Somatosensory Tinnitus: Correlation between Cranio-Cervico-Mandibular Disorder History and Somatic Modulation
| Autor: | Massimo Ralli, Valeria Testugini, Giancarlo Altissimi, Francesca Cianfrone, Massimo Salviati, Filippo Mazzei, Giancarlo Cianfrone, Rosaria Turchetta, Maria Patrizia Orlando |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
Physiology otorhinolaryngology pathology and forensic medicine Comorbidity Audiology Somatosensory system Loudness Correlation Tinnitus 0302 clinical medicine Medicine Musculoskeletal Diseases Young adult 030223 otorhinolaryngology Aged 80 and over tinnitus modulation Middle Aged Temporomandibular Joint Disorders Sensory Systems somatosensory tinnitus medicine.anatomical_structure Italy Cervical Vertebrae Female medicine.symptom Cervical vertebrae Adult medicine.medical_specialty Adolescent Head disorders temporomandibular disorders neck disorders 03 medical and health sciences Speech and Hearing Young Adult Sex Factors otorhinolaryngologic diseases Humans physiology sensory systems 3616 Male gender Aged business.industry medicine.disease Otorhinolaryngology business 030217 neurology & neurosurgery Neck |
| Zdroj: | Audiologyneuro-otology. 21(6) |
| ISSN: | 1421-9700 |
| Popis: | In a subpopulation of patients, tinnitus can be modulated by movements of the jaw or head and neck due to complex somatosensory-auditory interactions. In some of these subjects, tinnitus could be related to an underlying temporomandibular (TMJ) or craniocervical (NECK) dysfunction that, if correctly identified, could streamline treatment and increase chances of tinnitus improvement. However, it is still unclear whether somatic modulation of tinnitus could be used as a screening tool for identifying such patients. In this study, we included 310 tinnitus patients with normal hearing, no psychiatric comorbidities, and a positive history of TMJ and/or NECK dysfunction and/or a positive modulation of tinnitus to evaluate the characteristics of somatic modulation, investigate the relationship between positive history and positive modulation, and identify factors most strongly associated with somatic modulation. Tinnitus modulation was present in 79.67% of the patients. We found a significant association within the same subjects between a positive history and a positive tinnitus modulation for the same region, mainly for TMJ in unilateral tinnitus patients and for TMJ + NECK in bilateral tinnitus patients. A strong correlation between history and modulation in the same somatic region within the same subgroups of subjects was also identified. Most TMJ maneuvers resulted in an increased loudness, while NECK maneuvers showed an increase in tinnitus loudness in about 59% of cases. High-pitched tinnitus and male gender were associated with a higher prevalence of modulation; no differences were found for tinnitus onset, Tinnitus Handicap Inventory score, and age. In this paper, we report a strong association between history and modulation for the same regions within the same patients; such an association should always be investigated to improve chances of a correct diagnosis of somatosensory tinnitus. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|