Somatosensorischer Tinnitus

Biesinger, E.; Groth, Anne Karoline; Höing, R; Hölzl, M.

doi:10.1007/s00106-014-2971-9

Cited by 15 publications

(14 citation statements)

References 19 publications

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“…From the literature, many authors have diagnosed a patient with ST according to whether the patient could modulate the tinnitus by either voluntary movements or somatic maneuvers ( Biesinger et al., 2015 ; Haider et al., 2017 ; Ward et al., 2015 ). Our consensus meeting panel recognized the importance of somatic modulation, especially by voluntary movements, for the ST diagnosis but added that the absence of this ability does not rule out ST .…”

Section: Discussionmentioning

confidence: 99%

“…Voting results consensus meeting Biesinger et al (2015), Haider et al (2017), Ward et al (2015), Vielsmeier et al (2012), Sanchez and Rocha (2011), Levine and Oron (2015), and Bechter, Wieland, and Hamann (2016) The patient is able to modulate the tinnitus by voluntary movements of the head or neck.…”

Section: References Potential Diagnostic Criterionmentioning

confidence: 99%

“…In addition, Sanchez and Rocha (2011) mention that ST often changes its loudness, pitch, or localization during stimulation in the head or neck region. Others ( Biesinger, Groth, Hoing, & Holzl, 2015 ; Ward, Vella, Hoare, & Hall, 2015 ) state that the presence of this somatic modulation, through voluntary movements or specific resistance tests, is very important, if not the most important criterion, in diagnosing ST. These differences in diagnostic criteria might, at least partially, explain the large differences in prevalence of ST, which vary from 16% to 83% in different studies ( Abel & Levine, 2004 ; Levine, Abel, & Cheng, 2003 ; Michiels, De Hertogh, Truijen, & Van de Heyning, 2015 ; Ralli et al., 2017 ; Simmons, Dambra, Lobarinas, Stocking, & Salvi, 2008 ; Ward et al., 2015 ; Won et al., 2013 ).…”

Section: Introductionmentioning

confidence: 99%

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Diagnostic Criteria for Somatosensory Tinnitus: A Delphi Process and Face-to-Face Meeting to Establish Consensus

et al. 2018

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Since somatic or somatosensory tinnitus (ST) was first described as a subtype of subjective tinnitus, where altered somatosensory afference from the cervical spine or temporomandibular area causes or changes a patient’s tinnitus perception, several studies in humans and animals have provided a neurophysiological explanation for this type of tinnitus. Due to a lack of unambiguous clinical tests, many authors and clinicians use their own criteria for diagnosing ST. This resulted in large differences in prevalence figures in different studies and limits the comparison of clinical trials on ST treatment. This study aimed to reach an international consensus on diagnostic criteria for ST among experts, scientists and clinicians using a Delphi survey and face-to-face consensus meeting strategy. Following recommended procedures to gain expert consensus, a two-round Delphi survey was delivered online, followed by an in-person consensus meeting. Experts agreed upon a set of criteria that strongly suggest ST. These criteria comprise items on somatosensory modulation, specific tinnitus characteristics, and symptoms that can accompany the tinnitus. None of these criteria have to be present in every single patient with ST, but in case they are present, they strongly suggest the presence of ST. Because of the international nature of the survey, we expect these criteria to gain wide acceptance in the research field and to serve as a guideline for clinicians across all disciplines. Criteria developed in this consensus paper should now allow further investigation of the extent of somatosensory influence in individual tinnitus patients and tinnitus populations.

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Section: Discussionmentioning

confidence: 99%

Section: References Potential Diagnostic Criterionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Diagnostic Criteria for Somatosensory Tinnitus: A Delphi Process and Face-to-Face Meeting to Establish Consensus

et al. 2018

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“…Klinische Beobachtungen zeigen, dass auch Halswirbelsäulen und Kiefergelenksbeschwerden für eine Tinnitusentstehung relevant sein können [4,[68][69][70]…”

Section: Somatosensorischer Tinnitusunclassified

Tinnitus – Klinik und Therapie

2017

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Tinnitus is a phantom sound that can be a symptom of various disorders such as hearing loss, cardiovascular diseases, neurological disorders, diabetes or tumors. Because of the inability to divert the auditory attention from tinnitus sound, patients suffer with insomnia, problems with concentration and other psychological conditions, in some extreme cases including major depression symptoms. The auditory character of tinnitus induces the patients to seek help predominantly at the otolaryngologist practice. The first aim of a physician is to establish the cause of tinnitus and to measure its audiological properties. The second aim is to estimate the tinnitus-induced distress and to grade its psychological severity. This manuscript is dedicated to describe the audiological as well as psychological properties of tinnitus, its contemporary classification and the therapeutic methods used in the field.

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“…The diagnosis of SST is challenging and is mainly based on medical history [1]. A variety of treatments have been proposed, including physiotherapy [15,[17][18][19], osteopathy [15,17,18], chirotherpay [3] neural therapy [15,17,18], electro stimulation [19], acupuncture [20], transcranial magnetic stimulation [20,21], and brain stimulation [20,22,23].…”

Section: Introductionmentioning

confidence: 99%

Cervical Medial Branch Blocks For The Diagnosis Of Somatosensory Tinnitus. A Pilot Study.

Klessinger

2016

JOA

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The purpose was to discover if medial branch blocks (MBBs) of the cervical spine can be used as a diagnostic tool to identify patients with somatosensory tinnitus. MBBs are a diagnostic tool to confirm the diagnosis facet joint pain in patients with neck pain. It is not known, if MBBs are also suitable for testing other symptoms than pain. However, the existence of neural connections between the auditory system and the cervical region can be assumed. Included were 22 consecutive patients presenting with tinnitus, who had received MBBs in a ten years' period. Patients were tested with a MBB with bupivacaine and triamcinolone. Injections were performed with fluoroscopic visualization using established techniques. The mean follow-up time was 6.2 weeks. Tinnitus was analyzed through the global clinical impression of the patient. Seven patients (31.8 %) experienced a significant improvement of the tinnitus. In one patient a thermal radiofrequency neurotomy was done after positive response to two MBBs. The pain relief and a significant reduction of the tinnitus sustained at the follow-up examination 20 weeks after the denervation. No statistically significant difference was found in age, gender, duration of symptoms, additional neck pain or vertigo, or side or level of the intervention. This pilot study shows the feasibility to identify patients with somatosensory tinnitus with MBBs. Further studies with the primary intention on tinnitus are necessary to prove the significance of MBBs. After a positive response to MBBs, treatment with radiofrequency neurotomy is the rational consequence.

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Somatosensorischer Tinnitus

Cited by 15 publications

References 19 publications

Diagnostic Criteria for Somatosensory Tinnitus: A Delphi Process and Face-to-Face Meeting to Establish Consensus

Diagnostic Criteria for Somatosensory Tinnitus: A Delphi Process and Face-to-Face Meeting to Establish Consensus

Tinnitus – Klinik und Therapie

Cervical Medial Branch Blocks For The Diagnosis Of Somatosensory Tinnitus. A Pilot Study.

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