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Objective Tinnitus Concomitant with Eye Blinking: A Case Report.

Tae Hwan Kim1, Ho Joon Jang1, Soon Hyung Park1

  • 1Department of Otolaryngology, School of Medicine, Keimyung University, Daegu, Korea.

Journal of Audiology & Otology
|September 29, 2015
PubMed
Summary
This summary is machine-generated.

This case study details rare objective tinnitus linked to eye blinking. Tympanic membrane movements during blinking were observed, and the condition was managed with conservative treatment.

Keywords:
Middle ear myoclonusTinnitusTympanometry

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Area of Science:

  • Otolaryngology
  • Neuroscience
  • Audiology

Background:

  • Tinnitus is a common auditory symptom, often subjective and linked to otological conditions.
  • Objective tinnitus, unlike subjective tinnitus, originates from non-auditory sources like vascular, myogenic, or eustachian tube issues.

Purpose of the Study:

  • To present a rare case of intermittent unilateral tinnitus associated with eye blinking.
  • To review the literature on objective tinnitus and its potential causes.

Main Methods:

  • Otoendoscopic examination to assess the external auditory canals and tympanic membranes.
  • Impedance audiometry, including tympanometry and stapedial reflexes, to evaluate middle ear function.
  • Observation of tympanic membrane movement correlated with eyelid blinking.

Main Results:

  • Otoendoscopic examination revealed normal external auditory canals and tympanic membranes.
  • Rhythmic movements of both tympanic membranes were observed during eye blinking, coinciding with tinnitus episodes.
  • Impedance audiometry showed characteristic saw-tooth patterns in tympanometry and stapedial reflexes, confirming tympanic membrane movement linked to blinking.

Conclusions:

  • The case demonstrates a rare instance of objective tinnitus caused by the mechanical linkage between eyelid blinking and tympanic membrane movement.
  • Conservative management, including reassurance and medication, proved effective in controlling the symptoms.
  • This case highlights the importance of considering para-auditory structures in the etiology of objective tinnitus.