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Bilateral tinnitus due to middle-ear myoclonus
Avishay Golz1, Milo Fradis, Aviram Netzer
1Departments of Otolaryngology-Head and Neck Surgery, Rambam Medical Center, POB 9602, Haifa 31096, Israel. golz@netvision.net.il
The International Tinnitus Journal
|February 7, 2004
Summary
Objective tinnitus, a rare condition caused by middle-ear myoclonus, was effectively treated in three patients. Surgical intervention involving tendon sectioning provided a complete cure for this debilitating auditory symptom.
Area of Science:
- Otolaryngology
- Neurology
- Auditory Medicine
Background:
- Tinnitus is a prevalent otological symptom, typically subjective and perceived only by the patient.
- Objective tinnitus, audible to both patient and examiner, is exceptionally rare.
- Middle-ear myoclonus is an infrequent cause of objective tinnitus.
Observation:
- This report details three cases of objective tinnitus stemming from middle-ear myoclonus.
- Patients presented with distinct auditory experiences related to involuntary middle ear muscle contractions.
Findings:
- All three patients diagnosed with objective tinnitus due to middle-ear myoclonus experienced a complete cure.
- The successful treatment involved tympanotomy with sectioning of the stapedial and tensor tympani tendons.
Implications:
- Surgical intervention, specifically tympanotomy with tendon sectioning, offers a viable and curative solution for objective tinnitus caused by middle-ear myoclonus.
- These findings contribute to the limited literature on objective tinnitus, highlighting a specific surgical approach for this rare condition.