The osteopathic approach has a global consideration of the individual and how the alterations of some structures can give rise to a dysfunctional state, translating into symptoms of pain and discomfort. Considering that tinnitus does not have a single and defined origin on which to intervene in a targeted way, the global approach of osteopathy is among the most effective. Tinnitus or tinnitus is a sound perception in the absence of physiological stimulation of the cochlea receptors, defined by the patient as “a whistle, a hiss, a rustle”.

Some types of tinnitus can derive from dysfunction of the temporomandibular joint (Atm) of a functional type, which require osteopathic treatment associated with orthodontic and gnathological treatment.

An osteopathic dysfunction of the jaw can directly or indirectly influence the correct functioning of the ear, and can be the cause or adaptation of an ascending, descending or mixed imbalance of the muscle chains. The jaw and tongue together with the hyoid bone mainly affect the anterior muscle chain, while the maxillary bone in synergy with the other bones of the skull, most of all the posterior muscle chain. Due to the close structural synergy between the skull, the jaw and the vertebral column and its connections with other parts of the body, functional osteopathic dysfunctions in these structures can generate repercussions even at a distance, and could also contribute to modifying the support of the foot.

The osteopath through his manual, structural, myofascial, visceral and cranio-sacral techniques is able to rebalance the whole system, restoring the patient’s physiological conditions.

The goal of the osteopath is to restore the correct physiology and function of all those elements that are at the origin of tinnitus through a series of treatments that act on the musculoskeletal component of the base of the head and the cervical area, on the intracranial membranes (meninges) and the fluids that flow within these structures. In particular, osteopathic treatment involves: cranio-sacral normalization; the drainage of the cephalorachid fluid; venous drainage of the Dura Madre; the drainage of the inner ear: the rebalancing of spheno-basilar synchondrosis; the rebalancing of the sacred; the general rebalancing of the bones of the skull and in particular of the temporal bones, sutures and attached muscles; specific intra-buccal techniques, specific osteopathic techniques in the ENT and stomatognathic fields; global osteopathic techniques and the rebalancing of the three diaphragms.

Only after the Osteo-gnato-postural evaluation, is the osteopathic treatment plan set together with the orthodontist.

After the first treatment, a protocol of exercises for the re-education of the ATM is delivered to be carried out at home. In subsequent treatments, after re-evaluating the patient, if deemed appropriate, we proceed with the design and application of any orthodontic or gnathological appliances. In addition, constant patient monitoring with periodic checks is required to achieve positive results.

The treatment of tinnitus patients is very complex and necessarily requires teamwork between an otolaryngologist, orthodontist and osteopath in order to achieve the best therapeutic result.
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