Tinnitus is generally accompanied by hyperacusis (when moderately loud sounds are perceived as very loud). Traditionally, many classify tinnitus as either being: Objective (it may be heard by the examiner), or subjective (it could solely be heard by the individual with tinnitus). But this is not always helpful because in many individuals with tinnitus an objective sound is emitted from the cochlea within the inner ear, which is unrelated to tinnitus typically. Therefore, I’ve advised that tinnitus be known as both middle ear tinnitus, or sensorineural tinnitus.
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