Subtyping patients with somatic tinnitus: Modulation of tinnitus and history for somatic dysfunction help identify tinnitus patients with temporomandibular joint disorders

Ralli, Massimo; Greco, Antonio; Boccassini, Armando; Altissimi, G; Paolo, Carlo Di; Falasca, Vincenzo; Virgilio, Armando De; Polimeni, Antonella; Cianfrone, Giancarlo; Vincentiis, Marco de

doi:10.1371/journal.pone.0202050

Cited by 15 publications

(13 citation statements)

References 52 publications

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“…This effect is analogous to the generation of phantom sensations after limb amputation. Another possible explanation is the effect of altered somatosensory input on auditory centre activity [20], which also fits with the observation that between 65.3% and 83.3% of patients can modulate their tinnitus by manipulations of the jaw, movements of the eyes, or pressure applied to the head and neck region involving TMJ [18]. It seems that modulation is increased in patients with somatic tinnitus, but some of the patients without an underlying somatic disorder are also able to modulate their tinnitus.…”

Section: Pathophysiologysupporting

confidence: 78%

“…It seems that modulation is increased in patients with somatic tinnitus, but some of the patients without an underlying somatic disorder are also able to modulate their tinnitus. Therefore, capability of tinnitus modulation cannot be used as a sole indicator for the somatic origin of tinnitus [18]. It seems also that any source of deep pain in the head and neck region can be involved in the development of tinnitus, such as dental pulpalgia [25].…”

Section: Pathophysiologymentioning

confidence: 99%

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The role of the dentist in the treatment of patients with tinnitus

Wójcicki¹,

Szkutnik²,

Różyło‐Kalinowska³

2019

jos

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Tinnitus is a sensation of noise (such as ringing, roaring, buzzing, or whistling) without any external physical source of that sound. It affects about 15% of the adult population, of whom 2.5% report severely disturbing tinnitus. It is believed that temporomandibular disorders (TMD) are correlated with tinnitus. According to different studies, from 7% to 60% of patients with TMD also report tinnitus. The aim of this study was to point out the role of the dentist in managing patients with tinnitus. Untreated tinnitus can lead to serious debilitation and provoke suicidal tendencies. It is crucial to notice acute pulsating tinnitus, tinnitus with sudden, acute hearing loss, and acute post-traumatic tinnitus because these conditions are potentially life-threatening and require immediate referral to otolaryngologist. Worth noting is that similar psychological factors involved in the development of TMD (stress, depression, somatisation) also affect the generation of tinnitus. It is important to properly diagnose tinnitus and address it. Because of frequent coexistence of tinnitus and TMD, patients reporting to the dentist with TMD should be also asked about tinnitus. Different possible aetiologies and many factors involved in the onset and progression of tinnitus can impede the diagnosing process, which leads to the requirement of a multidisciplinary approach as well as discipline and cooperation on the part of the patient and the doctor.

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Section: Pathophysiologysupporting

confidence: 78%

Section: Pathophysiologymentioning

confidence: 99%

The role of the dentist in the treatment of patients with tinnitus

Wójcicki¹,

Szkutnik²,

Różyło‐Kalinowska³

2019

jos

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“…Our review shows a prevalence of tinnitus of 26.3% in PMs in the studies that investigated the symptom; it was almost equally distributed between CL and PR PMs. Tinnitus may follow audiological, somatic, or psychological conditions [ 13 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 ]; risk factors for tinnitus include HL and increasing age [ 15 , 16 , 81 ]. The elevate prevalence of HL found in PMs can explain the presence of tinnitus in these patients; however, there was no higher prevalence of tinnitus among PR PMs compared to CL PRs.…”

Section: Discussionmentioning

confidence: 99%

Hearing Loss, Tinnitus, Hyperacusis, and Diplacusis in Professional Musicians: A Systematic Review

Stadio

Dipietro

Ricci

et al. 2018

IJERPH

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Professional musicians (PMs) are at high risk of developing hearing loss (HL) and other audiological symptoms such as tinnitus, hyperacusis, and diplacusis. The aim of this systematic review is to (A) assess the risk of developing HL and audiological symptoms in PMs and (B) evaluate if different music genres (Pop/Rock Music—PR; Classical Music—CL) expose PMs to different levels of risk of developing such conditions. Forty-one articles including 4618 PMs were included in the study. HL was found in 38.6% PMs; prevalence was significantly higher among PR (63.5%) than CL (32.8%) PMs; HL mainly affected the high frequencies in the 3000-6000 Hz range and was symmetric in 68% PR PMs and in 44.5% CL PMs. Tinnitus was the most common audiological symptom, followed by hyperacusis and diplacusis. Tinnitus was almost equally distributed between PR and CL PMs; diplacusis was more common in CL than in PR PMs, while prevalence of hyperacusis was higher among PR PMs. Our review showed that PR musicians have a higher risk of developing HL compared to CL PMs; exposure to sounds of high frequency and intensity and absence of ear protection may justify these results. Difference in HL symmetry could be explained by the type of instruments used and consequent single-sided exposure.

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“…performed to evaluate the presence somatic tinnitus [18][19][20][21][22] ; all maneuvers on the temporomandibular joint and head and neck did not induce a modulation of tinnitus pitch or loudness, thus excluding a somatosensory origin of tinnitus.…”

Section: Taste Disorders In Msmentioning

confidence: 99%

Ageusia, Hyposmia, Dizziness and Tinnitus as Presenting Symptoms of Multiple Sclerosis

Ralli¹,

DâAguanno²,

Altieri³

et al. 2018

The International Tinnitus Journal

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Multiple Sclerosis (MS) is a chronic inflammatory and neurodegenerative disease of the central nervous system characterized by the destruction of myelin sheaths and axonal loss. Presenting symptoms of multiple sclerosis may vary and if not promptly identified may lead to a delayed diagnosis of Multiple sclerosis. In this paper, we present a rare case of a patient with ageusia as presenting symptom of Multiple sclerosis; the symptom spontaneously resolved after two weeks and was followed by hyposmia, dizziness, tinnitus and facial paraesthesia that eventually led to a clinical diagnosis of Multiple sclerosis. The presence of gustatory, olfactory and audio-vestibular symptoms has been associated with disease activity and progression of several inflammatory and neurodegenerative diseases of the central nervous system including Multiple sclerosis. Gustatory alterations may be due to the presence of demyelinating lesion in the brain area of taste; the progression of the disease may explain the additional olfactory and audio-vestibular symptoms described in this patient. Even if taste alteration is an extremely rare presenting symptom of Multiple sclerosis, its presence in young women should always be carefully investigated as it could be an early sign of Multiple sclerosis.

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Subtyping patients with somatic tinnitus: Modulation of tinnitus and history for somatic dysfunction help identify tinnitus patients with temporomandibular joint disorders

Cited by 15 publications

References 52 publications

The role of the dentist in the treatment of patients with tinnitus

The role of the dentist in the treatment of patients with tinnitus

Hearing Loss, Tinnitus, Hyperacusis, and Diplacusis in Professional Musicians: A Systematic Review

Ageusia, Hyposmia, Dizziness and Tinnitus as Presenting Symptoms of Multiple Sclerosis

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