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Middle ear myoclonus occurs in the muscles of the middle ear. These muscles may include the tensor tympani and stapedius muscles. It can involve the muscles surrounding the Eustachian tube, which include the tensor veli palatini, levator veli palatini, and salpingopharyngeus. Those affected describe it as a thumping sound or sensation in the ear.
The purpose of the middle ear is to deliver the sound waves from the outer ear to the cochlea of the inner ear. When external sound contacts the eardrum, the ossicles vibrate. This vibration can be amplified depending on the volume of the sound. When sound approaches over 70 decibels, the tensor tympani muscle contracts to assist in stabilizing ...
Middle ear causes of pulsatile tinnitus include patulous eustachian tube, otosclerosis, or middle ear myoclonus (e.g., stapedial or tensor tympani myoclonus). The most common inner ear cause of pulsatile tinnitus is superior semicircular canal dehiscence. [58] Pulsatile tinnitus may also indicate idiopathic intracranial hypertension. [59]
The tensor tympani is a muscle within the middle ear, located in the bony canal above the bony part of the auditory tube, and connects to the malleus bone. Its role is to dampen loud sounds, such as those produced from chewing , shouting, or thunder .
Drug treatment to improve muscle coordination has a low success rate. However, the following drugs may be prescribed: clonazepam, amantadine, gabapentin, or buspirone. Occupational or physical therapy may also alleviate lack of coordination. Changes to diet and nutritional supplements may also help. Treatment will depend on the cause.
Tympanoplasty is classified into five different types, originally described by Horst Ludwig Wullstein (1906–1987) in 1956. [1] [2]Type 1 involves repair of the tympanic membrane alone, when the middle ear is normal.
Hyperacusis is an increased sensitivity to sound and a low tolerance for environmental noise. Definitions of hyperacusis can vary significantly; it often revolves around damage to or dysfunction of the stapes bone, stapedius muscle or tensor tympani ().
Computerised tomography (CT) can be used to determine if disease is present in the middle ear. [12] Whilst hearing loss is a common symptom in many diseases of the ear, for example in otosclerosis (abnormal bone growth in the ear), [ 3 ] the white, chalky patches on the tympanic membrane are fairly characteristic of tympanosclerosis.