The Hyperacusis Network Message Board
Sign up Latest Topics
 
 
 


Reply
  Author   Comment  
Jokko

Registered:
Posts: 6
Reply with quote  #1 
Hello guys, I'm new here and I want explain my problem to all of us maybe someone has resolved!! 3 months ago I had an acoustic shock in my left ear with my headphones. After this event my left ear started to vibrate after a series of sounds like my voice, when someone spike to me, and others things.I thought that was a magnesium deficency at the beggining but now I'm sure that my small muscles in the ear are traumatized and that is a permanent condition. What do you suggest to do for this condition for improve the simptoms? I don't have hiperacisis and I'm not sensitive to loud sound I have also a tinnitus and crackling sound in my ears when I swallow. Cheers
0
briann

Registered:
Posts: 141
Reply with quote  #2 
Hi Jokko,

Yes it does seem like the tensor tympani may be the issue. The tensor tympani when working properly will contract when speaking and release when finished. There are also cases of it or the stapedius contracting when receiving speech. When swallowing, the tensor tympani will contract again. It seems like it spasms instead of providing a proper contraction in your case.

These symptoms in hyperacusis cases sometimes improve as our sound tolerance improves and our anxiety goes down. Have you seen a doctor about this specifically yet? 

-Brian
0
Jokko

Registered:
Posts: 6
Reply with quote  #3 
Quote:
Originally Posted by briann
Hi Jokko,

Yes it does seem like the tensor tympani may be the issue. The tensor tympani when working properly will contract when speaking and release when finished. There are also cases of it or the stapedius contracting when receiving speech. When swallowing, the tensor tympani will contract again. It seems like it spasms instead of providing a proper contraction in your case.

These symptoms in hyperacusis cases sometimes improve as our sound tolerance improves and our anxiety goes down. Have you seen a doctor about this specifically yet? 

-Brian


I see a doctor he sayd that's not of dangerous...it's only a clonus of the tendor tympany or stapedius. I have also a problem like this in the right ear but I think that is a myoclonus every 2 minutes it spasm...I have also a bilateral tinnitus and cracking sound in the ears...but no hyperacusis
0
briann

Registered:
Posts: 141
Reply with quote  #4 
From Dr. Hain of Chicago Dizziness and Balance,
http://www.dizziness-and-balance.com/disorders/hearing/tinnitus/tensor%20tympani%20and%20stapedius%20myoclonus%20tinnitus.html

Quote:

Treatment of TT myoclonus that may work. 

Surgery to cut the muscle is effective, and is used as a last resort. According to Bhimrau et al (2012), the facial nerve is often damaged during this sort of surgery. However, it is generally successful in stopping the myoclonus. 

A recent report suggested using Botox to paralyze the muscles (Liu et al, 2011). Botox can be injected into the wall of the eustachian tube. Of course, the TT is a small muscle and thus only a small amount of Botox is needed (Botox, sold by Allergan, is extremely expensive). This treatment seems reasonable, except that one needs an individual to administer the Botox who has a very good understanding of the anatomy of the TT to administer the injection, and also Botox wears off in 3 months.

Treatment of these muscle spasm syndromes is usually reassurance.  Tinnitus coping strategies of counselling, relaxation and anxiety reduction are standard practice. Hypnosis, sedatives, psychotherapy, acupuncture, biofeedback have been attempted -- as this type of tinnitus is somewhat related to stress, these strategies are sometimes helpful. 

Treatments of TT myoclonus that probably don't work.

Medications responses were reported by Bhimrau et al (2012)

  • Benzodiazepines (too much sedation)
  • orphenadrine (Norflex)
  • carbamazepine
  • piracetam (one patient)
  • botulinum toxin (one patient, gelfoam in middle ear)

As can be seen, very little treatment has been reported. While the logic of reducing muscle spasm through medication is reasonable, we ourselves have not had success. It seems to us that the TT muscle requires considerable local irritation to develop myoclonus, and medications that affect the whole body are unable to reduce such intense local spasms.

Although masking has been reported effective (East et al, 1987), it is difficult to see a reasonable rationale, and we suspect this is a placebo.

Pharyngeal muscle tone alteration, swallowing, Valsalva, and grommet insertion are not effective (Badia et al, 1994). 

We are similarly dubious that manual compression of the face as reported by Chan and Palaniappan (2010) has any general utility as it would seem to us that any relief would be necessarily brief.

0
Jokko

Registered:
Posts: 6
Reply with quote  #5 
Also there are three solutions for fix the clonus: don't make anything , fix with botox but only temporar relief or cut the muscles with many side effect or dangerous things right?
0
briann

Registered:
Posts: 141
Reply with quote  #6 
I don't think you need to worry about surgical options since it has only been a few months. It looks like a good first step is tinnitus counseling which will help the relaxation and anxiety reduction. If you have trouble finding such counseling where you are there are places that do counseling over the telephone. You may want to discuss this with your doctor.

I don't know how much relaxation helps but these muscles do receive direct control from a part of the brain that is impacted by emotional state (Sertonergic System) so this aspect should be taken seriously. Other people on this forum also seem to have a similar issue and you may want to contact them for day to day advice.

http://www.chat-hyperacusis.net/post/vibration-in-my-right-ear-6984014?pid=1287306811#post1287306811

-Brian

0
Jokko

Registered:
Posts: 6
Reply with quote  #7 
Hello bryan mine don't is a myoclonis is a TTTS ( Tonic tensor tympany sindrome) also my eardrum vibrate like a drum only with the presence of a external sound, This is begon after a ACOuSTIC SHOCk with my headPhone also isn't a psychological simptom this is a pure phisical symptom of a trauma of the two muscles (stapedial muscle, tensor tympany muscle in my middel ear) also I don't need a consueling. I need some possybility of treatment of this sindrome? But i think the possibility of treat this sindrome are the same to myoclonus
0
briann

Registered:
Posts: 141
Reply with quote  #8 
I don't believe it is a psychological issue either but there is a possibility of psychological factors making it worse. Counseling can also help minimize the annoyance of this for now as you likely want to wait before doing anything drastic. Minimizing annoyance, again, may reduce symptoms over time but who knows.

I recommend seeking advice from multiple doctors on this. 

-Brian
0
Jokko

Registered:
Posts: 6
Reply with quote  #9 
Brian the psychological factor with the the big impact is that I'm damaged you know. Counsueling it can help but when there is damage in the middel ear consoueling can't fix it for sure. Drastic is the surgery that cut the two muscles anyway this is only a last resort but noone where i live will perform something like this to mè...
0
Previous Topic | Next Topic
Print
Reply

Quick Navigation:

Easily create a Forum Website with Website Toolbox.



This message board is for informational purposes only. It is not intended to substitute for any medical advice. MANDATORY BOARD ETIQUETTE: 1. No personal attacks. 2. No profanity or use of inappropriate usernames. 3. No self solicitation of goods or services. 4 No discriminatory remarks based on race, gender, or religion. 5. Prohibitive postings include the following: discussing or suggesting the intent to end one's life, moderating or actions made by the moderators, and/or revealing personal information (full names, address, phone number). Rule infraction may result in either a warning or ban, depending on the severity. Kindness matters.