referring to fig2 and 3 , the present invention involves a health care professional instructing a patient about the procedure at step 11 and then isolating the patient from ambient noise at step 12 where the patients ear canals are occluded at 15 . after about fifteen seconds the patient is removed from isolation at 17 and the ear canals opened at 19 and the outcome determined at 20 . the patient is administered a series of questions at 21 , 23 , 25 , 27 , and 29 and the results recorded at 31 for analysis as to the source of the problem and necessary referral to a further specialist . the perception of the tinnitus sound range can include buzzing , humming and soft ringing , which suggest middle ear pathologies , ringing which suggest cochlear pathologies or hard buzzing , loud ringing , hallucinations , all of which suggest centralization perception within the skull and not necessarily heard in the left or right ears . my screening test protocol is the first to screen patient &# 39 ; s perception in an effort to locate the possible source of the ailment for appropriate medical referral . from my studies i have discovered that , if the patient perceives tinnitus as increasing the pathology is fixed in the cochlear hair cells . and if the perception of the tinnitus is reported as having been reduced or dropped significantly , the source of ailment is likely in the middle ear as the drop is typically due to stoppage of osicular vibration while the ear canals are occluded . in the event the patient has reported there has been no change in the sound perceived , my research indicates that the etiology is existing retrocochlear or ailment in other brain areas . the results of my research reveals that where the perception of tinnitus reduces or drops significantly or where there is no change in perception , referral should be made to a otologist or neurologist for other diagnostic tests . since there is no cure for damage to the cochlear hair cells patients reporting tinnitus increases should be referred for audiology or hearing aide evaluation or counseling for hearing protection . referring fig1 , a human ear tend has a pinia 37 external ear canal ( external meatus ) 39 tympanic membrane 41 ( eardrum ). the auditory sounds in the environment enter the external canal 39 and acoustically vibrate the tympanic membrane 41 . ossicles 43 , also called ossicular chain , and more particularly the malleous 45 , the incus 47 and stapes 49 are connected to the tympanic membrane 16 and transmit the acoustic vibrations representing the auditory sound through the middle ear cavity 53 . the middle ear cavity 53 is vented to the nasopharynx by the eustachian tube 61 . the ossilus 43 then transmits the vibration to the inner ear 65 , represented by the cochlea 67 . the cochlea 67 is a spiral , fluid filled organ which transforms the acoustic vibration then to nerve discharges transmitted to the brain via the 8 th auditory nerve bundle 68 . referring back to fig2 and 3 , the patient is typically counseled and advised of the sounds indicative of tinnitus . in my procedure , i explain to the patient at step 11 that his or her ear cannels would be occluded and encourage the patient to listen carefully and seek to identify the characteristics and continuous of the sounds perceived with the occluded ear . to improve the effectiveness the patient is removed from ambient noise at step 12 , as by isolating in a sound booth or the like and observe through a window to monitor reactions of the patients . in the instructions the patient is alerted to signal when a characteristic one of the sounds is recognized so that the patient may be removed from isolation and the ear cannels open . i alert the patient to focus carefully and listen for sounds which come with the ear canals occluded , might be indicative of the tinnitus suffered . for instance , at step 11 i advise the patient to listen for a humming / buzzing / ringing sound which may either shut off at step 11 ( a ) over time or persist for a period of time at 11 ( b ). i additionally tell the patient to listen for a bussing or loud humming which is consistent with an intensity without change over a period of time at 11 ( c ) and to be alert for a roaring sound which increases over time 11 ( d ) or a roaring sound which remains steady over a period of time at 11 ( f ). finally , i alert the patient to listen for a chirping sound which may increase over time 11 ( g ). i occlude the patient &# 39 ; s ear as by ear plugs or gloved fingers for a short period of time at 15 while the patient listens and maybe signals through a window or the like when he or she recognizes a sound of 11 ( a )-( g ). i then remove the patient from isolation at 17 and open the ear canals and question the patient at 20 and record the answers at 29 . when the patient is removed from isolation , i then merely ask what sound was perceived or to jog the patient &# 39 ; s memory and cognizance , ask each of the questions 21 - 27 . if the patients responds positively to any question a check mark recorded in his or her record and if the patient responds negatively , the words “ no ” or a circle placed in the record at response to that question to provide a record at 29 . i then retain that information in my medical records for counseling and possible reference to another specialist . if the answer to the question of whether the patient perceived ringing / buzzing or ringing which reduced or shut off at 21 is positive , i will record in the patient &# 39 ; s record that the pathology suggests the affliction is likely in the middle ear 71 . if the patient acknowledges he or she perceived a buzzing or ringing sound remaining constant at the same volume level at 23 , i then record that the pathology suggests the problem is likely retrochochlear 73 . if the response is that the ringing / roaring increases at 25 , i then indicate in the patient &# 39 ; s record that the pathology suggests the problem is likely in the media of cochlea 75 . if the response to whether the patient perceived roaring , either steady or pulsating , along with headaches at 27 , i then record that in my opinion the pathology suggests that the problem is not likely a hearing problem but may be retrocochlear lesions at 77 . from the information recorded in this protocol a patient may be referred to a selected specialist for treatment . as will be appreciated by those skilled in the art , the method of the present invention provides for administering a protocol which , is many cases allows for a diagnosis of treatment by a professional which can often lead to relief not heretofore attainable . from the forgoing it would be appreciated that the method of the present invention provides a reliable and an effective method for screening tinnitus patients to isolate the area likely affected for the purpose of identifying a specialist for further treatment for advising the patient on how best to address the hearing or tinnitus issues . although the present invention has been described in detail with regard to the preferred embodiments and drawings thereof , it should be apparent to those of ordinary skill in the art that various adaptations and modifications of the present invention may be accomplished without departing from the spirit and the scope of the invention . accordingly , it is to be understood that the detailed description and the accompanying drawings as set forth hereinabove are not intended to limit the breadth of the present invention .
instructing a patient to listen carefully for specific sounds while his or her ear canals are occluded . occluding the cannels and observing the patient to determine when he or she recognizes a sound described in the instruction , opening the patient &# 39 ; s ear cannels , questioning about the specific sound perceived and recording the results .