One Case of Objective Tinnitus due to Palatal and Middle Ear Myoclonus.
10.3342/kjorl-hns.2010.53.9.578
- Author:
Yi Seok KIM
1
;
In Hyo LEE
;
Jae Hong PARK
;
Byung Don LEE
Author Information
1. Department of Otolaryngology-Head and Neck Surgery, Soonchunhyang University College of Medicine, Seoul, Korea. bdlee12@hosp.sch.ac.kr
- Publication Type:Case Report
- Keywords:
Objective myoclonus;
Palatal myoclonus;
Middle ear myoclonus
- MeSH:
Botulinum Toxins;
Ear, Middle;
Humans;
Myoclonus;
Noise;
Physical Examination;
Quality of Life;
Tendons;
Tensor Tympani;
Tinnitus
- From:Korean Journal of Otolaryngology - Head and Neck Surgery
2010;53(9):578-581
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Tinnitus is very frequent and internal noise that impaires the quality of life. Objective tinnitus, which may be caused by palatal and middle ear myoclonus, is an extremely rare disorder. Such tinnitus may present very rapid, irregular and involuntary vibratory sound. Because it is a very rare disorder and patients have difficulty expressing their symptoms of tinnitus, the examiner may miss the diagnosis unless a careful history taking and physical examination is done. We have experienced a patient with objective tinnitus caused by both palatal myoclonus and middle ear myoclonus, who responded poorly to medical therapy and injection of botulinum toxin. However, this patient is treated with pterygoid hamulus fracture and sectioning of the tensor tympani and stapedial tendons. We report a review of the literature and present a case of a 26-year old man who did not respond to medical treatment and had to be relieved of the symptoms with surgical intervention.
