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In many people with hyperacusis, an increased activity develops in the tensor tympani muscle in the middle ear as part of the startle response to some sounds. This lowered reflex threshold for tensor tympani contraction is activated by the perception/anticipation of loud sound, and is called tonic tensor tympani syndrome (TTTS). In some people ...
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.
Paralysis of the stapedius muscle may result when the nerve to the stapedius, a branch of the facial nerve, is damaged, or when the facial nerve itself is damaged before the nerve to stapedius branches. In cases of Bell's palsy, a unilateral paralysis of the facial nerve, the stapedius is paralyzed and hyperacusis may result. [3]
Bell's palsy can trigger hyperacusis if the associated flaccid paralysis affects the tensor tympani, and stapedius, two small muscles of the middle ear. [33] Paralysis of the stapedius muscle prevents its function in dampening the oscillations of the ossicles, causing sound to be abnormally loud on the affected side. [34]
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 ...
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 ...
Celine Dion‘s sister, Claudette Dion, claims her sister has lost control of her muscles due to her Stiff-Person Syndrome — a progressive neurological disorder that affects the brain and the ...
Also located in the middle ear are the stapedius muscle and tensor tympani muscle, which protect the hearing mechanism through a stiffening reflex. The stapes transmits sound waves to the inner ear through the oval window , a flexible membrane separating the air-filled middle ear from the fluid-filled inner ear.