Abstract
T is the perception of sound in the absence of external acoustic stimulation.1 Symptoms include ringing, buzzing, roaring, clicking, and hissing sounds. It may occur in one ear or both. Tinnitus is not a disease, but rather a symptom of an underlying condition such as age related hearing loss, exposure to loud noise, Meniere’s disease, acoustic neuroma, circulatory system disorder, or TMJ disorder.2 Complications of tinnitus include sleep interruption, fatigue, depression, memory lapses, anxiety, and irritability. A large number of patients with tinnitus suffer from sleep disorders. This perceived sound adversely impacts one’s quality of sleep. Patients become sleep deprived and exhibit signs of sleep apnea, including daytime sleepiness, fatigue, depression, and diminished quality of life.1,3 While some patients report success with CPAP and oral appliance therapy, others report an exacerbation of symptoms, possibly due to CPAP pressure, mask fitting, unequal pressure in the middle ear or TMJ problems.4
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