This hyper-contraction (or spasms) leads to chronic ear pain, in particular in the case of hyperacusis[3] and acoustic shock.
It's like a calming mechanism that's in place in order to stabilize volume and respond to noise fluctuations, that also provides inner ear protection from loud sounds.
When the tensor tympani muscle experiences a spasm without the provocation of loud sounds, it's called the acoustic reflex, which is part of a normal auditory system.
This is a relatively simple surgical procedure that involves endoscopically cutting the tensor tympani muscle to eliminate spasms.
A tensor tympani tenotomy is the preferred method of treatment due to being a safe and reliable procedure with very high success rates, providing longterm relief from TTTS.
Benzodiazepines target the anxiolytic component of the disorder and acts as a muscle relaxant, potentially decreasing symptoms.
Botulinum toxin prevents the release of acetylcholine from pre-synaptic neurons and is well-documented in the use of non-cosmetic otolaryngology-associated disease processes like hemi-facial spasms.
[13] Holistic treatment options include relaxation techniques, sound, and tinnitus restraining therapies.
[8] Some patients have also seen relief with botox injections to help reduce tonic tensor tympani spasms.
Holistic approaches are typically least desired by patients with TTTS due lack of definitive success rates and varying results.
TTTS can be mentally debilitating, causing a high amount of distress in those who suffer from it, reducing quality of life.
Tonic tensor tympani syndrome can occur at any age, with the chances of occurrence raise drastically if an acoustic incident takes place.