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Mdk

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Posts: 3
Reply with quote  #1 

Hey Guys,

I have now tried a few topics, without response, so now i try again, hopefully now a bit more successful.

I really have no clue what’s wrong with my ears, and I am at the point where I am getting seriously tried of doctors telling me to "learn to live with it", or offering me surgery, but them not being 100% sure of what the consequences will be.

My symptoms: When I hear sounds above 55-60 dB, my right ear "rumbles", above 80dB my left one rumbles.
Its been like this for 2 now, at least.
It came "sneaking", and at the beginning i could simple "shake my ear" (put one finger in the ear and shake it, like it was itching), and that would, for a time, remove my "rumbling". 

So; HELP me please!
What is it?
And what can be done?

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briann

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Posts: 141
Reply with quote  #2 
It sounds like you have stapedius myoclonus. You'll want a doctor to rule out tensor tympani myoclonus and palatal myoclonus. Stapedius myoclonus seems likely since it reacts to specific sound levels.

First step is what you've already heard. Try to eliminate any psychological contributors. This seems to resolve myoclonus in a surprising percentage of cases. It is in your best interest to give this approach your best shot because it has the least amount of risk.

Second step may be medication. I've seen clonazepam prescribed for this but you'll want to discuss that with your doctor. People can become dependent on it and it can be very difficult to come off of. 

Third step may be surgery. I would not do this option until you have given a sufficient amount of time for the first two. If you can confirm it is the stapedius (which is not easy to confirm), the surgery would be to cut the tendon that connects it to the stapes. The muscle would still contract, but you would no longer hear the rumble. From what I understand, sectioning that tendon is not difficult. If it is the tensor tympani, the sectioning that tendon is a little more challenging since there is less visibility. With either of these surgeries there are risks. Facial nerve is there including the chorda tympani nerve which is right in the middle of everything. The tendon that is being sectioned is connected to something pressing against the cochlea, so fistulas or other damage seem possible too. There have also been cases where the tendon reattached after sectioning and the surgery needed to be redone. These types of surgeries I believe are "routine", but there are always risks. 

-Brian
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