Somatic Tinnitus

Ralli, Massimo; Greco, Antonio; Cialente, Fabrizio; Stadio, Arianna Di; Virgilio, Armando De; Longo, Lucia; Ciofalo, Andrea; Turchetta, Rosaria; Cianfrone, Giancarlo; Vincentiis, Marco de

doi:10.5935/0946-5448.20170022

Cited by 18 publications

(14 citation statements)

References 73 publications

(110 reference statements)

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“…The association of tinnitus with somatic disorders has been reported by many authors [ 26 , 28 , 37 , 38 , 47 , 50 – 53 ]; significant improvements in tinnitus have been described upon somatic treatment in patients with somatic tinnitus [ 25 – 32 ]. A comparison of 16 studies published between 1964 and 2016 on tinnitus changes following TMJ therapy showed that, on average, 69% of patients reported tinnitus improvement or complete resolution after TMJ disorder treatment, while 32% reported no changes [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

Subtyping patients with somatic tinnitus: Modulation of tinnitus and history for somatic dysfunction help identify tinnitus patients with temporomandibular joint disorders

et al. 2018

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ObjectiveDetermine in a cohort of patients with normal hearing and chronic tinnitus if self-reported history for temporomandibular joint (TMJ) dysfunction and a positive modulation of tinnitus in the TMJ region could be suggestive of an underlying TMJ disorder.Patients and methodsThe study included 226 patients presenting to the Head and Neck Service of our University Hospital. Following audiological and somatic tinnitus evaluation, patients were divided into two groups. The study group (n = 134) included subjects that met both the following criteria: A) a self-reported history for TMJ dysfunction and B) a positive modulation of tinnitus following somatic maneuvers in the TMJ region. The control group (n = 92) included patients with similar demographic and tinnitus characteristics that did not meet the proposed criteria for somatic tinnitus. Afterwards, patients underwent clinical TMJ evaluation in the Service of Clinical Gnathology of our University.ResultsOne hundred thirty-one patients (57.9%) received a clinical diagnosis of TMJ disorder according to DC/TMD Axis I; 79.1% in the study group and 27.2% in the control group. Ninety-five (42.1%) patients were negative for TMJ disorders; 20.9% in the study group and 72.8% in the control group. A significantly higher number of TMJ disorders was found in patients in the study group compared to the control group (p<0.0001). Most patients had joint disorders (67.2%), followed by other (29.8%) and pain disorders (29%). Logistic regression analysis in the study group showed that female gender was more prevalent in patients with TMJ disorders.ConclusionOur findings in patients with chronic tinnitus and normal hearing suggest that self-reported history for somatic dysfunction and modulation of tinnitus, when occurring simultaneously in the TMJ region, can be useful to preliminarily identify patients with TMJ disorders.

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Section: Discussionmentioning

confidence: 99%

Subtyping patients with somatic tinnitus: Modulation of tinnitus and history for somatic dysfunction help identify tinnitus patients with temporomandibular joint disorders

et al. 2018

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“…performed to evaluate the presence somatic tinnitus [18][19][20][21][22] ; all maneuvers on the temporomandibular joint and head and neck did not induce a modulation of tinnitus pitch or loudness, thus excluding a somatosensory origin of tinnitus.…”

Section: Taste Disorders In Msmentioning

confidence: 99%

Ageusia, Hyposmia, Dizziness and Tinnitus as Presenting Symptoms of Multiple Sclerosis

Ralli¹,

DâAguanno²,

Altieri³

et al. 2018

The International Tinnitus Journal

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Multiple Sclerosis (MS) is a chronic inflammatory and neurodegenerative disease of the central nervous system characterized by the destruction of myelin sheaths and axonal loss. Presenting symptoms of multiple sclerosis may vary and if not promptly identified may lead to a delayed diagnosis of Multiple sclerosis. In this paper, we present a rare case of a patient with ageusia as presenting symptom of Multiple sclerosis; the symptom spontaneously resolved after two weeks and was followed by hyposmia, dizziness, tinnitus and facial paraesthesia that eventually led to a clinical diagnosis of Multiple sclerosis. The presence of gustatory, olfactory and audio-vestibular symptoms has been associated with disease activity and progression of several inflammatory and neurodegenerative diseases of the central nervous system including Multiple sclerosis. Gustatory alterations may be due to the presence of demyelinating lesion in the brain area of taste; the progression of the disease may explain the additional olfactory and audio-vestibular symptoms described in this patient. Even if taste alteration is an extremely rare presenting symptom of Multiple sclerosis, its presence in young women should always be carefully investigated as it could be an early sign of Multiple sclerosis.

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“…Tinnitus, the perception of a sound when no external stimulation is present 23 , is commonly found in patients with hearing loss following presbycusis 24,25 , noise exposure 26,27 or other auditory conditions 28,29 ; however, it can also be found in patients with a clinically normal hearing, following synaptopathy 30,31 , somatic disorders [32][33][34][35][36][37] and psychological dysfunctions 38 .…”

Section: Hearing Loss and Tinnitusmentioning

confidence: 99%

Otolaryngologic Symptoms in Multiple Sclerosis: A Review

Ralli¹,

Stadio²,

Visconti³

et al. 2018

The International Tinnitus Journal

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Many symptoms of multiple sclerosis may affect the ear, nose and throat. The most common otolaryngologic symptoms of multiple sclerosis are speech disorders, followed by sleep disorders, vertigo and disequilibrium, dysphagia, smell alterations, and hearing loss. Less common symptoms include sialorrhea, facial palsy, taste alterations, trigeminal neuralgia and tinnitus. The origin of otolaryngologic symptoms in multiple sclerosis is mainly central, although increasing evidence also suggests a peripheral involvement.

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Somatic Tinnitus

Cited by 18 publications

References 73 publications

Subtyping patients with somatic tinnitus: Modulation of tinnitus and history for somatic dysfunction help identify tinnitus patients with temporomandibular joint disorders

Subtyping patients with somatic tinnitus: Modulation of tinnitus and history for somatic dysfunction help identify tinnitus patients with temporomandibular joint disorders

Ageusia, Hyposmia, Dizziness and Tinnitus as Presenting Symptoms of Multiple Sclerosis

Otolaryngologic Symptoms in Multiple Sclerosis: A Review

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