Tinnitus can be caused by a variety of factors and each individual case is unique. Tinnitus typically occurs in the auditory system as a result of hearing loss.

This hearing loss can result from exposure to loud noises, certain types of drugs and medication, middle ear infections, or other reasons.

In a small proportion of cases, tinnitus arises from a condition that requires medical or surgical intervention.

Once the tinnitus signal is generated in the auditory system, another part of the brain (the limbic system) attaches an emotional response to it. Similar to the “feeling” you get when you scratch your fingernails down a blackboard, tinnitus is more than just a perceived sound. Tinnitus can trigger anxiety and stress responses in the body which, in addition to the limbic system, also involves the autonomic nervous system.

Role of Hearing Loss in Triggering Tinnitus

Usually, tinnitus is triggered in the first instance by some disruption to the auditory system. Typically, this involves some form of hearing loss, which may be the result of aging, exposure to loud noises, certain types of drugs and medication, middle ear infections, or any one of many other causes.

Regardless of the cause of the hearing loss, and whether it is permanent or temporary, it can lead to the changes in the activity of neurons in the auditory system, which is then interpreted by the auditory cortex as sound.

Other Tinnitus Triggers

In a small proportion of cases, tinnitus arises from a condition that requires medical or surgical intervention.

Drugs that have been implicated in hearing damage and tinnitus include:

  • Anti-Inflammatories
  • Antibiotics (Aminoglycosides)
  • Antidepressants (Heterocyclines)
  • Aspirin
  • Quinine
  • Loop Diuretics
  • Chemotherapeutic Agents (Cisplatin)

In rare cases, tinnitus might result from an underlying medical problem, such as:

  • Arteriovenus Malformation
  • Vascular Tumor
  • Benign Intracranial Hypertension
  • Palatal or Stapedial Myoclonus
  • Eustachian Tube Dysfunction
  • Temporal Mandibular Joint Problem
  • Acoustic Neuroma (Vestibular Schwannoma)
  • Otosclerosis
  • Meniere’s Disease

Although these other causes contribute to only a small percentage of tinnitus cases, their existence underlines the need for a thorough head, ear, nose and throat examination. Appropriate referral to an Otolaryngologist or Prosthodontist might also be required.


Until recently, the only available options were treatments that addressed the symptoms (such as anxiety) and not the root causes of tinnitus. But new breakthroughs in tinnitus treatment address the neurological, audiological and psychological basis of tinnitus.
Here’s why we say it’s a “breakthrough treatment:”

  • Reduces symptoms quickly – Many patients enjoy some relief almost immediately
  • Treats the cause – Addresses underlying neurological causes of tinnitus
  • Provides significant long-term relief – Relief can be sustained even long after the treatment ends
  • Convenient and non-invasive – No medication or surgery required.
  • Clinically proven – Shown to be effective for 90% of suitable tinnitus patients in rigorous clinical testing.

Contact us to find out more and set up a consultation with an audiologist!

Looking for an ENT in NYC?

At DaganMD, we provide expertise, skill, and experience for all ear nose and throat symptoms. We approach our patients with compassion and a personal commitment to their care. Our ear nose and throat doctors only use the latest medical technologies and our patients only receive the best ENT treatments available.







Meet Our Customers

Fantastic care! Excellent bedside manner in explaining everything. Never goes overboard – has a great eye for knowing exactly how much Botox is needed so that you don’t get “Botox face.”

A Verified Patient (Zocdoc)

Dr. Dagan was extremely professional and personable. He truly cares about what he does and it shows. I went to him for Botox and he explained everything in detail and patiently answered all of my questions. He cares about patient satisfaction so much that he said i could come back for a free touch up in a week if I wasn’t happy with the results. Definitely recommend him for anything cosmetic.

A Verified Patient (Zocdoc)

I purchased Botox on Living Social and did not know what to expect. I turned 40 recently and was thinking it was time for some Botox. Dr. Tal Dagan was awesome! He was very thorough and patient and put me at ease with the process. I explained to him that I wanted results that were natural but that I could notice. The receptionist was sweet and accommodating. The office was clean and the experience was great. The Botox results were amazing.. I am hooked !

Kristen V. (Matawan, NJ – Yelp)

Dr. Dagan is terrific: He deeply cares about his work and wants his patients to be satisfied. I had botox and he was expert in how and where he injected it. He asked questions and truly listened. He said if the amount was not correct or I needed any touch-up, to let him know.

Patricia C. (Manhattan, NY – Yelp)

Personally, I feel Dr. Dagan is terrific: I truly believe he cares about his work and wants his patients to be satisfied. I initially met Dr. Dagan for botox injections and I will admit, I have had them in the past by other doctors/ nurse practioners – but was never 100% satisfied with the outcome. One visit to Dr. Dagan and he restored my faith! Outcome was natural and fantastic! He asked questions and truly listened and most importantly delivered results.

Sonia R (New York, NY – Yelp)


Get In Touch Today!