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Tonic tensor tympani syndrome is a disease of the tensor tympani muscle, described by Klochoff et al. in 1971. [1] [2] The tensor tympani muscle is one of the two middle ear muscles that support the three middle ear bones, called the ossicles. TTTS involves tensor tympani muscle activity being reduced, leading to a decrease in the contraction ...
However, the stapedial muscle is innervated by the facial nerve while the tensor tympani is innervated by the trigeminal nerve. The tensor tympani pulls the manubrium of the malleus inwards and tightens it while the stapedial muscle pulls the stapes inward. This tightening damps the sound vibration that is allowed to penetrate the cochlea.
The trigeminal motor nucleus contains motor neurons that innervate muscles of the first branchial arch, namely the muscles of mastication, the tensor tympani, tensor veli palatini, mylohyoid, and anterior belly of the digastric. [1] It is situated in the upper pons, inferior to the lateral part of the floor of the fourth ventricle. [2]
The medial pterygoid nerve supplies the medial pterygoid muscle, tensor tympani muscle, and tensor veli palatini muscle (via the nerve to tensor veli palatini). [1] The tensor veli palati muscle is the only of the five paired skeletal muscles to the soft palate not innervated by the pharyngeal plexus. [citation needed]
The stapedius muscle, the smallest skeletal muscle in the body, connects to the stapes and is controlled by the facial nerve; the tensor tympani muscle is attached to the upper end of the medial surface of the handle of malleus [2] and is under the control of the medial pterygoid nerve which is a branch of the mandibular nerve of the trigeminal ...
Of note, the tensor tympani muscle is innervated by the trigeminal nerve. The model also explains how whiplash injuries, temporomandibular joint dysfunction, and other conditions affecting the head and neck regions may influence the function of the tensor tympani muscle and contribute to ear symptoms such as pain hyperacusis. [7] [8] [9]
The sensory function of the trigeminal nerve is to provide tactile, proprioceptive, and nociceptive afference to the face and mouth. Its motor function activates the muscles of mastication, the tensor tympani, tensor veli palatini, mylohyoid and the anterior belly of the digastric.
The glenohumeral joint, to which the term "shoulder joint" commonly refers, is a ball-and-socket joint that allows the arm to rotate in a circular fashion or to hinge out and up away from the body. The "ball" is the top, rounded portion of the upper arm bone or humerus; the "socket," or glenoid , is a dish-shaped part of the outer edge of the ...