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The tensor tympani is a
muscle Skeletal muscles (commonly referred to as muscles) are organs of the vertebrate muscular system and typically are attached by tendons to bones of a skeleton. The muscle cells of skeletal muscles are much longer than in the other types of mus ...
within the middle ear, located in the bony canal above the bony part of the
auditory tube Auditory means of or relating to the process of hearing: * Auditory system, the neurological structures and pathways of sound perception ** Auditory bulla, part of auditory system found in mammals other than primates ** Auditory nerve, also known ...
, and connects to the malleus bone. Its role is to dampen loud sounds, such as those produced from chewing, shouting, or thunder. Because its reaction time is not fast enough, the muscle cannot protect against hearing damage caused by sudden loud sounds, like explosions or gunshots.


Structure

The tensor tympani is a
muscle Skeletal muscles (commonly referred to as muscles) are organs of the vertebrate muscular system and typically are attached by tendons to bones of a skeleton. The muscle cells of skeletal muscles are much longer than in the other types of mus ...
that is present in the middle ear. It arises from the cartilaginous part of the
auditory tube Auditory means of or relating to the process of hearing: * Auditory system, the neurological structures and pathways of sound perception ** Auditory bulla, part of auditory system found in mammals other than primates ** Auditory nerve, also known ...
, and the adjacent great wing of the sphenoid. It then passes through its own canal, and ends in the
tympanic cavity The tympanic cavity is a small cavity surrounding the bones of the middle ear. Within it sit the ossicles, three small bones that transmit vibrations used in the detection of sound. Structure On its lateral surface, it abuts the external auditor ...
as a slim
tendon A tendon or sinew is a tough, high-tensile-strength band of dense fibrous connective tissue that connects muscle to bone. It is able to transmit the mechanical forces of muscle contraction to the skeletal system without sacrificing its ability ...
that connects to the handle of the malleus. The tendon makes a sharp bend around the ''processus cochleariformis'', part of the wall of its cavity, before it joins with the malleus. The tensor tympani receives blood from the middle meningeal artery via the superior tympanic branch. It is one of two muscles in the
tympanic cavity The tympanic cavity is a small cavity surrounding the bones of the middle ear. Within it sit the ossicles, three small bones that transmit vibrations used in the detection of sound. Structure On its lateral surface, it abuts the external auditor ...
, the other being the
stapedius The stapedius is the smallest skeletal muscle in the human body. At just over one millimeter in length, its purpose is to stabilize the smallest bone in the body, the stapes or strirrup bone of the middle ear. Structure The stapedius emerges fr ...
.


Nerve supply

The tensor tympani is supplied by the tensor tympani nerve, a branch of the mandibular branch of the
trigeminal nerve In neuroanatomy, the trigeminal nerve ( lit. ''triplet'' nerve), also known as the fifth cranial nerve, cranial nerve V, or simply CN V, is a cranial nerve responsible for sensation in the face and motor functions such as biting and che ...
. As the tensor tympani is supplied by motor fibers of the trigeminal nerve, it does not receive fibers from the
trigeminal ganglion A trigeminal ganglion (or Gasserian ganglion, or semilunar ganglion, or Gasser's ganglion) is the sensory ganglion at the base of each of the two trigeminal nerves (CN V), occupying a cavity ( Meckel's cave) in the dura mater, covering the tri ...
, which has sensory fibers only.


Development

The tensor tympani muscle develops from mesodermal tissue in the 1st pharyngeal arch.


Function

The tensor tympani acts to dampen the noise produced by chewing. When tensed, the muscle pulls the malleus medially, tensing the tympanic membrane and damping
vibration Vibration is a mechanical phenomenon whereby oscillations occur about an equilibrium point. The word comes from Latin ''vibrationem'' ("shaking, brandishing"). The oscillations may be periodic, such as the motion of a pendulum—or random, su ...
in the ear
ossicles The ossicles (also called auditory ossicles) are three bones in either middle ear that are among the smallest bones in the human body. They serve to transmit sounds from the air to the fluid-filled labyrinth (cochlea). The absence of the auditor ...
and thereby reducing the perceived
amplitude The amplitude of a periodic variable is a measure of its change in a single period (such as time or spatial period). The amplitude of a non-periodic signal is its magnitude compared with a reference value. There are various definitions of am ...
of sounds. It is not to be confused by the acoustic reflex, but can be activated by the startle reflex.


Voluntary control

Contracting muscles produce vibration and sound. Slow twitch fibers produce 10 to 30 contractions per second (equivalent to 10 to 30 Hz sound frequency). Fast twitch fibers produce 30 to 70 contractions per second (equivalent to 30 to 70 Hz sound frequency). The vibration can be witnessed and felt by highly tensing one's muscles, as when making a firm fist. The sound can be heard by pressing a highly tensed muscle against the ear, again a firm fist is a good example. The sound is usually described as a rumbling sound. Some individuals can voluntarily produce this rumbling sound by contracting the muscle. The rumbling sound can also be heard when the neck or jaw muscles are highly tensed as when yawning deeply. This phenomenon has been known since (at least) 1884.


Involuntary control (tympanic reflex)

The tympanic reflex helps prevent damage to the inner ear by muffling the transmission of low frequency vibrations from the tympanic membrane to the oval window. The reflex has a response time of 40 milliseconds, not fast enough to protect the ear from sudden loud noises such as an explosion or gunshot. Thus, the reflex most likely developed to protect early humans from loud thunder claps which do not happen in a split second. The reflex works by contracting the muscles of the middle ear, the tensor tympani and the stapedial muscle. However, the stapedial muscle is innervated by the facial nerve while the tensor tympani is innervated by the trigeminal nerve. The tensor tympani pulls the manubrium of the malleus inwards and tightens it while the stapedial muscle pulls the stapes inward. This tightening dampens the sound vibration that is allowed to penetrate the cochlea. Withdrawal from drugs such as
benzodiazepine Benzodiazepines (BZD, BDZ, BZs), sometimes called "benzos", are a class of depressant drugs whose core chemical structure is the fusion of a benzene ring and a diazepine ring. They are prescribed to treat conditions such as anxiety disorders, ...
s had been known to cause
tonic tensor tympani syndrome Tonic tensor tympani syndrome is a disease of the tensor tympani muscle, described by Klochoff et al in 1971.Klockhoff I. Impedance fluctuation and a ''Tensor Tympani Syndrome''. In: Proceedings of the 4th International Symposium on Acoustic Measur ...
(TTTS) during withdrawal. The tympanic reflex will also activate when loud vibrations are generated by the person themselves. The tensor tympani can often be observed vibrating while shouting at an increased volume, dampening the sound somewhat.


Clinical significance

In many people with
hyperacusis Hyperacusis is the increased sensitivity to sound and a low tolerance for environmental noise. Definitions of hyperacusis can vary significantly; it can refer to normal noises being perceived as: loud, annoying, painful, fear-inducing, or a combina ...
, an increased activity develops in the tensor tympani muscle in the middle ear as part of the startle response to some sounds. This lowered reflex threshold for tensor tympani contraction is activated by the perception/anticipation of loud sound, and is called
tonic tensor tympani syndrome Tonic tensor tympani syndrome is a disease of the tensor tympani muscle, described by Klochoff et al in 1971.Klockhoff I. Impedance fluctuation and a ''Tensor Tympani Syndrome''. In: Proceedings of the 4th International Symposium on Acoustic Measur ...
(TTTS). In some people with hyperacusis, the tensor tympani muscle can contract just by thinking about a loud sound. Following exposure to intolerable sounds, this contraction of the tensor tympani muscle tightens the ear drum, which can lead to the symptoms of ear pain/a fluttering sensation/a sensation of fullness in the ear (in the absence of any middle or inner ear pathology). The mechanisms behind dysfunction of the tympanic tensor muscle and their consequences are hypothesized. However, in a published study, researchers studied the case of an
acoustic shock Acoustic shock is the set of symptoms a person may experience after hearing an unexpected, loud sound. The loud sound, called an acoustic incident, can be caused by feedback oscillation, fax tones, or signalling tones. Telemarketers and call cen ...
whose mechanisms suggest dysfunction of the tympanic tensor muscle. This study appears to be the first to provide experimental support suggesting that middle ear muscles (MEM) may behave abnormally after an acoustic shock. It is suggested that abnormal contractions (e.g. tonic contractions) of the tympanic tensor muscle may trigger neurogenic inflammation. Indeed, fibers with substances P and CGRP were found in close proximity.Yamazaki M, Sato I. Distribution of substance P and the calcitonin gene-related peptide in the human tensor tympani muscle. European Archives of Oto-Rhino-Laryngology. 2014;271(5):905-911. doi:10.1007/s00405-013-2469-1.


Additional images

File:Gray907.png, External and middle ear, opened from the front. Right side. File:Gray911.png, View of the inner wall of the tympanum (enlarged)


See also

*
Hearing Hearing, or auditory perception, is the ability to perceive sounds through an organ, such as an ear, by detecting vibrations as periodic changes in the pressure of a surrounding medium. The academic field concerned with hearing is audit ...
* Middle ear *
Ossicles The ossicles (also called auditory ossicles) are three bones in either middle ear that are among the smallest bones in the human body. They serve to transmit sounds from the air to the fluid-filled labyrinth (cochlea). The absence of the auditor ...
*
Stapedius The stapedius is the smallest skeletal muscle in the human body. At just over one millimeter in length, its purpose is to stabilize the smallest bone in the body, the stapes or strirrup bone of the middle ear. Structure The stapedius emerges fr ...
the other major muscle in the middle ear * Acoustic reflex *
Hyperacusis Hyperacusis is the increased sensitivity to sound and a low tolerance for environmental noise. Definitions of hyperacusis can vary significantly; it can refer to normal noises being perceived as: loud, annoying, painful, fear-inducing, or a combina ...


References


External links


McGill


{{Authority control Muscles of the head and neck Ear