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This is a relatively simple surgical procedure that involves endoscopically cutting the tensor tympani muscle to eliminate spasms. A tensor tympani tenotomy is the preferred method of treatment due to being a safe and reliable procedure with very high success rates, providing longterm relief from TTTS. [12]
The tensor tympani is a muscle within the middle ear, located in the bony canal above the bony part of the auditory tube, and connects to the malleus bone. Its role is to dampen loud sounds, such as those produced from chewing , shouting, or thunder .
The acoustic reflex (also known as the stapedius reflex, [1] stapedial reflex, [2] auditory reflex, [3] middle-ear-muscle reflex (MEM reflex, MEMR), [4] attenuation reflex, [5] cochleostapedial reflex [6] or intra-aural reflex [6]) is an involuntary muscle contraction that occurs in the middle ear in response to loud sound stimuli or when the person starts to vocalize.
Middle ear myoclonus occurs in the muscles of the middle ear. These muscles may include the tensor tympani and stapedius muscles. It can involve the muscles surrounding the Eustachian tube, which include the tensor veli palatini, levator veli palatini, and salpingopharyngeus. Those affected describe it as a thumping sound or sensation in the ear.
The effectiveness of the "yawning" method can be improved with practice; some people can achieve release or opening by moving their jaw forward or forward and down, rather than straight down as in a classical yawn, [6] and some can do so without moving their jaw at all by activating the tensor tympani muscle, which is heard by the individual as ...
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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]
It has been suggested that the tensor tympani is involved in causing the disorder (see tonic tensor tympani syndrome). [6] [7] In France, researchers report the study of a case of acoustic shock in a scientific publication. They suggest that these symptoms may result from a loop involving the middle ear muscles, peripheral inflammatory ...
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