Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-27T00:49:51.908Z Has data issue: false hasContentIssue false
  • English
  • Français

Tinnitus and its relationship with muscle tenderness in patients with headache and facial pain

Published online by Cambridge University Press:  19 June 2015

M Pezzoli ,
A Ugolini ,
E Rota ,
L Ferrero ,
C Milani ,
L Pezzoli ,
G Pecorari  and
F Mongini
M Pezzoli*
Affiliation:
ENT Division, University of Turin, Italy
A Ugolini
Affiliation:
Headache–Facial Pain Section, University of Turin, Italy
E Rota
Affiliation:
Headache–Facial Pain Section, University of Turin, Italy
L Ferrero
Affiliation:
Headache–Facial Pain Section, University of Turin, Italy
C Milani
Affiliation:
Headache–Facial Pain Section, University of Turin, Italy
L Pezzoli
Affiliation:
Department of Clinical Physiopathology, University of Turin, Italy
G Pecorari
Affiliation:
ENT Division, University of Turin, Italy
F Mongini
Affiliation:
Headache–Facial Pain Section, University of Turin, Italy
*
Address for correspondence: Dr M Pezzoli, 1st ENT Division, Department of Clinical Physiopathology, University of Turin, Via Genova 3, Torino, Italy Fax: +39 011–5085109 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

This study aimed to examine tinnitus prevalence in patients with different types of headache and the relationship between tinnitus and the pericranial muscle tenderness and cervical muscle tenderness scores.

Methods:

A cross-sectional study was conducted of 1251 patients with migraine and/or myogenous pain, arthrogenous temporomandibular joint disorders and tension-type headache. Standardised palpation of the pericranial and cervical muscles was carried out and univariable and multivariable analysis was used to measure the odds ratio of suffering tinnitus by the different diagnoses and muscular tenderness grade.

Results:

A univariable analysis showed that myogenous pain, pericranial muscle tenderness and cervical muscle tenderness scores, sex, and age were associated with tinnitus. When a multivariable model including only age, sex and a headache diagnosis was used, myogenous pain, migraine and age were found to be associated with tinnitus. When muscle tenderness scores were also included, only the cervical muscle tenderness and pericranial muscle tenderness scores were found to be significantly associated with tinnitus.

Conclusion:

In a population of patients with headache and craniofacial pain, tinnitus was related to increased cervical muscle tenderness and pericranial muscle tenderness scores, rather than to any particular form of headache.

Keywords

TinnitusFacial PainHeadacheTemporomandibular DisordersEpidemiology
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 7 , July 2015 , pp. 638 - 643
Copyright
Copyright © JLO (1984) Limited 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1Mongini, F, Rota, E, Deregibus, A, Ferrero, L, Migliaretti, G, Cavallo, F et al. Accompanying symptoms and psychiatric comorbidity in migraine and tension-type headache patients. J Psychosom Res 2006;61:447–51CrossRefGoogle ScholarPubMed
2Ash, CM, Pinto, OF. The TMJ and the middle ear: structural and functional correlates for aural symptoms associated with temporomandibular joint dysfunction. Int J Prosthodont 1991;4:51–7Google ScholarPubMed
3Pau, HW, Punke, C, Zehlicke, T, Dressler, D, Sievert, U. Tonic contractions of the tensor tympani muscle: a key to some non-specific middle ear symptoms? Hypothesis and data from temporal bone experiments. Acta Otolaryngol 2005;125:1168–75CrossRefGoogle ScholarPubMed
4Mongini, F, Ciccone, G, Ceccarelli, M, Baldi, I, Ferrero, L. Muscle tenderness in different types of facial pain and its relation to anxiety and depression: A cross-sectional study on 649 patients. Pain 2007;131:106–11CrossRefGoogle ScholarPubMed
5Sanchez, TG, Guerra, GC, Lorenzi, MC, Brandão, AL, Bento, RF. The influence of voluntary muscle contractions upon the onset and modulation of tinnitus. Audiol Neurootol 2002;7:370–5CrossRefGoogle ScholarPubMed
6Levine, RA. Somatic (craniocervical) tinnitus and the dorsal cochlear nucleus hypothesis. Am J Otolaryngol 1999;20:351–62CrossRefGoogle ScholarPubMed
7Bernhardt, O, Gesch, D, Schwahn, C, Bitter, K, Mundt, T, Mack, F et al. Signs of temporomandibular disorders in tinnitus patients and in a population-based group of volunteers: results of the Study of Health in Pomerania. J Oral Rehabil 2004;31:311–19CrossRefGoogle Scholar
8Zeng, C, Yang, Z, Shreve, L, Bledsoe, S, Shore, S. Somatosensory projections to cochlear nucleus are upregulated after unilateral deafness. J Neurosci 2012 7;32:15791–801CrossRefGoogle ScholarPubMed
9Kaltenbach, JA. Tinnitus: Models and mechanisms. Hear Res 2011;276:52–60CrossRefGoogle ScholarPubMed
10International Headache Society. The International Classification of Headache Disorders. Cephalalgia 2004;24:1–160Google Scholar
11Okeson, JP. Orofacial Pain: Guidelines for Classification, Assessment and Management, 3rd edn.Chicago: Quintessence Publishing, 1996Google Scholar
12Dworkin, SF, LeResche, L. Research diagnostic criteria for temporomandibular disorders: review, criteria, examinations and specifications, critique. J Craniomandib Disord 1992;6:301–55Google ScholarPubMed
13Jensen, R, Rasmussen, BK. Muscular disorders in tension-type headache. Cephalalgia 1996;16:97–103CrossRefGoogle ScholarPubMed
14Hatch, JP, Rugh, JD, Sakai, S, Prihoda, TJ. Reliability of the craniomandibular index. J Orofac Pain 2002;16:284–95Google ScholarPubMed
15Heller, AJ. Classification and epidemiology of tinnitus. Otolaryngol Clin North Am 2003;36:239–48CrossRefGoogle ScholarPubMed
16Sindhusake, D, Mitchell, P, Newall, P, Golding, M, Rochtchina, E, Rubin, G. Prevalence and characteristics of tinnitus in older adults: the Blue Mountains Hearing Study. Int J Audiol 2003;42:289–94CrossRefGoogle ScholarPubMed
17Shargorodsky, J, Curhan, GC, Farwell, WR. Prevalence and characteristics of tinnitus among US adults. Am J Med 2010;123:711–18CrossRefGoogle ScholarPubMed
18Tullberg, M, Ernberg, M. Long-term effect on tinnitus by treatment of temporomandibular disorders: a two-year follow-up by questionnaire. Acta Odontol Scand 2006;64:89–96CrossRefGoogle ScholarPubMed
19De Felício, CM, Melchior, Mde O, Ferreira, CL, Da Silva, MA. Otologic symptoms of temporomandibular disorder and effect of orofacial myofunctional therapy. Cranio 2008;26:118–25CrossRefGoogle ScholarPubMed
20Lam, DK, Lawrence, HP, Tenenbaum, HC. Aural symptoms in temporomandibular disorder patients attending a craniofacial pain unit. J Orofac Pain 2001;15:146–57Google ScholarPubMed
21Bernhardt, O, Mundt, T, Welk, A, Köppl, N, Kocher, T, Meyer, G, Schwahn, C. Signs and symptoms of temporomandibular disorders and the incidence of tinnitus. J Oral Rehabil 2011;38:891–901CrossRefGoogle ScholarPubMed
22Vielsmeier, V, Kleinjung, T, Strutz, J, Bürgers, R, Kreuzer, PM, Langguth, B. Tinnitus with temporomandibular joint disorders: a specific entity of tinnitus patients? Otolaryngol Head Neck Surg 2011;145:748–52CrossRefGoogle ScholarPubMed
23Riga, M, Xenellis, J, Peraki, E, Ferekidou, E, Korres, S. Aural symptoms in patients with temporomandibular joint disorders: multiple frequency tympanometry provides objective evidence of changes in middle ear impedance. Otol Neurotol 2010;31:1359–64CrossRefGoogle ScholarPubMed
24Moller, AR, Moller, MB, Yokota, M. Some forms of tinnitus may involve the extralemniscal auditory pathway. Laryngoscope 1992;102:1165–71CrossRefGoogle ScholarPubMed
25Bartels, H, Staal, MJ, Albers, FWJ. Tinnitus and neural plasticity of the brain. Otol Neurotol 2007;28:178–84CrossRefGoogle ScholarPubMed
26Sturzenegger, MH, Meienberg, O. Basilar artery migraine: a follow-up study of 82 cases. Headache 1985;25:408–15CrossRefGoogle ScholarPubMed
27Volcy, M, Sheftell, FD, Tepper, SJ, Rapoport, AM, Bigal, ME. Tinnitus in Migraine: An Allodynic Symptom Secondary to Abnormal Cortical Functioning? Headache 2005;45:1082–7CrossRefGoogle ScholarPubMed
28Newman, CW, Sandridge, SA, Jacobson, GP. Psychometric adequacy of The Tinnitus Handicap Inventory (THI) for evaluating treatment outcome. J Am Acad Audiol 1998;9:153–60Google ScholarPubMed