→ Palatal Aponeurosis Massage: A Diagnostic and Treatment Tool to Tinnitus and Otological Symptoms
Abstract
The number of patients seeking treatment for aural fullness, increase in sound threshold, hyperacusis, and tinnitus-together diagnosed as Tonic Tympani Tensor Syndrome (TTTS) as increased greatly during the Covid 19 pandemic. These subjects often present with complaints of Temporomandibular Joint (TMJ) disorders, bruxism, and anxiety. Herein, we report a novel diagnostic and treatment method. This series of cases (n=22) was collected from consecutive patients who attended a tinnitus clinic between February and July 2021. After a clinical history suggestive of TTTS and associated TMJ disorder with myofascial pain and stomatognathic muscle tenderness, subjects were submitted to a novel myofascial relaxing and stretching technique applied to the palatal aponeurosis. Treatment was performed in a single session. The outcome measurement was based on a tinnitus loudness rating scale of 0-100. The mean tinnitus loudness score before treatment was 54.77 (confidence interval-CI 45.8 to 65.47) and after treatment 25.2 (CI 19.59-to 32.61) (p < 0.001). The magnitude effect mean ratio was 0.46 (95% CI .0.39 to 0.54.), p < 0,001.
The massage reduced tinnitus loudness immediately after being performed. It also reduced associated otological complaints such as ear pressure and muffled hearing.
Abstract
The number of patients seeking treatment for aural fullness, increase in sound threshold, hyperacusis, and tinnitus-together diagnosed as Tonic Tympani Tensor Syndrome (TTTS) as increased greatly during the Covid 19 pandemic. These subjects often present with complaints of Temporomandibular Joint (TMJ) disorders, bruxism, and anxiety. Herein, we report a novel diagnostic and treatment method. This series of cases (n=22) was collected from consecutive patients who attended a tinnitus clinic between February and July 2021. After a clinical history suggestive of TTTS and associated TMJ disorder with myofascial pain and stomatognathic muscle tenderness, subjects were submitted to a novel myofascial relaxing and stretching technique applied to the palatal aponeurosis. Treatment was performed in a single session. The outcome measurement was based on a tinnitus loudness rating scale of 0-100. The mean tinnitus loudness score before treatment was 54.77 (confidence interval-CI 45.8 to 65.47) and after treatment 25.2 (CI 19.59-to 32.61) (p < 0.001). The magnitude effect mean ratio was 0.46 (95% CI .0.39 to 0.54.), p < 0,001.
The massage reduced tinnitus loudness immediately after being performed. It also reduced associated otological complaints such as ear pressure and muffled hearing.
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