diseases in this blog post.
Rotational vertigo that occurs in attacks and is accompanied by ringing in the ears and hearing loss is a sign of Meniere's disease. The disease cannot be cured, but with the right treatment for Meniere's disease, we can reduce the severity and frequency of the attacks.
In addition to harmless feelings of dizziness, there are also those that can be interpreted as alarm signals from the brain. If dizziness occurs repeatedly, suddenly or for no recognisable reason, it is possible that something is out of balance in your body.
A strange feeling of numbness in the ear and sudden hearing problems can indicate a sudden loss of hearing. If sudden deafness is treated in good time, permanent damage to the hearing can be avoided. In this article, we explain the possible causes of sudden hearing loss.
Put simply, tinnitus is a permanent, unpleasant ringing, buzzing, hissing or whistling noise in the ear. The noise can have a variety of causes - it can disappear on its own or become chronic. You can find out about the possible causes of tinnitus here.
In addition to preventive measures relevant to all ENT areas, such as endoscopies and sampling, we also carry out specific diagnostic and treatment measures in the area of the throat, nose and ears. In this article, we will show you which measures our ENT medicine includes in detail.
Tinnitus can be categorised into acute, chronic, objective and subjective tinnitus. Acute tinnitus is when the ringing in the ears does not last longer than three months. If it has been ringing and buzzing for longer than three months, the tinnitus is described as chronic.
If you suddenly can no longer hear properly in one or both ears and/or the voice of the person you are talking to sounds far away, then you may have sudden deafness. In this article, we explain exactly how this happens and what you can do to prevent a sudden loss of hearing.
English 
German 
Arabic