It mean that pathology is in the inner ear?

If a patient has tinnitus does it mean that pathology is in the inner ear?

Tinnitus can be seen with a problem to the middle ear or the inner ear. It may also be seen due to a buildup of earwax in the EAC.

Tinnitus has been further classified according to its initial triggers as a primary tinnitus, which is either associated with sensorineural hearing loss (SNHL) or is idiopathic (or unknown cause), and a secondary tinnitus, which is related to other causes such as an organic origin. Thank you.

Not necessarily glomus tympanicum (middle.ear pathology).also.causes pulsatile tinnitus… Systemic disease like.anemia can cause tinnitus also… Its generally central nervous system based

Thank youuu