Somatic Tinnitus and Treatment ⁠— New Evidence

Discussion in 'Research News' started by Hazel, Aug 6, 2019.

    1. Am92

      Am92 Member

      Tinnitus Since:
      06/2016
      Cause of Tinnitus:
      Assaulted
      Hi everyone,

      I've just stumbled across this thread, but I'm not very well educated on all the different types of tinnitus.

      I got tinnitus suddenly over 3 years ago after taking multiple punches by some thugs, one most notably that caught me in the ear/TMJ area that I believe did the damage. I supposedly have no hearing loss and apparent super hearing so my audiologist says, but I've had 24/7 tinnitus ever since.

      I have around three different sounds, one sounding like morse code, and I can make my tinnitus louder by neck and especially jaw movements. It also seems to get worse when my jaw or neck is sore and I have a jelly bean sized lump in front of my ear/TMJ area, that feels like a ligament of some sort, which moves when I open and close my mouth.

      Is this somatic tinnitus or some other type?
       
    2. Autumnly
      Wishful

      Autumnly Member Podcast Patron Benefactor Ambassador Hall of Fame Advocate

      Tinnitus Since:
      2013
      Cause of Tinnitus:
      Noise-induced
      Treatment of Somatosensory Tinnitus:
      A Randomized Controlled Trial Studying the Effect of Orofacial Treatment as Part of a Multidisciplinary Program

      Abstract

      Background: Tinnitus, or ringing in the ears, is a perception of sound in the absence of overt acoustic stimulation. In some cases, tinnitus can be influenced by temporomandibular somatosensory input, then called temporomandibular somatosensory tinnitus (TST). It is, however, not entirely known if orofacial treatment can decrease tinnitus severity. The purpose of this study was to evaluate the effect of orofacial treatment on tinnitus complaints in patients with TST.

      Methods: Adult patients with TST were included, and all patients received information and advice about tinnitus and conservative orofacial treatment consisting of physical therapy, and, in case of grinding, occlusal splints were applied. Included patients were randomly assigned to an early start group and a delayed start group according to our delayed treatment design.

      Results: In total, 40 patients were included in each group. The treatment effect on tinnitus severity was investigated using the tinnitus questionnaire (TQ) and Tinnitus Functional Index (TFI). Regarding the TQ score, no clinically relevant reductions were observed, and no significant differences in the decrease were observed between the early start group and delayed start group. Contrarily, a significantly higher percentage of patients showed a decrease in the TQ degree in the early start group compared to the delayed start group (30.0% versus 2.8%, p= 0.006). The TFI score did show a significantly greater and clinically relevant reduction in the early start group compared to the delayed start group (p = 0.042).

      Conclusion: A multidisciplinary non-invasive orofacial treatment was able to reduce tinnitus severity in patients with temporomandibular related somatosensory tinnitus, compared to a single session of information and advice.

      • moderate to severe chronic subjective tinnitus was defined as a TFI score between 25 - 90 that had been stable for at least three months; 25 seems quite low for moderate
      • they don't mention for how long the patients had had tinnitus
       
      • Informative Informative x 2
    3. Frédéric

      Frédéric Member Podcast Patron Benefactor Advocate

      Location:
      Marseille, France
      Tinnitus Since:
      11/19/2012
      Cause of Tinnitus:
      acoustic trauma
      A new paper from Sarah Michiels (I don't know if it can integrate the pool of articles for the next round vote, it is not a breaktrough new per se but rather a summary of what Sarah Michiels achieved so far).

      Diagnosing and managing somatic tinnitus
       

      Attached Files:

    4. Frédéric

      Frédéric Member Podcast Patron Benefactor Advocate

      Location:
      Marseille, France
      Tinnitus Since:
      11/19/2012
      Cause of Tinnitus:
      acoustic trauma
      A population-based case–control study of the association between cervical spondylosis and tinnitus

      Abstract
      Objective
      This population-based study aimed to study the association between tinnitus and cervical spondylosis.

      Design
      A case–control study.

      Study sample
      We retrieved data from the Taiwan Longitudinal Health Insurance Database. We identified 2465 patients with tinnitus (cases) and 7395 comparison patients by propensity score matching. Multivariable logistic regressions were conducted to estimate the odds (OR) of a diagnosis of cervical spondylosis preceding the tinnitus diagnosis relative to controls.

      Results
      We found that 1596 (16.19%) of 9860 sample patients had received a diagnosis of cervical spondylosis before the index date, significantly different between the tinnitus group and control group (17.20% vs. 15.85%, p < 0.001). Logistic regression analysis showed an adjusted OR for prior cervical spondylosis of 1.235 for cases vs. controls (95% confidence interval [CI]: 1.088–1.402). Further, the adjusted ORs were 1.246 (95% CI: 1.041–1.491) and 1.356 (95% CI: 1.016–1.811), respectively, among patients aged 45 ∼ 64 and >64 groups. No difference in cervical spondylosis likelihood between cases and controls was found among patients aged 18 ∼ 44 groups.

      Conclusions
      In conclusion, the study shows a positive association between cervical spondylosis and tinnitus. The findings call for greater awareness among physicians about a possible somatosensory component of cervical spine function which may contribute to tinnitus.

      Source: https://www.tandfonline.com/doi/abs/10.1080/14992027.2020.1817996
       

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