Comparison of Clinical Characteristics and Somatic Modulation between Somatic Tinnitus and Otic Tinnitus

An, Yong-Hwi; Choi, Alyssa Y.; Yoon, Sang Won; Shim, Hyun Joon

doi:10.1159/000332048

Cited by 8 publications

(12 citation statements)

References 22 publications

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“…Of the head and neck maneuvers, jaw manipulations such as protruding, sliding or clenching usually produce the most modulation, which is consistent with the fact that tinnitus is common in patients with TMD [Abel and Levine, 2004;Simmons et al, 2008;An et al, 2011]. However, in general, jaw maneuvers have been reported to increase the loudness of tinnitus, whereas neck maneuvers tend to decrease loudness, which is consistent with the results of our study.…”

Section: Discussionsupporting

confidence: 91%

“…No modulation with all 19 maneuvers occurred; tinnitus was modulated in 1 ear with 18 maneuvers. Table 4 shows the prevalence and direction of somatic modulation found in the present and six previous studies [Levine, 1999b;Sanchez et al, 2002;Levine et al, 2003;Abel and Levine, 2004;Sanchez et al, 2007;An et al, 2011]. The total prevalence of somatic modulation varied among studies (58-83%).…”

Section: Prevalence and Amount Of Somatic Modulationmentioning

confidence: 52%

See 1 more Smart Citation

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

Won¹,

Yoo²,

Lee³

et al. 2013

Audiol Neurotol

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Forceful contractions of neck and jaw muscles have consistently been shown to modulate tinnitus and can be used to screen patients who are responsive to somatic stimulation and, therefore, optimal candidates for somatosensory-based treatment. To identify the factors associated with somatic modulation of tinnitus, 163 patients underwent 19 neck and jaw maneuvers after an extensive physiological and audiological profile was compiled. Overall, tinnitus was modulated in 57.1% of ears tested. Unilateral tinnitus showed greater prevalence of modulation. Neck maneuvers generally decreased tinnitus loudness, whereas jaw maneuvers increased loudness. Female gender and buzzing tinnitus were associated with a high prevalence of modulation and a decrease in tinnitus loudness. Loud tinnitus and low-pitched tonal tinnitus were associated with exacerbation of the condition as a result of somatic testing. Use of these characteristics to select optimal candidates for somatosensory-based tinnitus therapies may be essential for the development of an effective approach for tinnitus treatment.

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Section: Discussionsupporting

confidence: 91%

Section: Prevalence and Amount Of Somatic Modulationmentioning

confidence: 52%

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

Won¹,

Yoo²,

Lee³

et al. 2013

Audiol Neurotol

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show abstract

“…To date, the correlation between higher percentages of tinnitus modulation and the presence of somatic disorders is still debated [Wright and Bifano, 1997;Sanchez et al, 2002;An et al, 2011;Vielsmeier et al, 2011Vielsmeier et al, , 2012. Such a connection, if present, could help identify tinnitus patients with underlying head/neck dysfunctions that could play a role in their tinnitus and patients who could benefit from further multidisciplinary investigation and physical therapy; the presence of tinnitus modulation in the somatic region for which the patient reported a positive history could be good evidence in support of this assumption.…”

Section: Introductionmentioning

confidence: 99%

Somatosensory Tinnitus: Correlation between Cranio-Cervico-Mandibular Disorder History and Somatic Modulation

et al. 2016

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In a subpopulation of patients, tinnitus can be modulated by movements of the jaw or head and neck due to complex somatosensory-auditory interactions. In some of these subjects, tinnitus could be related to an underlying temporomandibular (TMJ) or craniocervical (NECK) dysfunction that, if correctly identified, could streamline treatment and increase chances of tinnitus improvement. However, it is still unclear whether somatic modulation of tinnitus could be used as a screening tool for identifying such patients. In this study, we included 310 tinnitus patients with normal hearing, no psychiatric comorbidities, and a positive history of TMJ and/or NECK dysfunction and/or a positive modulation of tinnitus to evaluate the characteristics of somatic modulation, investigate the relationship between positive history and positive modulation, and identify factors most strongly associated with somatic modulation. Tinnitus modulation was present in 79.67% of the patients. We found a significant association within the same subjects between a positive history and a positive tinnitus modulation for the same region, mainly for TMJ in unilateral tinnitus patients and for TMJ + NECK in bilateral tinnitus patients. A strong correlation between history and modulation in the same somatic region within the same subgroups of subjects was also identified. Most TMJ maneuvers resulted in an increased loudness, while NECK maneuvers showed an increase in tinnitus loudness in about 59% of cases. High-pitched tinnitus and male gender were associated with a higher prevalence of modulation; no differences were found for tinnitus onset, Tinnitus Handicap Inventory score, and age. In this paper, we report a strong association between history and modulation for the same regions within the same patients; such an association should always be investigated to improve chances of a correct diagnosis of somatosensory tinnitus.

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“…Somatic modulation has been reported in approximately two-thirds of tinnitus patients 35,43 ; other studies revealed tinnitus modulation in 85% 45 TMJ is the most common affected region in patients with somatic tinnitus. Rubinstein studied 102 individuals with tinnitus reporting that about one-third of the patients had influence on tinnitus by mandibular movements and/ or pressure applied to the temporomandibular joint [63][64][65] and found that subjects with tinnitus had a significantly higher prevalence of cranio-mandibular disorders. Chole 58 found tinnitus to be significantly more prevalent among a group of 338 patients with TMJ disorders compared to 694 controls.…”

Section: Considerations On Somatic Modulation Of Tinnitusmentioning

confidence: 99%

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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Comparison of Clinical Characteristics and Somatic Modulation between Somatic Tinnitus and Otic Tinnitus

Cited by 8 publications

References 22 publications

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

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

Somatosensory Tinnitus: Correlation between Cranio-Cervico-Mandibular Disorder History and Somatic Modulation

Somatic Tinnitus

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