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摘要: 中耳肌肉阵挛性耳鸣是因镫骨肌或者鼓膜张肌异常收缩感知到的耳内异响。诊断手段包括病史询问、体格检查和听力学检查等。明确诊断需要通过鼓室探查下直视肌阵挛。首选病因治疗,同时辅以行为治疗和药物治疗,无效时考虑手术。本文就中耳肌肉阵挛性耳鸣的诊断与治疗进行综述。Abstract: Middle ear myoclonus tinnitus is an abnormal sound perceived by unusual contraction of the stapes muscle or tensor tympani muscle. The current diagnostic methods include medical history inquiry, physical examination and audiological tests. The diagnosis was confirmed by tympanic exploration of myoclonus. Etiological treatment is considered to be the first treatment of choice, supplemented by behavior therapy and pharmacotherapy. Surgery will be performed when conservative treatment fails. This article reviews the diagnosis and treatment of middle ear myoclonus tinnitus.
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Key words:
- middle ear myoclonus /
- tinnitus /
- diagnosis /
- treatment
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[1] Hutz MJ, Aasen MH, Kircher M. A novel technique for the diagnosis and management of middle ear myoclonus[J]. Laryngoscope, 2021, 131(1): E248-E249.
[2] Park SN, Bae SC, Lee GH, et al. Clinical characteristics and therapeutic response of objective tinnitus due to middle ear myoclonus: a large case series[J]. Laryngoscope, 2013, 123(10): 2516-2520. doi: 10.1002/lary.23854
[3] 李莉, 闫文青, 艾毓, 等. 中耳肌阵挛性耳鸣56例临床分析[J]. 中华耳鼻咽喉头颈外科杂志, 2023, 58(1): 15-20. doi: 10.3760/cma.j.cn115330-20220401-00161
[4] Watanabe I, Kumagami H, Tsuda Y. Tinnitus due to abnormal contraction of stapedial muscle. An abnormal phenomenon in the course of facial nerve paralysis and its audiological significance[J]. ORL J Otorhinolaryngol Relat Spec, 1974, 36(4): 217-226. doi: 10.1159/000275177
[5] Fournier P, Paleressompoulle D, Esteve Fraysse MJ, et al. Exploring the middle ear function in patients with a cluster of symptoms including tinnitus, hyperacusis, ear fullness and/or pain[J]. Hear Res, 2022, 422: 108519. doi: 10.1016/j.heares.2022.108519
[6] Voruz F, Guinand N, Lang AE, et al. Isolated ear clicks with partial voluntary control[J]. Tremor Other Hyperkinet Mov(N Y), 2020, 10: 55. doi: 10.5334/tohm.574
[7] Barozzi S, Zanetti D, di Berardino F, et al. Acoustic reflex preshoot: a sign of contraction of the tensor tympani muscle?[J]. Med Hypotheses, 2021, 155: 110660. doi: 10.1016/j.mehy.2021.110660
[8] Kim DK, Park JM, Han JJ, et al. Long-term effects of middle ear tendon resection on middle ear myoclonic tinnitus, hearing, and hyperacusis[J]. Audiol Neurootol, 2017, 22(6): 343-349. doi: 10.1159/000487260
[9] Siegel J, Lundy L, Dove C, et al. Novel radiology method for investigating middle ear myoclonus[J]. Clin Anat, 2016, 29(6): 811-812. doi: 10.1002/ca.22728
[10] Barber Samuel R, Eric B, Eduardo CC. Diagnosis of stapedial myoclonus using endoscopic visualization[J]. Otol Neurotol Off Publ Am Otol Soc Am Neurotol Soc Eur Acad Otol Neurotol, 2020, 41(8): E1072. doi: 10.1097/MAO.0000000000002716
[11] Bhimrao SK, Masterson L, Baguley D. Systematic review of management strategies for middle ear myoclonus[J]. Otolaryngol--head Neck Surg, 2012, 146(5): 698-706. doi: 10.1177/0194599811434504
[12] Wang F, Buchberger M, Böck K, et al. Essential palatal myoclonus and clicking tinnitus in a nine-year-old boy-a case report[J]. Laryngoscope, 2024, 134(1): 397-399. doi: 10.1002/lary.30734
[13] 余力生, 杨仕明, 王秋菊, 等. 耳鸣的诊断与治疗[J]. 临床耳鼻咽喉头颈外科杂志, 2022, 36(5): 325-334. https://lceh.whuhzzs.com/article/doi/10.13201/j.issn.2096-7993.2022.05.001
[14] Kobayashi T, Hasegawa J, Kikuchi T, et al. Masked patulous Eustachian tube: an important diagnostic precaution before middle ear surgery[J]. Tohoku J Exp Med, 2009, 218(4): 317-324. doi: 10.1620/tjem.218.317
[15] LeBlanc G, Blanco P. COVID-19-associated middle ear myoclonus in a 10-year-old male[J]. Cureus, 2022, 14(4): e24550.
[16] Birkenbeuel JL, Tawk K, Martin EC, et al. Treatment of Stapedial Myoclonus as a Migraine-Related Phenomenon[J]. Otol Neurotol, 2023, 44(4): 388-391. doi: 10.1097/MAO.0000000000003838
[17] Maeyama N, Kamakura T, Nishimura M, et al. Behavioral therapy for muscular objective tinnitus in forceful eyelid closure syndrome(FECS): a case report[J]. J Int Adv Otol, 2021, 17(3): 278-280. doi: 10.5152/iao.2021.8695
[18] Bridwell RE, Brown S, Clerkin S, et al. Neurologic toxicity of carbamazepine in treatment of trigeminal neuralgia[J]. Am J Emerg Med, 2022, 55: 231. e3-231. e5. doi: 10.1016/j.ajem.2022.01.044
[19] Swinnen BEKS, Koelman JHTM, van Rootselaar AF. Post-irradiation facial neuromyotonia/myokymia: a hemifacial spasm mimic[J]. Tremor Other Hyperkinet Mov(N Y), 2021, 11: 36. doi: 10.5334/tohm.653
[20] Han JS, Park JM, Park SY, et al. Typewriter tinnitus: an investigative comparison with middle ear myoclonic tinnitus and its long-term therapeutic response to carbamazepine[J]. Auris Nasus Larynx, 2020, 47(4): 580-586. doi: 10.1016/j.anl.2020.01.005
[21] Keidar E, DE Jong R, Kwartowitz G. Tensor Tympani Syndrome[M]. StatPearls Publishing, 2020.
[22] Kim SH, Kim D, Lee JM, et al. Review of pharmacotherapy for tinnitus[J]. Healthcare(Basel), 2021, 9(6): 779.
[23] Seoungjun M, EunKyeong Y, One SH, et al. Transcanal endoscopic stapedial and tensor tympani tenotomy for middle ear myoclonus: a retrospective case series of surgical outcomes[J]. Otol Neurotol Off Publ Am Otol Soc Am Neurotol Soc Eur Acad Otol Neurotol, 2023, 44(5): 478-482. doi: 10.1097/MAO.0000000000003863
[24] Lee S, Kong SK, Oh SJ, et al. Tinnitus concomitant with eye closure treated by tensor tympani tendon resection and cartilage block insertion[J]. Ear Nose Throat J, 2022, 101(1): 20-22. doi: 10.1177/0145561320942067
[25] Wong WK, Lee MFH. Middle ear myoclonus: Systematic review of results and complications for various treatment approaches[J]. Am J Otolaryngol, 2022, 43(1): 103228. doi: 10.1016/j.amjoto.2021.103228
[26] Hidaka H, Honkura Y, Ota J, et al. Middle ear myoclonus cured by selective tenotomy of the tensor tympani: Strategies for targeted intervention for middle ear muscles[J]. Otol Neurotol Off Publ Am Otol Soc Am Neurotol Soc Eur Acad Otol Neurotol, 2013, 34(9): 1552-1558. doi: 10.1097/MAO.0000000000000126
[27] 张元文, 王桂芳. A型肉毒毒素治疗慢性鼻炎的研究进展[J]. 临床耳鼻咽喉头颈外科杂志, 2022, 36(11): 878-83.
[28] Mellidez Acosta R, Saro-Buendía M, Torres García L, et al. Objective tinnitus secondary to palatal tremor: Two case reports and brief literature review[J]. J Otol, 2022, 17(2): 107-110. doi: 10.1016/j.joto.2021.11.003
[29] 徐亚丽, 陈劲海. A型肉毒毒素在耳鼻咽喉科的应用现状及前景[J]. 临床耳鼻咽喉头颈外科杂志, 2020, 34(1): 88-91.
[30] Park JM, Kim MJ, Han JS, et al. Intratympanic botulinum toxin injection as a new therapeutic modality for middle ear myoclonic tinnitus[J]. Otolaryngol--head Neck Surg, 2023, 169(2): 348-357. doi: 10.1002/ohn.256
[31] Ellenstein A, Yusuf N, Hallett M. Middle ear myoclonus: two informative cases and a systematic discussion of myogenic tinnitus[J]. Tremor Other Hyperkinet Mov, 2013, 3: tre-t03-103-3713-1.
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