Prevalence and Factors Associated with Neck and Jaw Muscle Modulation of Tinnitus

Won, Jun Yeon; Yoo, Shin-Young; Lee, Seok Ki; Choi, Hyun Kyung; Yakunina, Natalia; Le, Quang Tri; Nam, Eui-Cheol

doi:10.1159/000351685

Cited by 34 publications

(47 citation statements)

References 35 publications

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“…This case demonstrates that tinnitus modulation can be found even when no somatic disorder is present; in fact, somatic modulation of tinnitus is a widespread condition that can be present with or without underlying somatic disorders 31,40 . Furthermore, as previously discussed, several authors reported a large capability of somatic tinnitus modulation in multiple patient series ranging between 65.3% and 83.3% 32,35,[41][42][43]45,47,61,65 . In this patient, the negative history for self-reported somatic disorder suggests caution while taking into account a somatic origin for his tinnitus.…”

Section: Comments On This Casesupporting

confidence: 53%

“…Patients with somatic tinnitus have shown different characteristics, being younger, with higher prevalence of female gender and unrelated to hearing loss (somatic tinnitus patients often have normal hearing) or tinnitus severity [58][59][60][61][62] . The most common musculoskeletal conditions that underlie somatic tinnitus are temporomandibular joint (TMJ) and cervical spine (NECK) disorders 43,44,52 .…”

Section: Considerations On Somatic Modulation Of Tinnitusmentioning

confidence: 99%

“…Normal hearing, normal DPOAE and no history of noise exposure almost ruled out the presence of auditory tinnitus although high-frequency (> 8 kHz) hearing loss was not studied; when evaluating somatic history and modulation of tinnitus, a clear match was found between self-reported history for TMJ dysfunction and tinnitus modulation in the TMJ region. Furthermore, female sex and unilateral tinnitus have been described to be more associated to somatic tinnitus 61 . The approach with this patient has been centered on treating the gnathological condition, with the use of an occlusal splint.…”

Section: Comments On This Casementioning

confidence: 99%

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Somatic Tinnitus

Ralli¹,

Greco²,

Cialente³

et al. 2017

The International Tinnitus Journal

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Modulation of tinnitus characteristics such as pitch and loudness has been extensively described following movements of the head, neck and limbs, vertical or horizontal eye gaze, pressure on myofascial trigger points, cutaneous stimulation of the hands, electrical stimulation of the median nerve, and transcranial direct current stimulation. Modulation of tinnitus follows complex interactions between auditory and somatosensory afferents and can be favored by underlying somatic disorders. When tinnitus appears to be preceded or strictly linked to a somatic disorder, and therefore related to problems of the musculoskeletal system rather than of the ear, it is defined somatic tinnitus. A correct diagnosis and treatment of somatic disorders underlying tinnitus play a central role for a correct management of somatic tinnitus. However, the identification of somatic tinnitus may be complex in some cases. In this paper, after a general review of the current evidences for somatic tinnitus available in the literature, we present and discuss some cases of patients in which somatic modulation of tinnitus played a role-although different from case to case-in their tinnitus, describing the diagnostic and therapeutic approaches followed in each individual case and the results obtained, also highlighting unexpected findings and pitfalls that may be encountered when approaching somatic tinnitus patients.

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Section: Comments On This Casesupporting

confidence: 53%

Section: Considerations On Somatic Modulation Of Tinnitusmentioning

confidence: 99%

Section: Comments On This Casementioning

confidence: 99%

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Somatic Tinnitus

Ralli¹,

Greco²,

Cialente³

et al. 2017

The International Tinnitus Journal

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“…5,6 This can be used to identify a subgroup of patients with tinnitus who are responsive to somatic stimulation and, therefore, are optimal candidates for somatosensorybased treatment. 7 Interestingly, osteopathic physicians have studied this connection and have used manual manipulative medicine to help patients with somatic tinnitus. 8 Acupuncture is a modality of somatosensory-based treatment, and Levine et al 9 opined that many of the patients with tinnitus who are responders to acupuncture are, in fact, people with somatically induced tinnitus.…”

Section: Introduction Wmentioning

confidence: 99%

Is Electroacupuncture Treatment More Effective in Somatic Tinnitus Than in Nonsomatic Tinnitus?

Low

Rangabashyam

Cui

et al. 2017

Medical Acupuncture

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Background: In recent years, evidence has been accumulating linking subjective tinnitus to the somatosensory system. Somatic tinnitus is defined as tinnitus in which forceful contractions of jaw and neck muscles modulate the psychoacoustic attributes of tinnitus, such as pitch and loudness. Being a somatosensory-based treatment modality, needling might well be more effective for treating somatic than nonsomatic tinnitus. Objective: The aim of this study was to compare the outcomes of electroacupuncture (EA) treatment between patients with somatic and nonsomatic tinnitus. Materials and Methods: A single-blinded prospective study was carried wherein 27 patients with tinnitus were divided into either a somatic or a nonsomatic group, based on whether their tinnitus could be modulated by at least one of a series of forceful jaw and neck muscular contraction maneuvers. Tinnitus responses were evaluated after a single session of EA on selected acupoints for 30 minutes. Results: Seventeen of the 27 patients (63.0%) studied were found to have somatic tinnitus. Generalized estimating equation model analysis did not find any overall statistically significant difference in EA response between patients with somatic and nonsomatic tinnitus. However, patients with somatic tinnitus who were consistent in their responses to the muscular contraction maneuvers were more likely to improve with EA than variable responders to these maneuvers (62.5% versus 22.0%). Conclusions: EA did not provide increased benefits for patients with somatic tinnitus, compared to those with nonsomatic tinnitus overall. However, within the somatic tinnitus group, a subpopulation of patients appeared to be relatively more responsive to EA treatment.

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“…16,17 The modulation of tinnitus by somatic movements is widely diffused among acute and chronic tinnitus sufferers and has been reported to involve one to two-thirds of them with different patient series ranging between 65% and 83%. [18][19][20][21][22] Several authors have developed sets of maneuvers to modulate tinnitus; a detailed description of these maneuvers has been published by Won in 2013 comparing the prevalence and characteristics of somatic modulation found in six previous studies.…”

Section: Introductionmentioning

confidence: 99%

Somatic Modulation of Tinnitus: A Review and Some Open Questions

Ralli¹,

Altissimi²,

Turchetta³

et al. 2016

Otolaryngol Open J

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Tinnitus modulation by movements of the temporomandibular joint, head and neck musculoskeletal structures and the eye can be found in one to two thirds of tinnitus sufferers; unfortunately this condition is often overlooked by otolaryngologists. Although somatic modulation has been initially hypothesized as a fundamental characteristic of tinnitus, there is increasing evidence of a tight connection with disorders of non-auditory regions. The structure that mostly modulates tinnitus is the temporomandibular joint, which mainly causes an increase in tinnitus loudness, followed by head and neck movements that may result in an increase or decrease of loudness and eye movements (gaze-evoked tinnitus). Besides loudness, somatic movements can also modulate tinnitus pitch and localization. Somatosensory tinnitus is a relatively new finding that leaves several open questions: are there individual predisposing factors to somatic modulation? How strong is the association between the capability to somatically modulate tinnitus and an underlying non-auditory disorder? Why patients that have concomitant hyperacusis also have higher chances of tinnitus modulation? Further basic science and clinical research is required to address these and many other questions about somatosensory tinnitus.

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Prevalence and Factors Associated with Neck and Jaw Muscle Modulation of Tinnitus

Cited by 34 publications

References 35 publications

Somatic Tinnitus

Somatic Tinnitus

Is Electroacupuncture Treatment More Effective in Somatic Tinnitus Than in Nonsomatic Tinnitus?

Somatic Modulation of Tinnitus: A Review and Some Open Questions

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