Objective Tinnitus Concomitant with Eye Blinking: A Case Report

다국어 초록 (Multilingual 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.

참고문헌 (Reference)

1 Rajah V, "Tinnitus related to eyelid blinking" 106 : 44-45, 1992

2 Kim BG, "Tinnitus related to eyelid blinking" 40 : 518-520, 2013

3 Marchiando A, "Tinnitus due to idiopathic stapedial muscle spasm" 62 : 8-13, 1983

4 Watanabe I, "Tinnitus due to abnormal contraction of stapedial muscle. An abnormal phenomenon in the course of facial nerve paralysis and its audiological significance" 36 : 217-226, 1974

5 East CA, "The suppression of palatal (or intra-tympanic)myoclonus by tinnitus masking devices. A preliminary report" 101 : 1230-1234, 1987

6 Bhimrao SK, "Systematic review of management strategies for middle ear myoclonus" 146 : 698-706, 2012

7 Williams DT, "Phenomenology and psychopathology related to psychogenic movement disorders" 65 : 231-257, 1995

8 Rock EH, "Objective Tinnitus and the Tensor Tympani Muscle" 1 : 30-37, 1995

9 Chan C, "Middle ear myoclonus: a new technique for suppression of spontaneous clicking tinnitus" 16 : 51-54, 2010

10 Lee GH, "Middle ear myoclonus associated with forced eyelid closure in children: diagnosis and treatment outcome" 122 : 2071-2075, 2012

11 Shea JJ, "Management of tinnitus aurium with lidocaine and carbamazepine" 88 (88): 1477-1484, 1978

12 Badia L, "Management of middle ear myoclonus" 108 : 380-382, 1994

13 Park SN, "Clinical characteristics and therapeutic response of objective tinnitus due to middle ear myoclonus: a large case series" 123 : 2516-2520, 2013

14 Liu HB, "Botox transient treatment of tinnitus due to stapedius myoclonus: case report" 113 : 57-58, 2011

15 O’Connor AF, "Autophony and the patulous eustachian tube" 91 (91): 1427-1435, 1981