Somatosensory tinnitus

Q4 Medicine

Otorhinolaryngology Clinics Pub Date : 2023-10-01 DOI:10.23736/s2724-6302.23.02491-x

Diletta ANGELETTI, Chiara D’ELIA, Massimo RALLI

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Abstract

INTRODUCTION: Tinnitus is a frequent disorder defined as the perception of sound in the absence of an external sound source. The prevalence of tinnitus reported by different epidemiological studies varies widely. It is frequently associated with hearing loss, but it can also be present in the absence of hearing loss. In some patients, it can be evoked by sensory or motor stimuli such as muscle contractions, mechanical pressure on myofascial trigger points, cutaneous stimulation, or temporo-mandibular joint movements. This kind of tinnitus is called “somatosensory o somatic tinnitus.” The aim of this review was to evaluate the prevalence and the pathophysiology of somatosensory tinnitus, the characteristics of somatic modulation, and to identify the most appropriate therapy.EVIDENCE ACQUISITION: Several studies have been conducted to better understand the somatosensory tinnitus pathophysiology. The existence of neural connections between the auditory system and the cervical region can be assumed based on few animal studies.EVIDENCE SYNTHESIS: The fact that the disease can occur in people with a severed auditory nerve shows that tinnitus can be caused by abnormal neural activity that is generated in the brain without the involvement of the ear. Current evidence supports a link, mainly for TMJ disorders, between the presence of a somatic disorder and higher modulation of tinnitus, especially in patients with a normal hearing threshold.CONCLUSIONS: A multidisciplinary approach is crucial for the correct identification of the underlying somatic disorder and for the success of the treatment.

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躯体感觉耳鸣

耳鸣是一种常见的疾病，定义为在没有外部声源的情况下对声音的感知。不同流行病学研究报告的耳鸣患病率差异很大。它通常与听力损失有关，但它也可以出现在没有听力损失的情况下。在一些患者中，它可以由感觉或运动刺激引起，如肌肉收缩、肌筋膜触发点的机械压力、皮肤刺激或颞下颌关节运动。这种耳鸣被称为“体感或躯体耳鸣”。本综述的目的是评估体感耳鸣的患病率和病理生理，躯体调节的特点，并确定最合适的治疗方法。证据获取:为了更好地了解体感耳鸣的病理生理，已经进行了几项研究。基于很少的动物研究，可以假设听觉系统和颈部区域之间存在神经连接。证据综合:这种疾病可以发生在听觉神经切断的人身上，这一事实表明，耳鸣可能是由大脑中产生的神经活动异常引起的，而耳朵却没有参与其中。目前的证据支持一种联系，主要是TMJ疾病，躯体疾病的存在和耳鸣的高度调节之间的联系，特别是在听力阈值正常的患者中。结论:多学科方法对于正确识别潜在的躯体疾病和治疗的成功至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Otorhinolaryngology Clinics Medicine-Otorhinolaryngology

CiteScore

0.10

自引率

0.00%

发文量

期刊介绍： Otorhinolaryngology Clinics: An International Journal is an International periodical devoted at exploring connections between clinical experience and world literature, and understanding of various pathologies and diseases related to the ear, nose and throat. Issues of recent advancements and research related to disease, illness, health and medical science are examined through various evidence-based clinical research studies. This journal proposes to serve as a collection of clinical notes, with an international perspective, along with the recent advances for postgraduates and consultants. The readership for this journal would include a wide variety of healthcare professionals, such as otolaryngologists, head and neck surgeons, ENT nurses as well as scholars and academicians in the field of medicine, trauma, surgery, etc. This journal aims to encourage the analysis of clinical data from various centers all over the world using standardized protocols to develop an international consensual perspective on the management of disorders related to the field of otorhinolaryngology. Recently, we have introduced "Case Reports", "How I Do It" and "Original Research" categories in the process of expanding the scope of the journal. Thisis a peer-reviewed journal of which three issues would be published each year. Each future issue will cover a different topic of special interest in the field of otorhinolaryngology and head and neck surgery. This issue is the first of its kind dedicated to "anesthesia in otorhinolaryngology" and contains a compilation of articles by experienced anesthesiologists dealing with a large volume of ENT and related surgeries. In each issue, the editors give their perspective based on the submitted articles. All non invited articles are peer-reviewed. Peer-revieweing helps in providing unbiased, independent, critical assessment of the results of the research study in question including the scientific process.