{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T12:17:17Z","timestamp":1769170637956,"version":"3.49.0"},"reference-count":14,"publisher":"Cambridge University Press (CUP)","issue":"5","license":[{"start":{"date-parts":[[2007,6,29]],"date-time":"2007-06-29T00:00:00Z","timestamp":1183075200000},"content-version":"unspecified","delay-in-days":4807,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[1994,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Tinnitus produced by synchronous repetitive contraction of the middle ear muscles (middle ear myoclonus) is a rare condition.<\/jats:p><jats:p>We present six cases of middle ear myoclonus in whom different management regimes were successful. In two patients, the tinnitus was controlled by conservative measures. In one patient, whose tinnitus was associated with blepharospasm, significant improvement occurred following botulinum toxin injection into the ipsilateral orbicularis oculi. Three patients were cured by tympanotomy with stapedial and tensor tympani tendon section.<\/jats:p><jats:p>The aetiology of this type of myoclonus remains unclear. The diagnosis is based on the history of involuntary and rhythmic clicking or buzzing tinnitus which is invariably unilateral. The primary differential diagnosis is palatal myoclonus whilst other local aural pathologies must be excluded by careful clinical assessment. Surgical section of these muscles via tympanotomy brings guaranteed relief when conservative measures fail.<\/jats:p>","DOI":"10.1017\/s0022215100126866","type":"journal-article","created":{"date-parts":[[2007,11,30]],"date-time":"2007-11-30T05:16:08Z","timestamp":1196399768000},"page":"380-382","source":"Crossref","is-referenced-by-count":66,"title":["Management of middle ear myoclonus"],"prefix":"10.1017","volume":"108","author":[{"given":"Lydis","family":"Badia","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abhi","family":"Parikh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerald B.","family":"Brookes","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2007,6,29]]},"reference":[{"key":"S0022215100126866_ref014","doi-asserted-by":"publisher","DOI":"10.1177\/000348948008900310"},{"key":"S0022215100126866_ref011","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100122650"},{"key":"S0022215100126866_ref009","first-page":"1409","volume-title":"Otolaryngology","volume":"II","author":"Pulec","year":"1980"},{"key":"S0022215100126866_ref004","first-page":"69","volume-title":"Proceedings of the 4th International Symposium on Acoustic Impedance Measurement","author":"Klochoff","year":"1981"},{"key":"S0022215100126866_ref010","doi-asserted-by":"publisher","DOI":"10.1177\/000348945106000309"},{"key":"S0022215100126866_ref003","first-page":"129","volume-title":"The Structure and Function of the Middle Ear","author":"Kirikae","year":"1960"},{"key":"S0022215100126866_ref001","first-page":"509","volume-title":"The Neurologic Examination","author":"De Jong","year":"1950"},{"key":"S0022215100126866_ref006","first-page":"8","article-title":"Tinnitus due to idiopathic stapedial muscle spasm","volume":"62","author":"Marchiando","year":"1983","journal-title":"Ear, Nose and Throat Journal"},{"key":"S0022215100126866_ref005","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100075198"},{"key":"S0022215100126866_ref007","doi-asserted-by":"publisher","DOI":"10.1288\/00005537-198109000-00003"},{"key":"S0022215100126866_ref008","doi-asserted-by":"publisher","DOI":"10.1002\/lary.5540710609"},{"key":"S0022215100126866_ref012","doi-asserted-by":"publisher","DOI":"10.1097\/00005792-196212000-00003"},{"key":"S0022215100126866_ref013","first-page":"217","article-title":"Tinnitus due to abnormal contraction of stapedial muscle","volume":"36","author":"Watanabe","year":"1974","journal-title":"Journal of Otorhinolaryngology"},{"key":"S0022215100126866_ref002","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215100103573"}],"container-title":["The Journal of Laryngology &amp; Otology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S0022215100126866","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,15]],"date-time":"2019-05-15T00:09:25Z","timestamp":1557878965000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S0022215100126866\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1994,5]]},"references-count":14,"journal-issue":{"issue":"5","published-print":{"date-parts":[[1994,5]]}},"alternative-id":["S0022215100126866"],"URL":"https:\/\/doi.org\/10.1017\/s0022215100126866","relation":{},"ISSN":["0022-2151","1748-5460"],"issn-type":[{"value":"0022-2151","type":"print"},{"value":"1748-5460","type":"electronic"}],"subject":[],"published":{"date-parts":[[1994,5]]}}}