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Pathophysiology, Diagnosis and Treatment of Somatosensory Tinnitus: A Scoping Review

2017Journal article Open access
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dc.contributor.authorHaider, HF
dc.contributor.authorHoare, DJ
dc.contributor.authorCosta, RF
dc.contributor.authorPotgieter, I
dc.contributor.authorKikidis, D
dc.contributor.authorLapira, A
dc.contributor.authorNikitas, C
dc.contributor.authorCaria, H
dc.contributor.authorCunha, NT
dc.contributor.authorPaço, JC
dc.date.accessioned2017-06-25T21:11:08Z
dc.date.available2017-06-25T21:11:08Z
dc.date.issued2017
dc.description.abstractSomatosensory tinnitus is a generally agreed subtype of tinnitus that is associated with activation of the somatosensory, somatomotor, and visual-motor systems. A key characteristic of somatosensory tinnitus is that is modulated by physical contact or movement. Although it seems common, its pathophysiology, assessment and treatment are not well defined. We present a scoping review on the pathophysiology, diagnosis, and treatment of somatosensory tinnitus, and identify priority directions for further research. Methods: Literature searches were conducted in Google Scholar, PubMed, and EMBASE databases. Additional broad hand searches were conducted with the additional terms etiology, diagnose, treatment. Results: Most evidence on the pathophysiology of somatosensory tinnitus suggests that somatic modulations are the result of altered or cross-modal synaptic activity within the dorsal cochlear nucleus or between the auditory nervous system and other sensory subsystems of central nervous system (e.g., visual or tactile). Presentations of somatosensory tinnitus are varied and evidence for the various approaches to treatment promising but limited. Discussion and Conclusions: Despite the apparent prevalence of somatosensory tinnitus its underlying neural processes are still not well understood. Necessary involvement of multidisciplinary teams in its diagnosis and treatment has led to a large heterogeneity of approaches whereby tinnitus improvement is often only a secondary effect. Hence there are no evidence-based clinical guidelines, and patient care is empirical rather than research-evidence-based. Somatic testing should receive further attention considering the breath of evidence on the ability of patients to modulate their tinnitus through manouvers. Specific questions for further research and review are indicated.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationFront Neurosci. 2017 Apr 28;11:207.pt_PT
dc.identifier.doi10.3389/fnins.2017.00207pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.26/18569
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.subjectZumbido/tratamentopt_PT
dc.subjectZumbido/diagnósticopt_PT
dc.subjectTinnitus/diagnosispt_PT
dc.subjectTinnitus/therapypt_PT
dc.titlePathophysiology, Diagnosis and Treatment of Somatosensory Tinnitus: A Scoping Reviewpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.startPage207pt_PT
oaire.citation.volume11pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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