Jaro-Journal of the Association for Research in Otolaryngology最新文献

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Editorial: Views on JARO 2023. 社论:关于 2023 年日本航空航天研究组织的观点。
IF 2.4 3区 医学
Jaro-Journal of the Association for Research in Otolaryngology Pub Date : 2024-02-01 DOI: 10.1007/s10162-024-00931-8
Christopher Cederroth
{"title":"Editorial: Views on JARO 2023.","authors":"Christopher Cederroth","doi":"10.1007/s10162-024-00931-8","DOIUrl":"10.1007/s10162-024-00931-8","url":null,"abstract":"","PeriodicalId":56283,"journal":{"name":"Jaro-Journal of the Association for Research in Otolaryngology","volume":" ","pages":"1-3"},"PeriodicalIF":2.4,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10907323/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139725166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Noise-Induced Hearing Threshold Shift Correlated with Body Weight and External-Ear Amplification in Chinchilla: a Preliminary Analysis. 鼠体体重和外耳放大与噪声致听阈位移的相关性初步分析。
IF 2.4 3区 医学
Jaro-Journal of the Association for Research in Otolaryngology Pub Date : 2023-12-01 Epub Date: 2023-11-27 DOI: 10.1007/s10162-023-00913-2
Sarah K Grinn, Monica Trevino, Edward Lobarinas
{"title":"Noise-Induced Hearing Threshold Shift Correlated with Body Weight and External-Ear Amplification in Chinchilla: a Preliminary Analysis.","authors":"Sarah K Grinn, Monica Trevino, Edward Lobarinas","doi":"10.1007/s10162-023-00913-2","DOIUrl":"10.1007/s10162-023-00913-2","url":null,"abstract":"<p><strong>Background: </strong>External-ear amplification (EEA) has been shown to vary from 5-19 dB-A in large datasets of pediatric, adolescent, and adult human participants. However, variable EEA is an overlooked characteristic that likely plays a role in individual noise-induced hearing loss (NIHL) susceptibility. A noise exposure varying 5-19 dB-A translates to high-EEA individuals theoretically experiencing 3-4 times greater NIHL risk than low-EEA individuals.</p><p><strong>Objective: </strong>The purpose of this preliminary analysis was to test the hypothesis that higher EEA is correlated with increased noise-induced threshold shift susceptibility.</p><p><strong>Design: </strong>Nine chinchillas were exposed to 4-kHz octave-band noise at 89 dB-SPL for 24 h. Auditory brainstem response thresholds were obtained pre-exposure, 24-h post-exposure, and 4-week post-exposure. Relationships between EEA and threshold shift were analyzed.</p><p><strong>Results: </strong>Open-ear EEA ranged 11-19 dB-SPL, and occluded-ear EEA ranged 10-21 dB-SPL. Higher occluded-ear EEA was correlated with increased NIHL susceptibility (p = 0.04), as was lower body weight (p = 0.01). Male animals exhibited more threshold shift than female animals (p = 0.02), lower body weight than female animals (p = 0.02), and higher occluded-ear EEA (male mean = 18 dB; female mean = 15 dB).</p><p><strong>Conclusions: </strong>Taken together, increased threshold shift susceptibility was observed in the smallest animals, animals with the highest occluded-ear EEA, and in male animals (which tended to have higher occluded-ear EEA). Given the established relationship between smaller body size and higher occluded-ear EEA, these preliminary results suggest that body size (and occluded-ear EEA; a function of body size) could be a potential, underlying driver of NIHL susceptibility differences, rather than true sex differences.</p>","PeriodicalId":56283,"journal":{"name":"Jaro-Journal of the Association for Research in Otolaryngology","volume":" ","pages":"563-574"},"PeriodicalIF":2.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10752858/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138447254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
About the Genetic Contribution to Chronic Dizziness and Episodic Vertigo. 关于慢性头晕和发作性眩晕的遗传因素。
IF 2.4 3区 医学
Jaro-Journal of the Association for Research in Otolaryngology Pub Date : 2023-12-01 Epub Date: 2023-12-20 DOI: 10.1007/s10162-023-00921-2
Jose A Lopez-Escamez
{"title":"About the Genetic Contribution to Chronic Dizziness and Episodic Vertigo.","authors":"Jose A Lopez-Escamez","doi":"10.1007/s10162-023-00921-2","DOIUrl":"10.1007/s10162-023-00921-2","url":null,"abstract":"","PeriodicalId":56283,"journal":{"name":"Jaro-Journal of the Association for Research in Otolaryngology","volume":" ","pages":"527-529"},"PeriodicalIF":2.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10752851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138813903","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Eavesdropping on Tinnitus Using MEG: Lessons Learned and Future Perspectives. 使用MEG偷听耳鸣:经验教训和未来展望。
IF 2.4 3区 医学
Jaro-Journal of the Association for Research in Otolaryngology Pub Date : 2023-12-01 Epub Date: 2023-11-28 DOI: 10.1007/s10162-023-00916-z
Lisa Reisinger, Gianpaolo Demarchi, Nathan Weisz
{"title":"Eavesdropping on Tinnitus Using MEG: Lessons Learned and Future Perspectives.","authors":"Lisa Reisinger, Gianpaolo Demarchi, Nathan Weisz","doi":"10.1007/s10162-023-00916-z","DOIUrl":"10.1007/s10162-023-00916-z","url":null,"abstract":"<p><p>Tinnitus has been widely investigated in order to draw conclusions about the underlying causes and altered neural activity in various brain regions. Existing studies have based their work on different tinnitus frameworks, ranging from a more local perspective on the auditory cortex to the inclusion of broader networks and various approaches towards tinnitus perception and distress. Magnetoencephalography (MEG) provides a powerful tool for efficiently investigating tinnitus and aberrant neural activity both spatially and temporally. However, results are inconclusive, and studies are rarely mapped to theoretical frameworks. The purpose of this review was to firstly introduce MEG to interested researchers and secondly provide a synopsis of the current state. We divided recent tinnitus research in MEG into study designs using resting state measurements and studies implementing tone stimulation paradigms. The studies were categorized based on their theoretical foundation, and we outlined shortcomings as well as inconsistencies within the different approaches. Finally, we provided future perspectives on how to benefit more efficiently from the enormous potential of MEG. We suggested novel approaches from a theoretical, conceptual, and methodological point of view to allow future research to obtain a more comprehensive understanding of tinnitus and its underlying processes.</p>","PeriodicalId":56283,"journal":{"name":"Jaro-Journal of the Association for Research in Otolaryngology","volume":" ","pages":"531-547"},"PeriodicalIF":2.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10752863/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138447253","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Review and Perspective on Brain Bases of Tinnitus. 耳鸣脑基础研究的回顾与展望。
IF 2.4 3区 医学
Jaro-Journal of the Association for Research in Otolaryngology Pub Date : 2023-12-01 Epub Date: 2023-11-02 DOI: 10.1007/s10162-023-00914-1
Fatima T Husain, Rafay A Khan
{"title":"Review and Perspective on Brain Bases of Tinnitus.","authors":"Fatima T Husain, Rafay A Khan","doi":"10.1007/s10162-023-00914-1","DOIUrl":"10.1007/s10162-023-00914-1","url":null,"abstract":"<p><p>In advancing our understanding of tinnitus, some of the more impactful contributions in the past two decades have come from human brain imaging studies, specifically the idea of both auditory and extra-auditory neural networks that mediate tinnitus. These networks subserve both the perception of tinnitus and the psychological reaction to chronic, continuous tinnitus. In this article, we review particular studies that report on the nodes and links of such neural networks and their inter-network connections. Innovative neuroimaging tools have contributed significantly to the increased understanding of anatomical and functional connections of attention, emotion-processing, and default mode networks in adults with tinnitus. We differentiate between the neural correlates of tinnitus and those of comorbid hearing loss; surprisingly, tinnitus and hearing loss when they co-occur are not necessarily additive in their impact and, in rare cases, additional tinnitus may act to mitigate the consequences of hearing loss alone on the brain. The scale of tinnitus severity also appears to have an impact on brain networks, with some of the alterations typically attributed to tinnitus reaching significance only in the case of bothersome tinnitus. As we learn more about comorbid conditions of tinnitus, such as depression, anxiety, hyperacusis, or even aging, their contributions to the network-level changes observed in tinnitus will need to be parsed out in a manner similar to what is currently being done for hearing loss or severity. Together, such studies advance our understanding of the heterogeneity of tinnitus and will lead to individualized treatment plans.</p>","PeriodicalId":56283,"journal":{"name":"Jaro-Journal of the Association for Research in Otolaryngology","volume":" ","pages":"549-562"},"PeriodicalIF":2.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10752862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71429559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Genome-Wide Association Study of Chronic Dizziness in the Elderly Identifies Loci Implicating MLLT10, BPTF, LINC01224, and ROS1. 老年人慢性头晕的全基因组关联研究鉴定MLLT10、BPTF、LINC01224和ROS1基因座
IF 2.4 3区 医学
Jaro-Journal of the Association for Research in Otolaryngology Pub Date : 2023-12-01 Epub Date: 2023-11-30 DOI: 10.1007/s10162-023-00917-y
Royce Clifford, Daniel Munro, Daniel Dochtermann, Poornima Devineni, Saiju Pyarajan, Francesca Telese, Abraham A Palmer, Pejman Mohammadi, Rick Friedman
{"title":"Genome-Wide Association Study of Chronic Dizziness in the Elderly Identifies Loci Implicating MLLT10, BPTF, LINC01224, and ROS1.","authors":"Royce Clifford, Daniel Munro, Daniel Dochtermann, Poornima Devineni, Saiju Pyarajan, Francesca Telese, Abraham A Palmer, Pejman Mohammadi, Rick Friedman","doi":"10.1007/s10162-023-00917-y","DOIUrl":"10.1007/s10162-023-00917-y","url":null,"abstract":"<p><strong>Purpose: </strong>Chronic age-related imbalance is a common cause of falls and subsequent death in the elderly and can arise from dysfunction of the vestibular system, an elegant neuroanatomical group of pathways that mediates human perception of acceleration, gravity, and angular head motion. Studies indicate that 27-46% of the risk of age-related chronic imbalance is genetic; nevertheless, the underlying genes remain unknown.</p><p><strong>Methods: </strong>The cohort consisted of 50,339 cases and 366,900 controls in the Million Veteran Program. The phenotype comprised cases with two ICD diagnoses of vertigo or dizziness at least 6 months apart, excluding acute or recurrent vertiginous syndromes and other non-vestibular disorders. Genome-wide association studies were performed as individual logistic regressions on European, African American, and Hispanic ancestries followed by trans-ancestry meta-analysis. Downstream analysis included case-case-GWAS, fine mapping, probabilistic colocalization of significant variants and genes with eQTLs, and functional analysis of significant hits.</p><p><strong>Results: </strong>Two significant loci were identified in Europeans, another in the Hispanic population, and two additional in trans-ancestry meta-analysis, including three novel loci. Fine mapping revealed credible sets of intronic single nucleotide polymorphisms (SNPs) in MLLT10 - a histone methyl transferase cofactor, BPTF - a subunit of a nucleosome remodeling complex implicated in neurodevelopment, and LINC01224 - a proto-oncogene receptor tyrosine kinase.</p><p><strong>Conclusion: </strong>Despite the difficulties of phenotyping the nature of chronic imbalance, we replicated two loci from previous vertigo GWAS studies and identified three novel loci. Findings suggest candidates for further study and ultimate treatment of this common elderly disorder.</p>","PeriodicalId":56283,"journal":{"name":"Jaro-Journal of the Association for Research in Otolaryngology","volume":" ","pages":"575-591"},"PeriodicalIF":2.4,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10752854/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138464679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Histological Correlates of Auditory Nerve Injury from Kainic Acid in the Budgerigar (Melopsittacus undulatus). 海雀听神经损伤的组织学相关性。
IF 2.4 3区 医学
Jaro-Journal of the Association for Research in Otolaryngology Pub Date : 2023-10-01 Epub Date: 2023-10-05 DOI: 10.1007/s10162-023-00910-5
Yingxuan Wang, Kristina S Abrams, Margaret Youngman, Kenneth S Henry
{"title":"Histological Correlates of Auditory Nerve Injury from Kainic Acid in the Budgerigar (Melopsittacus undulatus).","authors":"Yingxuan Wang, Kristina S Abrams, Margaret Youngman, Kenneth S Henry","doi":"10.1007/s10162-023-00910-5","DOIUrl":"10.1007/s10162-023-00910-5","url":null,"abstract":"<p><strong>Purpose: </strong>Loss of auditory nerve afferent synapses with cochlear hair cells, called cochlear synaptopathy, is a common pathology in humans caused by aging and noise overexposure. The perceptual consequences of synaptopathy in isolation from other cochlear pathologies are still unclear. Animal models provide an effective approach to resolve uncertainty regarding the physiological and perceptual consequences of auditory nerve loss, because neural lesions can be induced and readily quantified. The budgerigar, a parakeet species, has recently emerged as an animal model for synaptopathy studies based on its capacity for vocal learning and ability to behaviorally discriminate simple and complex sounds with acuity similar to humans. Kainic acid infusions in the budgerigar produce a profound reduction of compound auditory nerve responses, including wave I of the auditory brainstem response, without impacting physiological hair cell measures. These results suggest selective auditory nerve damage. However, histological correlates of neural injury from kainic acid are still lacking.</p><p><strong>Methods: </strong>We quantified the histological effects caused by intracochlear infusion of kainic acid (1 mM; 2.5 µL), and evaluated correlations between the histological and physiological assessments of auditory nerve status.</p><p><strong>Results: </strong>Kainic acid infusion in budgerigars produced pronounced loss of neural auditory nerve soma (60% on average) in the cochlear ganglion, and of peripheral axons, at time points 2 or more months following injury. The hair cell epithelium was unaffected by kainic acid. Neural loss was significantly correlated with reduction of compound auditory nerve responses and auditory brainstem response wave I.</p><p><strong>Conclusion: </strong>Compound auditory nerve responses and wave I provide a useful index of cochlear synaptopathy in this animal model.</p>","PeriodicalId":56283,"journal":{"name":"Jaro-Journal of the Association for Research in Otolaryngology","volume":" ","pages":"473-485"},"PeriodicalIF":2.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10695905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41174787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Polygenic Risk Score-Based Association Analysis of Speech-in-Noise and Hearing Threshold Measures in Healthy Young Adults with Self-reported Normal Hearing. 自报听力正常的健康年轻人噪声中言语与听力阈值测量的基于多因素风险评分的关联分析。
IF 2.4 3区 医学
Jaro-Journal of the Association for Research in Otolaryngology Pub Date : 2023-10-01 Epub Date: 2023-10-02 DOI: 10.1007/s10162-023-00911-4
Ishan Sunilkumar Bhatt, Sai Kumar Ramadugu, Shawn Goodman, Srividya Grama Bhagavan, Valerie Ingalls, Raquel Dias, Ali Torkamani
{"title":"Polygenic Risk Score-Based Association Analysis of Speech-in-Noise and Hearing Threshold Measures in Healthy Young Adults with Self-reported Normal Hearing.","authors":"Ishan Sunilkumar Bhatt, Sai Kumar Ramadugu, Shawn Goodman, Srividya Grama Bhagavan, Valerie Ingalls, Raquel Dias, Ali Torkamani","doi":"10.1007/s10162-023-00911-4","DOIUrl":"10.1007/s10162-023-00911-4","url":null,"abstract":"<p><strong>Purpose: </strong>Speech-in-noise (SIN) traits exhibit high inter-subject variability, even for healthy young adults reporting normal hearing. Emerging evidence suggests that genetic variability could influence inter-subject variability in SIN traits. Genome-wide association studies (GWAS) have uncovered the polygenic architecture of various adult-onset complex human conditions. Polygenic risk scores (PRS) summarize complex genetic susceptibility to quantify the degree of genetic risk for health conditions. The present study conducted PRS-based association analyses to identify PRS risk factors for SIN and hearing threshold measures in 255 healthy young adults (18-40 years) with self-reported normal hearing.</p><p><strong>Methods: </strong>Self-reported SIN perception abilities were assessed by the Speech, Spatial, and Qualities of Hearing Scale (SSQ12). QuickSIN and audiometry (0.25-16 kHz) were performed on 218 participants. Saliva-derived DNA was used for low-pass whole genome sequencing, and 2620 PRS variables for various traits were calculated using the models derived from the polygenic risk score (PGS) catalog. The regression analysis was conducted to identify predictors for SSQ12, QuickSIN, and better ear puretone averages at conventional (PTA<sub>0.5-2</sub>), high (PTA<sub>4-8</sub>), and extended-high (PTA<sub>12.5-16</sub>) frequency ranges.</p><p><strong>Results: </strong>Participants with a higher genetic predisposition to HDL cholesterol reported better SSQ12. Participants with high PRS to dementia revealed significantly elevated PTA<sub>4-8</sub>, and those with high PRS to atrial fibrillation and flutter revealed significantly elevated PTA<sub>12.5-16</sub>.</p><p><strong>Conclusion: </strong>These results indicate that healthy individuals with polygenic risk of certain health conditions could exhibit a subclinical decline in hearing health measures at young ages, decades before clinically meaningful SIN deficits and hearing loss could be observed. PRS could be used to identify high-risk individuals to prevent hearing health conditions by promoting a healthy lifestyle.</p>","PeriodicalId":56283,"journal":{"name":"Jaro-Journal of the Association for Research in Otolaryngology","volume":" ","pages":"513-525"},"PeriodicalIF":2.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10695896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41124187","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reporting and Sharing Matters. 报告和分享事项。
IF 2.4 3区 医学
Jaro-Journal of the Association for Research in Otolaryngology Pub Date : 2023-10-01 DOI: 10.1007/s10162-023-00915-0
Christopher R Cederroth
{"title":"Reporting and Sharing Matters.","authors":"Christopher R Cederroth","doi":"10.1007/s10162-023-00915-0","DOIUrl":"10.1007/s10162-023-00915-0","url":null,"abstract":"","PeriodicalId":56283,"journal":{"name":"Jaro-Journal of the Association for Research in Otolaryngology","volume":" ","pages":"463"},"PeriodicalIF":2.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10695888/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89720824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Somatosensory Tinnitus: Recent Developments in Diagnosis and Treatment. 体感性耳鸣:诊断和治疗的最新进展。
IF 2.4 3区 医学
Jaro-Journal of the Association for Research in Otolaryngology Pub Date : 2023-10-01 Epub Date: 2023-10-04 DOI: 10.1007/s10162-023-00912-3
Sarah Michiels
{"title":"Somatosensory Tinnitus: Recent Developments in Diagnosis and Treatment.","authors":"Sarah Michiels","doi":"10.1007/s10162-023-00912-3","DOIUrl":"10.1007/s10162-023-00912-3","url":null,"abstract":"<p><p>Somatosensory tinnitus (ST) is a type of tinnitus where changes in somatosensory input from the head-neck area are one of the influencing factors of a patient's tinnitus. As there are often several influencing factors, identifying a clear somatosensory influence on an individual patient's tinnitus is often a challenge. Therefore, a decision tree using four clinical criteria has been proposed that can help diagnose ST with an accuracy of 82.2%, a sensitivity of 82.5%, and a specificity of 79%. Once correctly diagnosed, patients can be successfully treated using a musculoskeletal physical therapy treatment. This type of treatment can either be directed at cervical spine dysfunctions, temporomandibular disorders, or both and consists of a combination of counseling, exercises, and manual techniques to restore normal function of the cervical spine and temporomandibular area. Other techniques have been suggested but need further investigation in larger RCTs. In most cases, ST treatment shows a decrease in tinnitus severity or loudness, but in rare cases, total remission of the tinnitus is achieved.</p>","PeriodicalId":56283,"journal":{"name":"Jaro-Journal of the Association for Research in Otolaryngology","volume":" ","pages":"465-472"},"PeriodicalIF":2.4,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10695899/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41161792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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