Zhang Qi, Zhao Lidong, Shen Weidong, Yang Shiming
Department of Otolaryngology, Head and Neck Surgery, Institute of Otolaryngology, Chinese PLA General Hospital, Fuxing Street NO.28, Haidian District, Beijing, 100039, China.
J Otol. 2021 Oct;16(4):266-272. doi: 10.1016/j.joto.2021.04.001. Epub 2021 Apr 20.
Subjective tinnitus is the most common type of tinnitus, which is the manifestation of pathological activities in the brain. It happens in a substantial portion of the general population and brings significant burden to the society. Severe subjective tinnitus can lead to depression and insomnia and severely affects patients' quality of life. However, due to poor understanding of its etiology and pathogenesis, treatment of subjective tinnitus remains challenging. In recent decades, a growing number of studies have shown that subjective tinnitus is related to lesion-induced neural plasticity of auditory and non-auditory central systems. This article reviews cellular mechanisms of neural plasticity in subjective tinnitus to provide further understanding of its pathogenesis.
主观性耳鸣是最常见的耳鸣类型,是大脑病理活动的表现。它在相当一部分普通人群中发生,给社会带来了沉重负担。严重的主观性耳鸣可导致抑郁和失眠,并严重影响患者的生活质量。然而,由于对其病因和发病机制了解不足,主观性耳鸣的治疗仍然具有挑战性。近几十年来,越来越多的研究表明,主观性耳鸣与听觉和非听觉中枢系统病变诱导的神经可塑性有关。本文综述了主观性耳鸣中神经可塑性的细胞机制,以进一步了解其发病机制。