Journal of Audiology & Otology  2015;19(2):101-103

doi:10.7874/jao.2015.19.2.101

Objective Tinnitus Concomitant with Eye Blinking: A Case Report.

Tae Hwan KIM 1 ; Ho Joon JANG ; Soon Hyung PARK ; Sung Il NAM

Affiliations

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Keywords

Tinnitus; Tympanometry; Middle ear myoclonus

Country

Republic of Korea

Language

English

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.