====== Non-pulsatile tinnitus ====== 1. occlusion of external ear: cerumen, foreign body 2. middle ear infection (otitis media) 3. otosclerosis 4. stapedial muscle spasms: as occurs in hemifacial spasm 5. CP-angle tumors: including vestibular schwannoma 6. Meniere’s disease 7. labyrinthitis 8. endolymphatic sac tumors: e.g. as in von Hippel-Lindau disease 9. drugs a) salicylates:aspirin,bismuthsubsalicylate(PeptoBismolĀ®) b) quinine c) aminoglycoside toxicity: streptomycin, tobramycin (tinnitus precedes hearing loss)