Objective Tinnitus Concomitant with Eye Blinking: A Case Report
Tinnitus is a common auditory phenomenon associated with many otological diseases, and is usually subjective. Objective tinnitus can be generated by para-auditory structures, usually derived from vascular or myogenic sources, or the eustachian tube. We present a rare case of intermittent unilateral...
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Published in | Journal of audiology & otology Vol. 19; no. 2; pp. 101 - 103 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
Korea (South)
The Korean Audiological Society
01.09.2015
대한청각학회 |
Subjects | |
Online Access | Get full text |
ISSN | 2384-1621 2384-1710 |
DOI | 10.7874/jao.2015.19.2.101 |
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Abstract | Tinnitus is a common auditory phenomenon associated with many otological diseases, and is usually subjective. Objective tinnitus can be generated by para-auditory structures, usually derived from vascular or myogenic sources, or the eustachian tube. We present a rare case of intermittent unilateral tinnitus associated with eye blinking. Otoendoscopic examination showed that the external auditory canals and tympanic membranes were normal; however, rhythmic movements of both tympanic membranes, concomitant with the tinnitus, were evident whenever the patient blinked. The tympanometry and stapedial reflexes measured via impedance audiometry exhibited saw-tooth patterns; movement of the tympanic membrane was associated with eyelid blinking. The patient was managed conservatively, with reassurance and medication, and the condition became well-controlled. Here, we present this educational case and review the literature. |
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AbstractList | Tinnitus is a common auditory phenomenon associated with many otological diseases, and is usually subjective. Objective tinnitus can be generated by para-auditory structures, usually derived from vascular or myogenic sources, or the eustachian tube. We present a rare case of intermittent unilateral tinnitus associated with eye blinking. Otoendoscopic examination showed that the external auditory canals and tympanic membranes were normal; however, rhythmic movements of both tympanic membranes, concomitant with the tinnitus, were evident whenever the patient blinked. The tympanometry and stapedial reflexes measured via impedance audiometry exhibited saw-tooth patterns; movement of the tympanic membrane was associated with eyelid blinking. The patient was managed conservatively, with reassurance and medication, and the condition became well-controlled. Here, we present this educational case and review the literature. KCI Citation Count: 0 Tinnitus is a common auditory phenomenon associated with many otological diseases, and is usually subjective. Objective tinnitus can be generated by para-auditory structures, usually derived from vascular or myogenic sources, or the eustachian tube. We present a rare case of intermittent unilateral tinnitus associated with eye blinking. Otoendoscopic examination showed that the external auditory canals and tympanic membranes were normal; however, rhythmic movements of both tympanic membranes, concomitant with the tinnitus, were evident whenever the patient blinked. The tympanometry and stapedial reflexes measured via impedance audiometry exhibited saw-tooth patterns; movement of the tympanic membrane was associated with eyelid blinking. The patient was managed conservatively, with reassurance and medication, and the condition became well-controlled. Here, we present this educational case and review the literature.Tinnitus is a common auditory phenomenon associated with many otological diseases, and is usually subjective. Objective tinnitus can be generated by para-auditory structures, usually derived from vascular or myogenic sources, or the eustachian tube. We present a rare case of intermittent unilateral tinnitus associated with eye blinking. Otoendoscopic examination showed that the external auditory canals and tympanic membranes were normal; however, rhythmic movements of both tympanic membranes, concomitant with the tinnitus, were evident whenever the patient blinked. The tympanometry and stapedial reflexes measured via impedance audiometry exhibited saw-tooth patterns; movement of the tympanic membrane was associated with eyelid blinking. The patient was managed conservatively, with reassurance and medication, and the condition became well-controlled. Here, we present this educational case and review the literature. Tinnitus is a common auditory phenomenon associated with many otological diseases, and is usually subjective. Objective tinnitus can be generated by para-auditory structures, usually derived from vascular or myogenic sources, or the eustachian tube. We present a rare case of intermittent unilateral tinnitus associated with eye blinking. Otoendoscopic examination showed that the external auditory canals and tympanic membranes were normal; however, rhythmic movements of both tympanic membranes, concomitant with the tinnitus, were evident whenever the patient blinked. The tympanometry and stapedial reflexes measured via impedance audiometry exhibited saw-tooth patterns; movement of the tympanic membrane was associated with eyelid blinking. The patient was managed conservatively, with reassurance and medication, and the condition became well-controlled. Here, we present this educational case and review the literature. |
Author | Nam, Sung-Il Jang, Ho Joon Park, Soon Hyung Kim, Tae Hwan |
AuthorAffiliation | Department of Otolaryngology, School of Medicine, Keimyung University, Daegu, Korea |
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Author_xml | – sequence: 1 givenname: Tae Hwan surname: Kim fullname: Kim, Tae Hwan – sequence: 2 givenname: Ho Joon surname: Jang fullname: Jang, Ho Joon – sequence: 3 givenname: Soon Hyung surname: Park fullname: Park, Soon Hyung – sequence: 4 givenname: Sung-Il surname: Nam fullname: Nam, Sung-Il |
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CitedBy_id | crossref_primary_10_1002_lary_26191 crossref_primary_10_1016_S1632_3475_23_47632_1 crossref_primary_10_1177_0145561320942067 crossref_primary_10_1016_S1639_870X_23_47794_X crossref_primary_10_1177_01455613231159132 crossref_primary_10_1007_s00106_018_0471_z crossref_primary_10_1177_2331216518801725 crossref_primary_10_1016_j_amjoto_2021_103228 crossref_primary_10_17116_otorino201782380_83 |
Cites_doi | 10.1017/S0022215100126866 10.1288/00005537-198109000-00003 10.1177/0194599811434504 10.1002/lary.23854 10.1159/000275177 10.1016/j.anl.2012.11.007 10.1017/S0022215100103573 10.1002/lary.23420 10.1017/S0022215100118560 10.1002/lary.1978.88.9.1477 10.1016/j.clineuro.2010.07.022 |
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Keywords | Middle ear myoclonus Tympanometry Tinnitus |
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References | ref15 ref14 Marchiando (ref4) 1983 ref11 ref10 Chan (ref13) 2010 ref2 ref1 ref8 ref7 ref3 ref6 Williams (ref12) 1995 ref5 Rock (ref9) 1995 4474647 - ORL J Otorhinolaryngol Relat Spec. 1974;36(4):217-26 7872143 - Adv Neurol. 1995;65:231-57 682804 - Laryngoscope. 1978 Sep;88(9 Pt 1):1477-84 21609914 - Int Tinnitus J. 2010;16(1):51-4 22261497 - Otolaryngol Head Neck Surg. 2012 May;146(5):698-706 23260344 - Auris Nasus Larynx. 2013 Oct;40(5):518-20 23918695 - Laryngoscope. 2013 Oct;123(10):2516-20 22778030 - Laryngoscope. 2012 Sep;122(9):2071-5 7346684 - Laryngoscope. 1981 Sep;91(9 Pt 1):1427-35 1541889 - J Laryngol Otol. 1992 Jan;106(1):44-5 8035114 - J Laryngol Otol. 1994 May;108(5):380-2 3430042 - J Laryngol Otol. 1987 Dec;101(12):1230-4 6832033 - Ear Nose Throat J. 1983 Jan;62(1):8-13 20800344 - Clin Neurol Neurosurg. 2011 Jan;113(1):57-8 10753317 - Int Tinnitus J. 1995;1(1):30-37 |
References_xml | – start-page: 8 volume-title: Tinnitus due to idiopathic stapedial muscle spasm year: 1983 ident: ref4 – ident: ref1 doi: 10.1017/S0022215100126866 – ident: ref8 doi: 10.1288/00005537-198109000-00003 – start-page: 30 volume-title: Objective Tinnitus and the Tensor Tympani Muscle year: 1995 ident: ref9 – ident: ref10 doi: 10.1177/0194599811434504 – start-page: 51 volume-title: Middle ear myoclonus: a new technique for suppression of spontaneous clicking tinnitus year: 2010 ident: ref13 – ident: ref5 doi: 10.1002/lary.23854 – ident: ref6 doi: 10.1159/000275177 – ident: ref2 doi: 10.1016/j.anl.2012.11.007 – ident: ref7 doi: 10.1017/S0022215100103573 – ident: ref3 doi: 10.1002/lary.23420 – ident: ref11 doi: 10.1017/S0022215100118560 – ident: ref14 doi: 10.1002/lary.1978.88.9.1477 – start-page: 231 volume-title: Phenomenology and psychopathology related to psychogenic movement disorders year: 1995 ident: ref12 – ident: ref15 doi: 10.1016/j.clineuro.2010.07.022 – reference: 682804 - Laryngoscope. 1978 Sep;88(9 Pt 1):1477-84 – reference: 20800344 - Clin Neurol Neurosurg. 2011 Jan;113(1):57-8 – reference: 6832033 - Ear Nose Throat J. 1983 Jan;62(1):8-13 – reference: 22261497 - Otolaryngol Head Neck Surg. 2012 May;146(5):698-706 – reference: 4474647 - ORL J Otorhinolaryngol Relat Spec. 1974;36(4):217-26 – reference: 23260344 - Auris Nasus Larynx. 2013 Oct;40(5):518-20 – reference: 22778030 - Laryngoscope. 2012 Sep;122(9):2071-5 – reference: 1541889 - J Laryngol Otol. 1992 Jan;106(1):44-5 – reference: 8035114 - J Laryngol Otol. 1994 May;108(5):380-2 – reference: 7872143 - Adv Neurol. 1995;65:231-57 – reference: 21609914 - Int Tinnitus J. 2010;16(1):51-4 – reference: 7346684 - Laryngoscope. 1981 Sep;91(9 Pt 1):1427-35 – reference: 3430042 - J Laryngol Otol. 1987 Dec;101(12):1230-4 – reference: 10753317 - Int Tinnitus J. 1995;1(1):30-37 – reference: 23918695 - Laryngoscope. 2013 Oct;123(10):2516-20 |
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Title | Objective Tinnitus Concomitant with Eye Blinking: A Case Report |
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