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Somatosensorischer Tinnitus

Somatosensory tinnitus

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Zusammenfassung

Hintergrund

Somatosensorischer Tinnitus stellt eine klinisch bedeutsame Untergruppe des chronischen Tinnitus dar. Obwohl das Verständnis der Pathogenese des somatosensorischen Tinnitus noch unvollständig ist, zeigen einige wissenschaftliche Erkenntnisse Verschaltungen zwischen dem somatosensorischen und dem auditorischen System, welche für die Entstehung und Aufrechterhaltung des Tinnitus verantwortlich zu sein scheinen.

Ziel der Arbeit

Das Ziel dieser Arbeit ist es, einen Überblick über den somatosensorischen Tinnitus zu geben und ein Untersuchungsprotokoll vorzuschlagen, welches in Diagnostik und Therapie dieser Patientengruppe unterstützend sein soll.

Material und Methoden

Neben der Anamnese werden diverse klinische Untersuchungsmanöver vorgestellt, um die Diagnose eines somatosensorischen Tinnitus zu stellen.

Ergebnisse

Die Manöver werden eingeteilt in Untersuchungen der Halswirbelsäule, des Kiefergelenks sowie kiefergelenknahe Weichteilpalpation. Diese sollten in ruhiger Umgebung und meist im Seitenvergleich durchgeführt werden.

Schlussfolgerung

Die korrekte Diagnosestellung eines somatosensorischen Tinnitus ist essenziell, um eine entsprechende Behandlung dieser Patientengruppe einzuleiten, wobei die hier vorgestellten klinischen Manöver dafür gut geeignet sind.

Abstract

Background

Somatosensory tinnitus represents a clinically significant subgroup of chronic tinnitus. Although not completely understood, increasing evidence suggests interactivity between the somatosensory and auditory systems is responsible for both the development and maintenance of tinnitus.

Objectives

The aim of this study is to provide an overview of the evaluation of somatosensory tinnitus and to propose an examination protocol to support the diagnosis and treatment of this patient group.

Materials and methods

In addition to patient history, various clinical examination maneuvers are presented to establish the diagnosis of somatosensory tinnitus.

Results

The maneuvers can be divided into examinations of the cervical spine, temporomandibular joint, and soft tissue near the jaw. The maneuvers should be performed in a quiet environment and usually in comparison between sides.

Conclusion

Accurate and efficient diagnosis of somatosensory tinnitus is essential to initiate appropriate treatment. The clinical maneuvers presented here are well suited for this purpose.

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Authors and Affiliations

  1. Klinik und Poliklinik für Hals-Nasen-Ohrenheilkunde, Universitätsklinikum Regensburg, Franz-Josef-Strauß-Allee 11, 93053, Regensburg, Deutschland

    Veronika Vielsmeier & Steven C. Marcrum

  2. Abteilung für Physio- und Ergotherapie, Universitätsklinikum Regensburg, Regensburg, Deutschland

    Joachim van der Loo

Authors
  1. Veronika Vielsmeier
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  2. Joachim van der Loo
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  3. Steven C. Marcrum
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Corresponding author

Correspondence to Veronika Vielsmeier.

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Interessenkonflikt

V. Vielsmeier, J. van der Loo und S.C. Marcrum geben an, dass kein Interessenkonflikt besteht.

Für diesen Beitrag wurden von den Autor/-innen keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien. Für Bildmaterial oder anderweitige Angaben innerhalb des Manuskripts, über die Patient/-innen zu identifizieren sind, liegt von ihnen und/oder ihren gesetzlichen Vertretern/Vertreterinnen eine schriftliche Einwilligung vor.

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Vielsmeier, V., van der Loo, J. & Marcrum, S.C. Somatosensorischer Tinnitus. HNO 71, 731–738 (2023). https://doi.org/10.1007/s00106-023-01372-0

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  • DOI: https://doi.org/10.1007/s00106-023-01372-0

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