@anita_rotheram Tympanic tinnitus is a type of ringing or buzzing sound in the ears that is related to the middle ear. It can be caused by various factors, including: 1. **Eustachian Tube Dysfunction**: When the Eustachian tube, which connects the middle ear to the back of the nose and throat, is blocked or not functioning properly, it can lead to tympanic tinnitus. 2. **Otitis Media**: Inflammation or infection of the middle ear can cause pressure changes and fluid buildup, resulting in tinnitus. 3. **Middle Ear Effusion**: Fluid accumulation in the middle ear can cause tinnitus due to changes in pressure and vibrations in the ear. 4. **Temporal Bone Fractures**: Injuries to the temporal bone, such as those sustained in accidents or trauma, can lead to tinnitus. 5. **Otosclerosis**: An abnormal growth of bone in the middle ear can disrupt the normal function of the ear and cause tinnitus. Treatments for tympanic tinnitus depend on the underlying cause and may include: 1. **Eustachian Tube Balloon Dilation**: A procedure to open up a blocked Eustachian tube and improve ventilation of the middle ear. 2. **Earwax Removal**: Clearing out excess earwax that may be causing blockages and contributing to tinnitus. 3. **Treatment of Middle Ear Infections**: Antibiotics or other medications may be prescribed to treat infections and reduce inflammation. 4. **Surgical Interventions**: In cases where structural abnormalities or injuries are causing tinnitus, surgery may be necessary to correct the issue. 5. **Sound Therapy**: Using background noise or white noise to mask the tinnitus and make it less noticeable. 6. **Medications**: In some cases, medications like steroids or certain antidepressants may be prescribed to help alleviate tinnitus symptoms. If you are experiencing tympanic tinnitus, it is important to consult an otolaryngologist for a proper evaluation and personalized treatment plan.