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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.
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 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.
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]
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 ...
OTC pain medications, such as acetaminophen, ibuprofen or naproxen, may also help soothe pain that derives from muscle cramps. “In rare cases, your doctor might prescribe a muscle relaxer ...
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.
Acoustic reflex or attenuation reflex — contraction of the stapedius and tensor tympani muscles in the middle ear in response to high sound intensities. Anal wink - contraction of the external anal sphincter upon stroking of the skin around the anus.