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Medical Forum / Diseases and Disorders / Tinnitus / June 2005Tinnitus gets worse when mouth is open
Hi everybody, Recently I was on a course of accutane which I believe caused tinnitus in both ears for me (it's listed as a rare side effect). The tinnitus itself is luckily bearable (I can only really hear it when going to bed) however I have noticed one thing - that it gets much louder when I open my jaw. Opening my jaw all the way will result in the tinnitus getting a lot worse. Opening it enough for a bite of say, a tall sandwich, produces a noticably more audible ring. I'm wondering if maybe this has something to do with the fact that my wisdom teeth are starting to emerge, rather than the accutane, or if this is something that all tinnitus sufferers experience? Dave > Hi everybody, > [quoted text clipped - 11 lines] > > Dave Pretty common, Dave. Bill It is called somatic tinnitus or tinnitus caused by muscle tension. ======================================= > Hi everybody, > [quoted text clipped - 12 lines] > > Dave Conditions that suggest TMJ Problems: Metabolic Tinnitus The findings of a recent study were very interesting. Of a group of twenty patients with tinnitus, ten tested positive for TMJ dysfunction in all diagnostic tests used. Nine tested positive to one or more of the diagnostic procedures. Only one patient of the twenty had no positive evidence of any jaw joint dysfunction. Dr. Morgan's findings were published in The Journal of Craniomandibular Practice. ["Tinnitus of TMJ Origin: A Preliminary Report," Vol.10, No.2] Another research project was headed by Richard L. Goode, MD, professor of ENT and Head and Neck surgery at Stanford University's School of Medicine. Drs Morgan and Goode were able to establish the mechanical connection between the ossicles in the middle ear and the capsule and disk of the TMJ. ["The TMJ-Ear Connection", Journal of Craniomandibular Practice, Vol. 13, No.1).] You may get an idea if the tinnitus is connected to your TMJ in some way, by a.. Clenching your teeth - does it change the tinnitus in some way? (Get louder/softer, pitch change) b.. Pushing in hard on the jaw with your palm. Does the tinnitus change? c.. Pushing in hard on the forehead with your hand. Resist with the head. Any changes? As many as 50% of people using these techniques find a change in their tinnitus and a TMJ correlation they had not known about. Recommendations and treatments for TMJ Problems: Mineral MSM (Methyl Sulfonyl Methane) Surgery/Invasive Prolotherapy Prolotherapy regrows tendons and ligaments to strengthen and stabilize overly mobile joints such as the TMJ. > Hi everybody, > [quoted text clipped - 12 lines] > > Dave TMJ can usually be corrected in most cases by simple cranial adjustment procedures from a specialized Chiropractor or massage therapist. > Conditions that suggest TMJ Problems: > Metabolic Tinnitus The findings of a recent study were very [quoted text clipped - 46 lines] > > > > Dave On 6/11/05 2:55 PM, in article OLidnVxTIevuwDbfRVn-1g@comcast.com, "Tom Sharples" <tsharples@qorvus.com> wrote: > Conditions that suggest TMJ Problems: > Metabolic Tinnitus The findings of a recent study were very [quoted text clipped - 46 lines] >> >> Dave Another way to tell if the TMJ is related to T is to clear the TMJ A. draw a vertical line on the mirro B line up your jaw, lip etc on the line C relax the jaw to see if it opens exactly in the mid line D. if not, practice relaxing the jaw so that it opens in the midline. More details at my web site. Thanks Tom, very interesting reading: Some quotes from http://home.earthlink.net/~dhmorgan/research.html "The connection between temporomandibular joint disorder (TMJ) and ear dysfunction was first researched by Drs. David Goodfriend and James Costen in the 1920s. Hearing loss, tinnitus, vertigo and nausea was often mentioned in case histories of TMJ patients." From http://home.earthlink.net/~dhmorgan/tmjear.html: "The article documents the existence of three structures that traverse through the petrotympanic fissure. These structures are the mandibular malleolar ligament, the chorda tympanic nerve and the anterior tympanic artery" Elly's Tinnitus Resources http://eebee.net/ >Conditions that suggest TMJ Problems: > Metabolic Tinnitus The findings of a recent study were very [quoted text clipped - 46 lines] >> >> Dave Why has this never been mentioned by people who have connection with the ATA? When was this study done? Douglas H. Morgan, DDS, an oral and maxillofacial surgeon, who has specialized in TMJ treatment for over 30 years, was sponsored by the American Tinnitus Association to do a special clinical research study. Twenty patients who suffered with tinnitus were chosen. These people had been to ENT specialists to rule out any organic or other otologic causes of their tinnitus. Also, none of these patients complained of jaw joint or facial pain and were not aware of any jaw joint dysfunction. Dr. Morgan conducted an eight part comprehensive TMJ diagnostic study of these tinnitus patients. Among the tests used was a complete radiologic evaluation, which included transcraniel lateral oblique x-rays, tomograms and magnetic resonance imaging in order to evaluate the condition and shape of the joint bones and meniscus. Electromyographic studies were also used to evaluate hyperactivity in the jaw and surrounding facial muscles. Other assessments included palpation of the TMJ area, orthodonic examination, range of jaw motion studies and joint sound evaluation. http://home.earthlink.net/~dhmorgan/research.html Elly's Tinnitus Resources http://eebee.net/ On 6/13/05 1:12 PM, in article t2qra1l4htgdh7ohhnctv2i37ik44p0ia9@4ax.com, > Why has this never been mentioned by people who have connection with > the ATA? > When was this study done? Actually Dr Morgan and I lectured on this subject in a seminar back in the 80's .
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