Tinnitus Concomitant With Eye Closure Treated by Tensor Tympani Tendon Resection and Cartilage Block Insertion

Middle ear myoclonus (MEM) is a rare idiopathic clicking-type tinnitus attributed to abnormal contractions of the stapedius and/or tensor tympani muscles.1 Most cases of MEM can be managed with medication, behavioral therapy, and avoidance of trigger factors.2 In patients with intractable MEM, middle ear tendon resection (METR) is a treatment of choice with a high success rate.3 However, reattachment of the resected tendon can occur in the healing process.3 Herein, we present the first report of an MEM concomitant with eye blinking treated by resection of the tensor tympani tendon and the cartilage block insertion, which can prevent a recurrence.