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Symptom: Pulsatile Tinnitus
No abstract available (Source: The Hearing Journal)
Source: The Hearing Journal - January 1, 2016 Category: ENT & OMF Tags: Clinical Consultation Source Type: research

Prospective Associations Between Traumatic Brain Injury and Postdeployment Tinnitus in Active-Duty Marines
Conclusions: Participants who were blast-exposed, sustained multiple TBIs, and reported moderate-severe TBI symptoms were most at risk for new-onset tinnitus. (Source: The Journal of Head Trauma Rehabilitation)
Source: The Journal of Head Trauma Rehabilitation - January 1, 2016 Category: Neurology Tags: Original Articles Source Type: research

Microvascular Decompression Surgery for Hemifacial Spasm
Conclusions: MVD is the preferred choice for treating idiopathic hemifacial spasm, and hearing impairment is the main complication. Skilled microsurgical techniques, as well as identifying and completely decompressing offending vessels, are the key to ensuring a successful microvascular decompression. (Source: Journal of Craniofacial Surgery)
Source: Journal of Craniofacial Surgery - January 1, 2016 Category: Surgery Tags: Original Articles Source Type: research

Tinnitus and its current treatment-Still an enigma in medicine.
Abstract Tinnitus is a phantom auditory perception that occurs in humans. Tinnitus, which is a distressing problem affecting many people around the world, is commonly referred to as ringing in the ears. No effective drug therapy is available for this elusive disease, although much research work into mechanism and possible treatment is underway. As yet, there are no Food and Drug Administration approved drugs available and the quest for a new treatment option for tinnitus focus on important challenges in tinnitus management. A number of options have been used to treat patients with tinnitus, but outcomes have been ...
Source: J Formos Med Assoc - December 30, 2015 Category: Journals (General) Authors: Swain SK, Nayak S, Ravan JR, Sahu MC Tags: J Formos Med Assoc Source Type: research

The impact of the cochlear–carotid interval on tinnitus perception
Conclusion The strong negative correlation of CCI with tinnitus-related distress and accompanying sensorineural hearing loss predominantly at high frequencies suggests that further studies on patients with tinnitus that focus on this small area may help to improve the knowledge of tinnitus pathophysiology. (Source: Surgical and Radiologic Anatomy)
Source: Surgical and Radiologic Anatomy - December 29, 2015 Category: Anatomy Source Type: research

Tinnitus: Research supported by the Tinnitus Research Consortium.
PMID: 26739791 [PubMed - as supplied by publisher] (Source: Hearing Research)
Source: Hearing Research - December 29, 2015 Category: Audiology Authors: Ryan AF, Dobie RA, Dubno JR, Lonsbury-Martin BL Tags: Hear Res Source Type: research

Mindfulness-based stress reduction for long-term physical conditions: A systematic review
Conclusion: Although there is some preliminary support for the use of mindfulness-based stress reduction in physical health conditions, further research is required before it could be considered an effective intervention for improving physical health outcomes. (Source: Australian and New Zealand Journal of Psychiatry)
Source: Australian and New Zealand Journal of Psychiatry - December 25, 2015 Category: Psychiatry Authors: Crowe, M., Jordan, J., Burrell, B., Jones, V., Gillon, D., Harris, S. Tags: Key Review Source Type: research

Influence of the paraflocculus on normal and abnormal spontaneous firing rates in the inferior colliculus.
Abstract Spontaneous firing rates of neurons in the central auditory pathway, such as in the inferior colliculus, are known to be increased after cochlear trauma. This so-called hyperactivity is thought to be involved in the generation of tinnitus, a phantom auditory perception. Recent research in an animal model suggests behavioural signs of tinnitus can be significantly reduced by silencing or removal of the paraflocculus (PF) of the cerebellum. The current study investigated the effects of acute PF removal on spontaneous firing rates recorded from single neurons in the right inferior colliculus of guinea pigs w...
Source: Hearing Research - December 25, 2015 Category: Audiology Authors: Vogler DP, Robertson D, Mulders WH Tags: Hear Res Source Type: research

Temporal bone MRI with 3D-FIESTA in the evaluation of facial and audiovestibular dysfunction
Conclusion Although the use of MRI of the temporal bone using 3D-FIESTA shows positive findings in only 18.37% of patients, it provides important information in those with facial and audiovestibular dysfunction. However, for patients with normal MRI of the temporal bone, other etiological factors should be investigated in order to clarify or elucidate the cause of clinical manifestations. (Source: Diagnostic and Interventional Imaging)
Source: Diagnostic and Interventional Imaging - December 23, 2015 Category: Radiology Source Type: research

Hearing and tinnitus in head and neck cancer patients after chemoradiotherapy
Abstract Head and neck cancer patients treated with high-dose cisplatin and radiotherapy will suffer from hearing deficits. The current low-dose regimen seldom causes hearing threshold decrease. Tinnitus in this patient population has not been investigated earlier. We aimed to evaluate the possible ototoxicity of low-dose (40 mg/m2) weekly administered cisplatin with concomitant radiotherapy. Twenty-two patients with locally advanced head and neck cancer were prospectively recruited to participate the study after treatment recommendation for chemoradiotherapy with low-dose cisplatin and intensity-modulated ra...
Source: European Archives of Oto-Rhino-Laryngology - December 21, 2015 Category: ENT & OMF Source Type: research

A cohort study examining headaches among veterans of Iraq and Afghanistan wars: Associations with traumatic brain injury, PTSD, and depression.
CONCLUSIONS: Our results indicate that TBI alone is a strong predictor of headache in the first year of VA care among IAV and that comorbid psychiatric comorbidities increase the likelihood of headache among individuals with TBI. However, among those with baseline headache, only tinnitus, insomnia, and vertigo were baseline clinical predictors of headache persistence. These results suggest that attention to other symptoms and conditions early in the diagnosis and treatment of headaches may be important for understanding prognosis. These comorbidities offer potential targets for intervention strategies that may help address...
Source: Headache - December 21, 2015 Category: Neurology Authors: Jaramillo CA, Eapen BC, McGeary CA, McGeary DD, Robinson J, Amuan M, Jo Pugh M Tags: Headache Source Type: research

Somatic memory and gain increase as preconditions for tinnitus: Insights from congenital deafness.
Abstract Tinnitus is the conscious perception of sound heard in the absence of physical sound sources internal or external to the body. The characterization of tinnitus by its spectrum reflects the missing frequencies originally represented in the hearing loss, i.e., partially or completely deafferented, region. The tinnitus percept, despite a total hearing loss, may thus be dependent on the persisting existence of a somatic memory for the "lost" frequencies. Somatic memory in this context is the reference for phantom sensations attributed to missing sensory surfaces or parts thereof. This raises the que...
Source: Hearing Research - December 21, 2015 Category: Audiology Authors: Eggermont JJ, Kral A Tags: Hear Res Source Type: research

Acupuncture in treating sudden sensorineural hearing loss: a report of 2 cases.
CONCLUSION: Acupuncture may be worth trying in patients with SSHL who do not respond to routine medical treatment. PMID: 25231566 [PubMed - indexed for MEDLINE] (Source: Forschende Komplementarmedizin)
Source: Forschende Komplementarmedizin - December 20, 2015 Category: Complementary Medicine Tags: Forsch Komplementmed Source Type: research

Cervicogenic somatosensory tinnitus: an indication for manual therapy? Part 1: Theoretical concept
Tinnitus can be evoked or modulated by input from the somatosensory and somatomotor systems. This means that the loudness or intensity of tinnitus can be changed by sensory or motor stimuli such as muscle contractions, mechanical pressure on myofascial trigger points, transcutaneous electrical stimulation or joint movements. The neural connections and integration of the auditory and somatosensory systems of the upper cervical region and head have been confirmed by many studies. These connections can give rise to a form of tinnitus known as somatosensory tinnitus. (Source: Manual Therapy)
Source: Manual Therapy - December 17, 2015 Category: Physiotherapy Authors: Rob A.B. Oostendorp, Iem Bakker, Hans Elvers, Emilia Mikolajewska, Sarah Michiels, Willem De Hertogh, Han Samwel Tags: Professional issue Source Type: research

Prognostic value of mean platelet volume on tinnitus.
This study aimed to determine whether there was any relationship between tinnitus and mean platelet volume. METHODS: This retrospective study was conducted between January 2013 and January 2014 in Ankara Atatürk Hospital and Ondokuz Mayıs University Hospital, Turkey, on a study group of 86 patients with tinnitus and a control group of 84 healthy subjects. Mean platelet volume was recorded and comparisons were made between the two groups. RESULTS: Mean (± standard deviation) platelet volume was 7.67 ± 0.83 μm3 in the study group and 7.28 ± 0.56 μm3 in the control group. There was a s...
Source: Journal of Laryngology and Otology - December 15, 2015 Category: ENT & OMF Tags: J Laryngol Otol Source Type: research

Enhancing Rehabilitative Therapies with Vagus Nerve Stimulation
Abstract Pathological neural activity could be treated by directing specific plasticity to renormalize circuits and restore function. Rehabilitative therapies aim to promote adaptive circuit changes after neurological disease or injury, but insufficient or maladaptive plasticity often prevents a full recovery. The development of adjunctive strategies that broadly support plasticity to facilitate the benefits of rehabilitative interventions has the potential to improve treatment of a wide range of neurological disorders. Recently, stimulation of the vagus nerve in conjunction with rehabilitation has emerged as one ...
Source: Neurotherapeutics - December 15, 2015 Category: Neurology Source Type: research

Tinnitus prevalence in New Zealand.
CONCLUSION: This is the first nationally representative study of tinnitus prevalence in New Zealand and largest study sample internationally for tinnitus prevalence to date. Tinnitus is a public health problem affecting approximately 207,000 people in the New Zealand population aged ≥14 years. This study has highlighted the importance of sex and age in defining a high-risk tinnitus population, but our knowledge falls short of profiling their ethnic and social-economic characteristics. PMID: 26645752 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - December 13, 2015 Category: Journals (General) Tags: N Z Med J Source Type: research

Tinnitus healthcare in New Zealand.
Authors: Wise KJ, Bird PA, O'Beirne GA PMID: 26645751 [PubMed - in process] (Source: New Zealand Medical Journal)
Source: New Zealand Medical Journal - December 13, 2015 Category: Journals (General) Tags: N Z Med J Source Type: research

Vestibular paroxysmia associated with paroxysmal pulsatile tinnitus: a case report and review of the literature.
CONCLUSION: The pulsatile nature of the patient's tinnitus implied that the auditory nerve was being compressed by a pulsating artery and was found to consolidate the causal relationship between NVCC and vestibular paroxysmia. PMID: 24030039 [PubMed - indexed for MEDLINE] (Source: Acta Neurologica Taiwanica)
Source: Acta Neurologica Taiwanica - December 12, 2015 Category: Neurology Tags: Acta Neurol Taiwan Source Type: research

[The epidural blood patch technique for the management of headache due to spontaneous intracranial hypotension].
Authors: Güldoğuş F, Kelsaka E Abstract Spontaneous intracranial hypotension is a clinical entity characterized by orthostatic headache, low CSF pressure and specific cranial imaging techniques. Headache can be accompanied by the symptoms such as tinnitus, vertigo, diplopia, nausea and vomiting. It is important for the diagnosis to show the level of CSF leakage. Epidural blood patch should be planned for the treatment of patients with no reduction of the complaints following conservative treatment. In this case report, we have discussed the diagnostic methods of spontaneous intracranial hypotension and the i...
Source: Agri Dergisi - December 12, 2015 Category: Anesthesiology Tags: Agri Source Type: research

[Postspinal subacute subdural hematoma: case report].
Authors: Doğanay F, Pirbudak L, Gül R, Alptekin M, Kaplan N Abstract The development of intracranial subdural hematoma after spinal anesthesia is a rare and serious complication that can be fatal if untreated. Needle puncture to the dura mater can cause leakage of cerebrospinal fluid, and lead to stretching and rupture of the meningeal blood vessels with resultant bleeding. A 24-year-old patient, with a completely normal history and laboratory analysis, has got a L4-5 level spinal anesthesia well done at first try, using a Quinke 25 G needle and 12,5 mg bupivacaine heavy. The first day after spinal anesthesia...
Source: Agri Dergisi - December 12, 2015 Category: Anesthesiology Tags: Agri Source Type: research

Possible familial presentation in two siblings with carotid fibromuscular dysplasia.
Authors: Topal H, Lemmens R, Fourneau I Abstract Fibromuscular dysplasia (FMD) is a nonatherosclerotic, noninflammatory vascular disease which can affect the cervical, renal and visceral arteries. Here we report on two sisters diagnosed with carotid FMD at the same age, presenting with similar symptoms of pulsating tinnitus. The familial presentation of this rare disorder attracted our attention and was suggestive of a genetic etiology. Conservative treatment with aspirin was initiated. Carotid FMD is a rare disorder of which the exact pathophysiology is not known. A review of the literature on the clinical present...
Source: Acta Chirurgica Belgica - December 11, 2015 Category: Surgery Tags: Acta Chir Belg Source Type: research

Outcomes After Cochlear Implantation in the Very Elderly
Conclusion: Postoperative disequilibrium was commonly observed in this elderly population, yet patients still benefited with improved speech perception after cochlear implantation. Elderly patients can benefit from cochlear implantation, and age should not be a limitation for CI surgery. Cochlear implantation can be done safely and provides significant patient benefits. (Source: Otology and Neurotology)
Source: Otology and Neurotology - December 11, 2015 Category: ENT & OMF Tags: Cochlear Implants Source Type: research

Cinnarizine and dimenhydrinate in the treatment of vertigo in medical practice.
Abstract The efficacy and safety of the fixed combination of cinnarizine 20 mg and dimenhydrinate 40 mg in the treatment of vertigo of various origins have been investigated in a prospective, noninterventional study involving private practices throughout Germany. A total of 1275 patients with an average age of 61.2 years participated in the study. The vertigo symptoms, measured by a validated mean vertigo score (primary efficacy endpoint) improved by 61 % in the course of the observational period (median: 6 weeks). Concomitant symptoms frequently associated with vertigo such as nausea, vomiting an...
Source: Wiener Klinische Wochenschrift - December 11, 2015 Category: Journals (General) Authors: Scholtz AW, Ilgner J, Loader B, Pritschow BW, Weisshaar G Tags: Wien Klin Wochenschr Source Type: research

Sodium salicylate potentiates the GABAB-GIRK pathway to suppress rebound depolarization in neurons of the rat's medial geniculate body.
Abstract Rebound depolarization (RD) is a voltage response to the offset from pre-hyperpolarization of neuronal membrane potential, which manifests a particular form of the postsynaptic membrane potential response to inhibitory presynaptic inputs. We previously demonstrated that sodium salicylate (NaSal), a tinnitus inducer, can drastically suppress the RD in neurons of rat medial geniculate body (MGB) (Su et al, 2012, PLoS ONE 7, e46969). The purpose of the present study was to investigate the underlying cellular mechanism by using whole-cell patch-clamp recordings in rat MGB slices. NaSal (1.4 mM) had no effects...
Source: Hearing Research - December 11, 2015 Category: Audiology Authors: Wang XX, Jin Y, Luo B, Sun JW, Zhang J, Wang M, Chen L Tags: Hear Res Source Type: research

Pulsatile tinnitus as the presenting symptom in a patient with posterior reversible encephalopathy syndrome
Conclusion Pulsatile tinnitus can be the presenting symptom of neurovascular disorders, some of which might have serious sequelae if not treated promptly. Detailed neurological and cardiovascular history is recommended in addition to radiological investigations in patients presenting with pulsatile tinnitus. (Source: European Archives of Oto-Rhino-Laryngology)
Source: European Archives of Oto-Rhino-Laryngology - December 10, 2015 Category: ENT & OMF Source Type: research

Otological complications associated with hyperbaric oxygen therapy
The objective of the present study was to clarify the features of otological complications for hyperbaric oxygen therapy (HBOT) and the risk factors for these complications. We enrolled 1115 patients (776 males and 339 females; age 5–89 years) who underwent HBOT. All otological symptoms experienced during HBOT sessions were evaluated, and risk factors were analysed using multivariate logistic regression analysis. Otoscopic findings and interventions for otological complications were assessed in 58 symptomatic patients who visited the Otolaryngology Department. Otological symptoms were experienced by 165 (14.8&nb...
Source: European Archives of Oto-Rhino-Laryngology - December 9, 2015 Category: ENT & OMF Source Type: research

[Review] Understanding idiopathic intracranial hypertension: mechanisms, management, and future directions
Idiopathic intracranial hypertension is a disorder characterised by raised intracranial pressure that predominantly affects young, obese women. Pathogenesis has not been fully elucidated, but several causal factors have been proposed. Symptoms can include headaches, visual loss, pulsatile tinnitus, and back and neck pain, but the clinical presentation is highly variable. Although few studies have been done to support evidence-based management, several recent advances have the potential to enhance understanding of the causes of the disease and to guide treatment decisions. (Source: Lancet Neurology)
Source: Lancet Neurology - December 8, 2015 Category: Neurology Authors: Keira A Markey, Susan P Mollan, Rigmor H Jensen, Alexandra J Sinclair Tags: Review Source Type: research

Understanding idiopathic intracranial hypertension: mechanisms, management, and future directions
Publication date: January 2016 Source:The Lancet Neurology, Volume 15, Issue 1 Author(s): Keira A Markey, Susan P Mollan, Rigmor H Jensen, Alexandra J Sinclair Idiopathic intracranial hypertension is a disorder characterised by raised intracranial pressure that predominantly affects young, obese women. Pathogenesis has not been fully elucidated, but several causal factors have been proposed. Symptoms can include headaches, visual loss, pulsatile tinnitus, and back and neck pain, but the clinical presentation is highly variable. Although few studies have been done to support evidence-based management, several recent a...
Source: The Lancet Neurology - December 8, 2015 Category: Neurology Source Type: research

Otologic Manifestations of Autosomal Recessive Congenital Ichthyosis in Children
Conclusions The involvement of both dermatologists and ENT specialists in the management of patients with ichthyosis is crucial to ensure the application of the best therapeutic and preventive measures. More studies are needed to assess the prevalence and impact on quality of life of ear involvement in patients with ichthyosis and to determine the optimal interval between ENT visits for these patients. (Source: Actas Dermo-Sifiliograficas)
Source: Actas Dermo-Sifiliograficas - December 5, 2015 Category: Dermatology Source Type: research

Bimodal stimulus timing-dependent plasticity in primary auditory cortex is altered after noise exposure with and without tinnitus
Central auditory circuits are influenced by the somatosensory system, a relationship that may underlie tinnitus generation. In the guinea pig dorsal cochlear nucleus (DCN), pairing spinal trigeminal nucleus (Sp5) stimulation with tones at specific intervals and orders facilitated or suppressed subsequent tone-evoked neural responses, reflecting spike timing-dependent plasticity (STDP). Furthermore, after noise-induced tinnitus, bimodal responses in DCN were shifted from Hebbian to anti-Hebbian timing rules with less discrete temporal windows, suggesting a role for bimodal plasticity in tinnitus. Here, we aimed to determine...
Source: Journal of Neurophysiology - December 4, 2015 Category: Neurology Authors: Basura, G. J., Koehler, S. D., Shore, S. E. Tags: Call For Papers Source Type: research

Is Hypozincemia Related to Tinnitus?: A Population Study Using Data From the Korea National Health and Nutrition Examination Survey.
CONCLUSION: It was concluded that hypozincemia is not related to tinnitus in a large population. PMID: 26622950 [PubMed - as supplied by publisher] (Source: Clinical and Experimental Otorhinolaryngology)
Source: Clinical and Experimental Otorhinolaryngology - December 3, 2015 Category: ENT & OMF Tags: Clin Exp Otorhinolaryngol Source Type: research

[One-sided facial and cervical swelling with tinnitus].
Authors: Koch A, Delb W, Kruppert H PMID: 26324200 [PubMed - in process] (Source: HNO)
Source: HNO - December 1, 2015 Category: ENT & OMF Tags: HNO Source Type: research

[Pre- and posttreatment results of an inpatient neurotologic and psychosomatic tinnitus therapy].
CONCLUSION: With corresponding symptomatic suffering, disorder-specific inpatient tinnitus treatment comprising neurotologic and psychosomatic alignment can achieve medium- to high-range therapeutic effects. PMID: 26219526 [PubMed - in process] (Source: HNO)
Source: HNO - December 1, 2015 Category: ENT & OMF Tags: HNO Source Type: research

[On the interdisciplinary S3 guidelines for the treatment of chronic idiopathic tinnitus].
CONCLUSION: No recommendations can be made for drug-based treatment of CIT, audiotherapy, transcranial magnetic or electrical stimulation, specific forms of acoustic stimulation or music therapy; or such recommendations must remain open due to the lack of available evidence. Polypragmatic tinnitus treatment with therapeutic strategies for which there is no evidence of efficacy from controlled studies is to be refused. PMID: 26054729 [PubMed - in process] (Source: HNO)
Source: HNO - December 1, 2015 Category: ENT & OMF Tags: HNO Source Type: research

[Current treatment of sensorineural hearing loss and chronic tinnitus].
Authors: Zenner HP PMID: 26031714 [PubMed - in process] (Source: HNO)
Source: HNO - December 1, 2015 Category: ENT & OMF Tags: HNO Source Type: research

25 years of tinnitus retraining therapy.
Authors: Jastreboff PJ Abstract This year marks 25 years of tinnitus retraining therapy (TRT), the approach that aims to eliminate tinnitus as a problem by extinguishing functional connections between the auditory and the limbic and autonomic nervous systems to achieve habituation of tinnitus-evoked reactions and subsequently habituation of perception. TRT addresses directly decreased sound tolerance (DST) as well as tinnitus. TRT consists of counseling and sound therapy, both based on the neurophysiological model of tinnitus. The main goal of retraining counseling is to reclassify tinnitus into the category of a n...
Source: HNO - December 1, 2015 Category: ENT & OMF Tags: HNO Source Type: research

Intra-individual variability in tinnitus patients : current thoughts and perspectives.
Authors: Dauman N, Erlandsson S, Lundlin L, Dauman R Abstract Most tinnitus studies have attempted to compare groups of individuals, thus revealing inter-individuals differences, i.e., variations between compared subjects. For methodological reasons, inter-individual studies cannot take into account the variability of tinnitus experience, which has been known for decades to be relevant in daily practice with tinnitus patients. The concept of intra-individual variability has been promoted in the research literature, in order to shed light on this aspect of individual perception. In previous studies, unrelated to hea...
Source: HNO - December 1, 2015 Category: ENT & OMF Tags: HNO Source Type: research

Neural substrates of tinnitus in animal and human cortex : cortical correlates of tinnitus.
Authors: Eggermont JJ Abstract Animal models of tinnitus complement human findings and potentially deepen our insight into the neural substrates of tinnitus. The fact that animal data are largely based on recordings from the auditory system, in particular from subcortical structures, makes comparison with human electrophysiological data from predominantly cortical areas difficult. Electro/magnetoencephalography and imaging data extend beyond the auditory cortex. The most challenging link to be made is the one between the macroscopic data in humans and the microscopic (single neuron action potentials) and mesoscopic...
Source: HNO - December 1, 2015 Category: ENT & OMF Tags: HNO Source Type: research

[Cochlear implants and tinnitus].
Authors: Olze H Abstract The cochlear implant became a very successful method of hearing rehabilitation for patients with profound sensorineural hearing loss. The benefits of the CI extend beyond the medical success and positively influence social and psychosocial areas, reflected by an improved HRQoL. Furthermore, variety of studies demonstrated that the tinnitus severity improves in 46-95 % of cases following the cochlear implantation. However, the parameters investigated in such studies are not always standardized or addressed by validated questionnaires, which explains the high outcome variation between ...
Source: HNO - December 1, 2015 Category: ENT & OMF Tags: HNO Source Type: research

[Newest therapeutic approaches for chronic tinnitus].
Authors: Hesse G Abstract In the majority of cases, tinnitus derives primarily peripherally, from damage to hair cells in the inner ear; suffering and annoyance, however, are caused by central cortical processing and functional networks of cerebral plasticity. Therefore, new therapeutic approaches aim to influence these structures; whether it be directly by magnetic radiation, or via direct or indirect electrical stimulation. However, these methods can only be efficient if they can integrate and rehabilitate the existing hearing loss. Effective habituation therapies consist of hearing therapy, rehabilitation of hea...
Source: HNO - December 1, 2015 Category: ENT & OMF Tags: HNO Source Type: research

[Tinnitus and psychiatric comorbidities].
Authors: Goebel G Abstract Tinnitus is an auditory phantom phenomenon characterized by the sensation of sounds without objectively identifiable sound sources. To date, its causes are not well understood. The perceived severity of tinnitus correlates more closely to psychological and general health factors than to audiometric parameters. Together with limbic structures in the ventral striatum, the prefrontal cortex forms an internal "noise cancelling system", which normally helps to block out unpleasant sounds, including the tinnitus signal. If this pathway is compromised, chronic tinnitus results. Patient...
Source: HNO - December 1, 2015 Category: ENT & OMF Tags: HNO Source Type: research

[Somatosensoric tinnitus].
Authors: Biesinger E, Groth A, Höing R, Hölzl M Abstract Tinnitus can be caused or triggered by functional disorders of the cervical spine, temporomandibular joint or any other musculoskeletal structure of the neck or head. This special form of tinnitus is called somatosensory tinnitus and represents a discrete subgroup among the different kinds of tinnitus. Distinctive for this kind of tinnitus are alterations in volume and frequency during movement or the stimulation of certain muscles and joints. This can be evaluated using a structured testing method. To be able to easily perceive tinnitus modulations...
Source: HNO - December 1, 2015 Category: ENT & OMF Tags: HNO Source Type: research

Stress and tinnitus.
Authors: Mazurek B, Szczepek AJ, Hebert S Abstract Emotional stress is a constant companion of tinnitus patients, since this phantom sound can unfortunately be a very effective stressor. However, the mechanism of stress contribution to the onset or progression of tinnitus remains unknown. Here, we review the pathways induced by emotional stress and the outcome of their induction: corticosteroid-dependent changes in gene expression, epigenetic modulations, and impact of stress on neuronal plasticity and neurotransmission. Using clinical examples, we demonstrate the presence of emotional stress among tinnitus patient...
Source: HNO - December 1, 2015 Category: ENT & OMF Tags: HNO Source Type: research

Tinnitus: from basic principles to therapy.
Authors: Mazurek B PMID: 25862618 [PubMed - in process] (Source: HNO)
Source: HNO - December 1, 2015 Category: ENT & OMF Tags: HNO Source Type: research

Deep Brain Stimulation of Heschl Gyrus: Implantation Technique, Intraoperative Localization, and Effects of Stimulation
CONCLUSION: Direct anatomic targeting with physiological verification can be used to implant electrodes directly into primary auditory cortex. If deep brain stimulation proves effective for intractable tinnitus, this technique may be useful to assist with electrode implantation. ABBREVIATIONS: DBS, deep brain stimulator EEG, electroencephalography HG, Heschl gyrus (Source: Neurosurgery)
Source: Neurosurgery - December 1, 2015 Category: Neurosurgery Tags: Research-Human-Clinical Studies Source Type: research

CT evaluation of sigmoid plate dehiscence causing pulsatile tinnitus
Conclusion SPD causing PT has characteristic CT findings. It may be generated by vascular or intracranial pressure abnormalities and act as a common key to triggering PT’s perception. Key Points • Pulsatile tinnitus (PT) caused by sigmoid plate dehiscence (SPD) may be cured. • SPD causing PT has some characteristic findings on CT. • SPD may be a common key to triggering PT’s perception. • Thin-slice high resolution CT venography is r...
Source: European Radiology - December 1, 2015 Category: Radiology Source Type: research

Taming TBI-Associated Tinnitus: Regardless of the tinnitus sound (itself), tinnitus can be especially challenging for clients when paired with traumatic brain injury and post-traumatic stress. Research offers insight into how clinicians can help clients manage this co-occurrence.
(Source: The ASHA Leader Online)
Source: The ASHA Leader Online - December 1, 2015 Category: Speech Therapy Source Type: research

Conservative management of Warthin's tumours
Warthin's tumour is the second most common benign neoplasm of the parotid gland accounting for between 14% and 30% of all parotid tumours. It is more common in men during the sixth and seventh decades in life. These tumours have a predilection for the parotid gland and are located in its superficial portion in 90% of cases. The Warthin's tumour is usually a nodular lesion and is painless or slightly painful. The patient may complain of tinnitus, pain in the ear and deafness. The size is variable averaging 2–4cm in diameter. (Source: The British Journal of Oral and Maxillofacial Surgery)
Source: The British Journal of Oral and Maxillofacial Surgery - December 1, 2015 Category: ENT & OMF Authors: L. Andrews, N. Shah Tags: P 178 Source Type: research

Differences Among Patients That Make Their Tinnitus Worse or Better
Conclusion There are dramatic differences among patients. Such differences need to be considered in planning treatments. (Source: American Journal of Audiology)
Source: American Journal of Audiology - December 1, 2015 Category: Audiology Source Type: research