Function
When tensed, the action of the muscle is to pull the malleus medially, tensing the tympanic membrane, damping vibration in the ear ossicles and thereby reducing the amplitude of sounds. This muscle is contracted primarily to dampen the noise produced by chewing. (Compare to the more general dampening function of the stapedius muscle.)
In many people with hyperacusis, 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 (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).
Read more about this topic: Tensor Tympani Muscle
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